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KMID : 1146320190070010001
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Journal of Health Technology Assessment
2019 Volume.7 No. 1 p.1 ~ p.8
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Increasing Criminals with Mental Disorder: Its Causes and Solutions
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Suh Guk-Hee
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Abstract
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Hyper-dopaminergic state in the brain may show schizophrenia-like psychosis. Professionals state that psychosis is not a disease of mind but a disease of brain. Antipsychotics can easily lead to full remission of psychosis. However, psychosis easily relapses because people with psychosis stop taking medication after full remission. Since 2016, crimes by people with mental disorders have greatly increased. It is supposed that the revised mental health act has been working as one-way check valve system draining people with mental disorders in mental institutions into the community while near paralyzing mental institution admission system from community, causing explosive tension of criminal acts by rapidly increased fully psychotic patient in the community without treatment and rehabilitation. They need urgent medical intervention by psychiatrist in spite of self-refusal of treatment. There appears three ways to reduce explosive tension by fully psychotic patients in community. Firstly, patient in the neglect-abandonment land must be relocated into the treatment-rehabilitation land in the community to use long-acting antipsychotics injection every month, which would be expected to greatly reduce or remit psychotic symptoms and move next step for rehabilitation. Secondly, current mental health act should be revised again not to paralyze mental institution admission system and to allow admission of fully psychotic patients who need urgent medical intervention by psychiatrist. Judicial admission order might not be ideal because judge is not a professional for psychotic patient so that psychiatrist, the professional for psychotic patient would be a better individual to make decision for admission of fully psychotic patients who need urgent medical intervention. Thirdly, holding and caring capacity of judicial institution for medical treatment and custody should be expanded, and then this institution should increase close connection to the treatment-rehabilitation land in community to help people under judicial institution for medical treatment and custody successfully relocate after termination.
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KEYWORD
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Psychosis, Crime, Admission, Mental health, Act, Judicial, Schizophrenia
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