• Kareem Nasir Hussain Department of Medicine-Medical College-Al-Qadisiya University


The aims of the study are to determine the rate and spectrum of mental disorders among offenders referral to psychiatric evaluation and find out the relation between mental disorder and the nature of the offence. This is cross sectional study that enrolled 120 referrals to the Forensic Psychiatric Committee (FPC) in Al-Rashad Mental Hospital during the period from April 2012 – January 2013. The referrals were interviewed according to a semi-structured interview questionnaire (SSIQ) based on DSM-IV-TR and the diagnosis was compared with that given by the FPC and the cases was included in the study when it was agreed by both the SSIQ and the FPC. This study revealed that illiterate and those with low level of education rated the highest 82.5% were mentally ill. Interfamilial violent assaults were the commonest offences among males while murder, sex crimes and wandering were the commonest among females. Schizophrenia was commonest diagnosis among males and schizophrenia, mental retardation among females. Most of referrals had previous history of referral 83% with intrafamilial violence was the commonest offence and schizophrenia was the commonest offence and schizophrenia was the commonest diagnosis.Most of the offenders who were referred for psychiatric evaluation were found to bementally ill and the most frequent mental illness was schizophrenia. Most of referral cases were due to violent assaults committed by male schizophrenic and other psychotic.


-Bearcroft J. S. 7 Donovan M.D. (1965), “Psychiatric Referrals From Courts and Prisons”, B.M.J., ii, 1519-23.

-Chiswich D.: Forensic psychiatry (Chapter 33) In: Companion To Psychiatric Studies, By Kendell RE. & Zeally Ak, 7th Ed. 2004. Churchill Livingstone. PP. 660-681.

- Cooke G, Johston N. & Pogany E. Factors Affecting Referrals To Determine Competency To Stand Trial. Am. J. Psychiatry. 130: 8, August 1973. pp. 870-5.

-Dietz PE. Mentally Disordered Offenders Patterns And Relationship Between Mental Disorder & Crime. Psychiatr. – Clin. –North. AM. Sep. 1992: 15 (3): 531-51.

-Freeman CP. Neurotic Disorders (Chapter 19) In Companion To Psychiatric Studies By Kendell & Zeally. 7th Ed. 2004. Churchill Livingstone p.p.: 374-406.

-Friel JP, DP, Dorland’s Illustrated Medical Dictionary. 25th Ed. 1974 W.B. Saunders PP: 48, 374&1281.

-Gelder M., Gath D. & Mayou R. Forensic Psychiatry, (Chapter 22) Oxford Textbook Of Psychiatry, 2nd. Ed. 1989. Oxford University Press, pp.: 858-896.

-Gibbins TCN (1971): Female Offender. B.J. Psych. Special Publication. Contemporary Psychiatry. Headly Brothers Ltd. 1975: 326-33.

-Gunn J. Epilepsy Homicide: A Case Report. B. J. Psych. (1978) 132, 510 -13.

-Kaplan and Sadock's: Synopsis of Pschiatry, 11th Ed, 2009, Page: 885

-Louis Appleby, David M. Forhow, Tim Amos: Post Graduate Psychiatry, 2nd Ed, 2001, Page: 531.

-Metzner JL. Applied Criminology: Current Opinion In Psychiatry. 1991, 4: 856-860.

- Mihael Gelder, Philip, Philip Cowen: Shorter Oxford Textbook, 4th Ed, 2004, Page 708.

- Olaiwi K.I. A Comparative Study Of Psychosocial Aspects Of Murder In Al-Rashad Mental Hospital & Prison. A Study Submitted To The Council Of Psychological Medicine – Iraqi Commission For Medical Specialties. 1992.

- Paul GM. Lange K. Epilepsy & Criminal Law. Sci. & Law. Apr. 1992, 32 (2) 60-6.

- S.M. Lawrie: Companion To Psychiatric Study, 7th Ed., 2004, Page: 749-785.

- Shepherd M. Morbid Jealousy: Some Clinical & Social Aspects Of A Psychiatric Syndrome. Journal of Mental Science 1961. 107: 687-704.

- Sims ACP. & Symond RL. Psychiatric Referrals from the Police. Brit. J. Psychiatry. (1975) 127: 171-178.

- Taylor P. J. & Gunn J. Violence And Psychosis I – Risk of Violence Among Psychotic Men. Brit. Medical Journal Vol. 288. Jun. 1984 pp. 1945-9.

- Taylor PJ. & Harry B. Forensic Psychiatry – Educational Overview, Current Opinion In Psychiatry. 1991, 4: 829-832.

- Tennent TG. 1971, The Dangerous Offender. Brit. J. Psychiatry, Special Publication: Contemporary Psychiatry Selected Reviews From Brit. J. Hos. Med. Edited By Silverstone & Barraclough. Headley Brothers Ltd. 1975. pp.: 308-315.

- Theodore A. Stern, JohnB. Herman: Psychiatric Update And Board Preparation, Substance Misuse, (2000), Page: 385.