OBJECTIVES: (1) Describe the population of mentally ill offenders over whom Ontario Review Board (ORB) held jurisdiction. (2) Assess the influences of psychopathology and criminal factors on criminal career. METHOD: This study was a retrospective case series design that reviewed all offenders who were court ordered for psychiatric evaluation at Mental Health Services Site of Providence Care in Kingston, Ontario from 1993 to 2007 (N=347). Eighty five subjects were found not criminally responsible on the account of mental disorder and were included in statistical analysis (n=85). Bivariate associations between five key variables and two outcome variables, seriousness of crime and recidivism, were examined. Logistic regressions were conducted to test the role of the predictor variables on the outcome variables. RESULTS: Age and change in principal psychiatric diagnosis over time were shown to be associated with seriousness of crime. Timing of psychiatric onset, early signs of deviance and change in diagnosis were shown to be associated with recidivism. On the whole, study population did not markedly vary in their distribution of variables by the outcome variables. Regression model included timing of psychiatric onset; psychiatric history; existence of criminal associate; child abuse history; and early signs of deviance. Recidivism was shown to be predicted by early signs of deviance (OR=8.154, p<0.05). Existence of criminal associates was shown to have substantial values of odds ratio at marginal significance (OR=7.577, p=0.13). CONCLUSION: Seriousness of crime is a complex factor that could not be sufficiently predicted by any one or combinations of study variables. Recidivism is better predicted by criminality factors than psychopathology. In the future, an exploratory analysis that more broadly examines the psychopathology and criminal factors in Canadian forensic population is needed. Findings from this study have important clinical and legal implications. / Thesis (Master, Neuroscience Studies) -- Queen's University, 2011-08-10 10:35:13.036

A study was conducted to investigate and identify differences inherent in two subtypes of psychosis driven or mentally disordered homicide: matricide versus any other biological intrafamilial homicide or attempted homicide. Matricide was further investigated through the exploration of offence specific details, as well as demographic and diagnostic characteristics of persons who had committed (or attempted) homicide against the mother and were subsequently found not criminally responsible and detained by the Ontario Review Board between 1992 and 2012. Matricidal accused were more often diagnosed with childhood disorders and paranoid schizophrenia. As adults, they failed to mature sexually and socially, and continued to live at home, dependent on the mothers that were the ultimate victims of their violence. Attachment theory is offered as a proposed explanation for the matricidal impulse.