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차승민(Seungmin Cha),임경옥(Kyung-Ok Lim),조성남(Sung-Nam Cho),장소영(Soyeong Jang),한송이(Songyi Han) 대한노인정신의학회 2021 노인정신의학 Vol.25 No.1
Objective: As the population of the elderly increases, the prevalence of dementia and other mental diseases of the elderly is also increasing. Dementia is a typical elderly mental illness. Some people with dementia may cause a crime due to symptoms of mental behavior. The purpose of this study is to examine the characteristics of criminal behavior of various elderly mental patients. Methods: From January 1, 2010 to December 31, 2019, the court selected 65 years of age or older from among the criminal psychiatric appraisal cases commissioned by the court. A total of 205 medical records and mental assessments were reviewed retrospectively. All records were prepared through psychiatric interviews, clinical psychological examinations, and other examinations, and the information compiled was viewed in several aspects, including demographic factors, crime characteristics, and psychiatric opinions, at the level of technical analysis. Results: There was a statistically significant difference in the judgment of criminal liability according to the degree of cognitive impairment (p<0.001) in the elderly mentally ill, and a significant difference in criminal behavior depending on the type of mental illness (p<0.001). Conclusion: Not only dementia but also other elderly mental illnesses are related to violent crime. In particular, paranoid symptoms and alcohol abuse in older adults’ mental illness are related to the type of criminal behavior. In an aging society, appropriate therapeutic intervention is needed to prevent criminal behavior of the elderly mentally ill.
노인 입원 환자에서 섬망 발생과 결과에 대한 후향적 연구
임채성(Chaesung Im),차승민(Seungmin Cha),김재헌(Jaeheon Kim),이재민(Jaemin Lee),김정란(Jeong Lan Kim) 대한생물치료정신의학회 2012 생물치료정신의학 Vol.18 No.2
Objectives:This study was aimed to examine the development and outcome of delirium in elderly inpatients retrospectively. Methods:We reviewed medical records of 2,570 patients, who were referred to consultation of psychiatry between January 2007 and December 2011. We found 916 patients(35.6%) who were confirmed as delirium by psychiatrists with DSM-IV-TR diagnostic criteria. The epidemiologic and clinical information were obtained and the factors affecting on recovery and recurrence of delirium were explored. All statistical analyses were conducted by using Pearson Chi- Square test, Student`s t-test, Binary logistic regression analysis with SPSS 17.0. Results:916 patients presented delirium. 577 patients(63.0%) were men and 339 patients(37.0%) were women. The mean of age was 74.6 years. The most frequently prescribed medicine was risperidone(52.7%), and followed by quetiapine(26.8%), olanzapine (9.9%). We found significant differences in Sex, Age, Ambulation state and Treatment in recovered and unchanged patients group. Additionally we also found that male sex can be a risk factor of recurrent delirium(OR 1.914, CI 1.102-3.323). Conclusion:These results suggest that female, advanced age, ambulation and antipsychotic medication can be associated with positive outcome of delirium, whereas male can increase the risk of recurrence of delirium.