Résumés du XXXIIIe Congrès International de droit et de santé ...

Young Violent and Sexual Male Offenders in Prison – An Overview of a SwedishProjectBjörn Hofvander, Lunds University (bjorn.hofvander@med.lu.se)Background: This project was based on the assumption that early-onset behavior disorders formthe antecedents of severe and complex psychiatric disorders, psychosocial marginalization, and apropensity toward criminal recidivism in adulthood. It includes a comprehensive assessment ofthis problem constellation among young adult criminal offenders, integrating in-depth clinicaland epidemiological methods.Aims: The aims of our study were to map the mental health problems and needs of consecutiveyoung adult perpetrators of violent and sexual criminality within the Swedish Prison andProbation Service and to test the specific hypothesis that childhood-onset behavior problems areassociated with broader patterns of coexisting psychiatric problems, maladaptive personalitytraits, psychosocial problems, and persistent violent offending.Methods: From the western region of the Swedish Prison and Probation Services, 270 maleinmates, ages 18–25 and serving sentences for violent crimes, were assessed using multiplemeasures, including clinical and neuropsychological assessments, self-rating questionnaires, andcollateral interviews.Expected results: Preliminary results showed that more than 90% of young adults in Swedishprison settings had mental health problems requiring specialist treatment. “Early starters” (i.ethose who began violent offending at an early age) were also common in this group.This calls forspecial mental programs and psychosocial treatment programs.Heritability Factors in Patterns of Substance Use among Young Adult MaleViolent and Sexual OffendersBamchad Behbahani, Lunds University (bamchad.behbahani@skane.se)Background: While the link between substance use and criminal behaviour is well established,little is known about substance-specific associations between substance use disorders and violentcrime, and whether or not these potential associations are affected by heredity.Aims: The present projects aims to describe psychiatric diagnoses, including substance usedisorders, in male prisoners sentenced for violent and/or sexual crimes, and to analyse theassociation between substance-specific substance-use patterns and the type of crime, with thehypothesis that a hereditary disposition toward substance use and/or criminal behaviour maymediate these associations.38