精神疾病犯罪者監護處分時間的決定因子

Correlates with the Custodial Protection Sentence for Criminal Offenders with Mental Illness in Taiwan

10.30074/FJMH.202106_34(2).0003

郭宇恆(Yu-Heng Kuo)；李俊宏(Chun-Hung Lee)；吳文正(Wen-Cheng Wu)；歐陽文貞(Wen-Chen Ouyang)

精神疾病 ； 精神疾病與心智缺陷抗辯 ； 監護處分 ； 最重本刑 ； 司法精神醫學 ； mental illness ； insanity defense ； custodial protection ； the most severe sentence ； forensic psychiatry

中華心理衛生學刊

34卷2期（2021 / 06 / 01）

157 - 179

繁體中文

研究目的：在台灣，精神疾病犯罪者符合刑法19條第1、2項可減、免刑責。符合上述情形可依刑法87條判監護處分。本研究想了解法院判決精神疾病犯罪者之「監護處分期間長短」的決定因子。研究方法：藉由2006年7月1日至2019年5月1日「司法院法學資料檢索系統」回顧符合條件的公開判決書243件，對「監護處分期間長短」與「是否屬於重大精神疾病、輕型精神疾病或智能不足」及「所犯罪最重本刑的刑期」進行分析。研究結果：精神疾病犯罪者所犯最重本刑為「訂有上限的有期徒刑者」，其「所犯罪最重本刑的刑期」與「監護處分期間長短」達統計顯著相關（皮爾森相關係數r= 0.185, p = 0.019）。再將精神疾病分3組與「監護處分期間長短」進行變異數分析，發現「是否屬於重大精神疾病」等3組的「監護處分期間長短」沒有達統計顯著差異（p =0.250）。研究結論：精神疾病犯罪者監護處分時間僅與最重本刑有關；唯監護處分應以精神疾病治療為依歸，改善此社會安全議題應增加「精神健康識能」等方式為之。

Purpose: Criminal offenders in Taiwan with a mental illness that meets the requirements for an insanity defense can reduce or eliminate their criminal liability (a criminal sentence of fixed-term imprisonment, life imprisonment or death penalty), and instead be sentenced to custodial protection (involuntary admission to a mental facility for management of mental illness). The goal of this study is to identify factors that may correlate with the length of an individual's custodial protection sentence. Methods: Through a public judgment inquiry, we obtained the records for 243 court verdicts (from July 1, 2006 to May 1, 2019) for criminal offenders with mental illness. We extracted the data on the correlation among length of custodial protection, severe and persistent mental illness (SPMI), minor mental illness or intellectual disability, and the most severe sentence for the crime committed. Results: Our analysis showed a statistically significant positive correlation between the most severe sentence for the crime committed and the length of custodial protection (r = 0.185; p = 0.019). Next, we divided offenders into 3 groups: those with SPMI, minor mental disorders, and an intellectual disability group. We found no significant difference in the length of custodial protection among these 3 groups (p = 0.250). Conclusions: The study supports the hypothesis that the length of custodial protection correlates with the most severe sentence for the crime committed. However, the length of custodial protection should be first considered according to the different severity level of mental illness, namely whether the criminal offenders with mental illness are suffered from SPMI or not. When the social security issue is taken into account, other methods such as mental health literary should be promoted.

1. 李怡芳（2017）。身心障礙者形象研究─以2007至2015年報紙報導內容分析為例（未出版之碩士論文）。取自華藝線上圖書館。doi: 10.6342/NTU201703111
   連結：
2. Andreasson, H., Nyman, M., Krona, H., Meyer, L., Henrik, A., Nilsson, T., & Hofvander, B. (2014). Predictors of length of stay in forensic psychiatry: The influence of perceived risk of violence. International Journal of Law and Psychiatry, 37, 635-642. doi: 10.1016/j.ijlp.2014.02.038
   連結：
3. Carabellese, F., & Felthous, A. R. (2016). Closing Italian forensic psychiatry hospitals in favor of treating insanity acquittees in the community. Behavioral Sciences & the Law, 34(2-3), 444-459. doi: 10.1002/bsl.2234
   連結：
4. Coid, J. W., Yang, S. U. M., Hickey, N., Kahtan, N., & Freestone, M. (2015). Psychiatric diagnosis and differential risks of offending following discharge. International Journal of Law and Psychiatry, 38, 68-74. doi: 10.1016/j.ijlp.2015.01.009
   連結：
5. Danielle Laberge, D., & Morin, D. (1995). The overuse of criminal justice dispositions: Failure of diversionary policies in the management of mental health problems. International Journal of Law and Psychiatry, 18, 389-414. doi: 10.1016/0160-2527(95)00019-E
   連結：
6. Edworthy, R., Sampson, S., & Völlm, B. (2016). Inpatient forensic-psychiatric care: Legal frameworks and service provision in three European countries. International Journal of Law and Psychiatry, 47, 18-27. doi: 10.1016/j.ijlp.2016.02.027
   連結：
7. Haas, H., & Cusson, M. (2015). Comparing theories' performance in predicting violence. International Journal of Law and Psychiatry, 38, 75-83. doi: 10.1016/j.ijlp.2015.01.010
   連結：
8. Iftene, A. (2016). Unlocking the doors to Canadian older inmate mental health data: Rates and potential legal responses. International Journal of Law and Psychiatry, 47, 36-44. doi: 10.1016/j.ijlp.2016.02.032
   連結：
9. Jeandarme, I., Habets, P., Oei, T.I., & Bogaerts, S. (2016). Reconviction and revocation rates in flanders after medium security treatment. International Journal of Law and Psychiatry, 47, 45-52. doi: 10.1016/j.ijlp.2016.02.033
   連結：
10. Loza, W., Villeneuve, D. B., & Loza-Fanous, A. (2002). Predictive validity of the violence risk appraisal guide: A tool for assessing violent offender's recidivism. International Journal of Law and Psychiatry, 25, 85-92. doi: 10.1016/S0160-2527(01)00092-9
    連結：
11. Lund, C., Hofvander, B., Forsman, A., Anckarsäter, H., & Nilsson, T. (2013). Violent criminal recidivism in mentally disordered offenders: A follow-up study of 13–20 years through different sanctions. International Journal of Law and Psychiatry, 36, 250-257. doi: 10.1016/j.ijlp.2013.04.015
    連結：
12. O'Reilly, R., Corring, D., Richard, J., Plyley, C., & Pallaveshi, L. (2016). Do intensive services obviate the need for CTOs? International Journal of Law and Psychiatry, 47, 74-78. doi: 10.1016/j.ijlp.2016.02.038
    連結：
13. Penney, S.R., Prosser, A., Grimbos, T., Darby, P., & Simpson, A.I.F. (2018). Time trends in homicide and mental illness in Ontario from 1987 to 2012: Examining the effects of mental health service provision. The Canadian Journal of Psychiatry, 63(6), 387-394. doi: 10.1177/0706743717737034
    連結：
14. Pinna, F., Tusconi, M., Dessi, C., Pittaluga, G., Fiorillo, A., & Carpiniello, B. (2016). Violence and mental disorders: A retrospective study of people in charge of a community mental health center. International Journal of Law and Psychiatry, 47, 122-128. doi: 10.1016/j.ijlp.2016.02.015
    連結：
15. Player, C. T. (2015). Outpatient commitment and procedural due process. International Journal of Law and Psychiatry, 38, 100-113. doi: 10.1016/j.ijlp.2015.01.013
    連結：
16. Vugt, M. D., HansKroon, Delespaul, P. A.E.G., & L. Mulder, C. (2016). Assertive community treatment and associations with delinquency. International Journal of Law and Psychiatry, 49, 93-97. doi: 10.1016/j.ijlp.2016.08.001
    連結：
17. Wilson, C. M., Nicholls, T. L., Charette, Y., Seto, M. C., & Crocker, A. G. (2016). Factors associated with review board dispositions following re-hospitalization among discharged persons found not criminally responsible. Behavioral Sciences & the Law, 34(2-3), 278-294. doi: 10.1002/bsl.2220
    連結：
18. 曾淑瑜（2005）。精神障礙者犯罪處遇制度之研究。刑事政策與犯罪研究論文集，8，67-93。
19. 黃冠綸、黃聿斐（2016）。刑事責任能力判斷標準修正對精神鑑定與法院判決一致性之效應。台灣精神醫學會55th年會暨學術討論會論文摘要集，21-22。
20. 姬健梅（譯）（2017）。告訴我，你為什麼殺人（原作者：N. Saimeh）。臉譜出版社。 謝瑤偉（2020）。精神障礙犯罪者之診療現況評析。2020年5月5日《法務部》，取自http://www.moj.gov.tw/ct.asp?xItem=29759&ctNode=13788&mp=202
21. Buchanan, A., Norko, M., Baranoski, M., & Zonana, H. (2016). A consultation and supervision model for developing the forensic psychiatric opinion. Journal of American Academy of Psychiatry and the Law, 44, 300-308.
22. Rueve, M. E., & Welton, R. S. (2008). Violence and mental illness. Psychiatry, 5(5), 34-48.
23. Tolisano, P., Sondik, T. M., & Dike, C. C. (2017). A positive behavioral approach for aggression in forensic psychiatric settings. Journal of American Academy of Psychiatry and the Law, 45, 31-9.
24. Trestman, R. L. (2017). Treating aggression in forensic psychiatric settings. Journal of American Academy of Psychiatry and the Law, 45, 40-43.

1. 郭宇恆(Yu-Heng Kuo);李俊宏(Chun-Hung Lee);歐陽文貞(Wen-Chen Ouyang);吳文正(Wen-Cheng Wu)(2024)。精神疾病犯罪者監護處分後再犯的決定因子。中華心理衛生學刊。37(3)。229-251。