On the determination of primary morbidity while carrying out a stationary forensic-psychiatric examination among the population of Krasnodar city
Aim. The study of the primary incidence of mental disorders during inpatient forensic psychiatric examination of residents of the city of Krasnodar over a five-year period. Materials and methods. A retrospective system analysis and assessment of the main indicators of the prevalence and dynamics of nosological forms of primary morbidity among persons referred to inpatient forensic psychiatric examination for 2013-2017 were carried out. Results. The prevalence and characteristics of indicators for all diseases registered during the examination as a whole and for individual classes of mental disorders among different cohorts sent to inpatient forensic psychiatric examination are revealed. It was established that the diagnosis of mental disorder according to the results of inpatient forensic psychiatric examinations for the specified period was first established by 15.0% sub-expert, and the contingent of experts with first-identified mental disorders in criminal cases is represented mainly by illicit drug trafficking and the threat of murder. There has been a steady increase in forensic psychiatric examinations with questions about the presence of drug addicts among suspects / accused persons and the need for drug dependence treatment and medical and social rehabilitation, as well as the growth of persons with expert decisions on their recognition of limited ability to act. Conclusion. The data obtained in the course of the study make it possible to more objectively assess primary morbidity and plan differentially, and carry out primary prevention of socially dangerous actions in people with mental disorders.