Mth. Wong et al., EPILEPSY AND VIOLENCE IN MENTALLY ABNORMAL OFFENDERS IN A MAXIMUM SECURITY MENTAL-HOSPITAL, Journal of epilepsy, 7(4), 1994, pp. 253-258
A retrospective study of the relationship between epilepsy and violenc
e in mentally abnormal offenders is described. All patients were ident
ified with a pread-mission diagnosis of epilepsy who were in Broadmoor
Hospital, a maximum security mental hospital for offenders in England
, on November 17, 1992. The diagnosis of epilepsy in these patients, t
heir violence ratings, and brain investigation findings were reviewed.
Excluding those with neuroleptic-induced seizures, nonepileptic seizu
res, and equivocal episodic behaviours, the prevalence of epilepsy in
Broadmoor Hospital was 2.7% (male) and 2% (female) in this study. This
prevalence is lower than previous estimates. Patients with epilepsy w
ere not different from patients without epilepsy in terms of their vio
lence ratings. There was no obvious association between criminal behav
iour and seizures in these patients with epilepsy, confirming previous
findings. Careful assessment of offenders with a preadmission diagnos
is of seizures in a maximum security hospital setting can help improve
the diagnosis of epilepsy and avoid incorrect attribution of violence
and offence to epilepsy.