11 Forensic psychiatry11.1 Crime and mental disorder
11.1.3 Offending in special groups
4 min read1 figure
Written by Resident Doctor Committee · Published
Children and young people
Jurisdiction | Minimum age of criminal responsibility |
|---|---|
England and Wales | 10 |
Northern Ireland | 10 |
Scotland | 12, under the Age of Criminal Responsibility (Scotland) Act 2019 |
Republic of Ireland | 12, but 10 for murder, manslaughter, rape and aggravated sexual assault |
The Crime and Disorder Act 1998 abolished doli incapax, the rebuttable presumption that had applied to children aged 10 to 13 in England and Wales.
A child under 10 in England and Wales who breaks the law is managed by a civil Child Safety Order, not arrest or prosecution, however serious the act.
Reaching the age of criminal responsibility does not establish fitness to take part in proceedings, and developmental immaturity can impair participation without any diagnosis.
Recorded male offending in the UK peaks at 17 to 18 years, and the female peak comes earlier, in mid-adolescence.
Theft in a young person with a psychiatric disorder most often reflects conduct-dissocial disorder, because ICD-11 lists deceitfulness or theft among its defining behaviour groups.
Women
Men are convicted roughly five times as often as women in the UK, and women make up under 20% of convictions (about one in six or seven).
Women have historically been under one in twenty prisoners in England and Wales, many sentenced for non-violent offences.
Female offending is under-reported to the police, so official statistics understate it relative to self-reported offending.
Psychopathy, conduct disorder and serious offending are all commoner in males.
Women with marked psychopathic traits tend to present in a flirtatious, emotionally unstable style.
Domestic and childhood abuse are common, and recorded self-harm is particularly high in women's prisons.
The Corston report (2007) argued for community services designed for women.
Prisoners
Group | Disorder | Rate |
|---|---|---|
Male prisoners (Fazel and Danesh) | Any personality disorder | About 65% (two thirds) |
Male prisoners (Fazel and Danesh) | Antisocial personality disorder | 47% |
Women prisoners, England and Wales (1997 national prisoner psychiatric morbidity survey) | Borderline personality disorder | About 20% |
Older prisoners (60 and over)
Just over half have at least one psychiatric disorder, and depression is the commonest, at about 30%.
Antisocial and avoidant personality disorders are the two commonest types in sentenced older prisoners, each at around 8%.
Older men convicted of sexual offences show more schizoid, obsessive-compulsive and avoidant traits than older men convicted of other offences, with similar rates of mental illness.
Intellectual disability and autism
Prison prevalence estimates for intellectual disability range from under 2% to about 30%, with typical figures of 0.5 to 1.5%.
Convicted offenders with intellectual disability are mostly at the milder end of the range, and severe disability is under-represented.
Violence, sexual offences and arson are all over-represented.
Contact sexual offending is the over-represented index offence, but only in men; non-sexual non-violent offences are not over-represented.
Group | Overall offending | Over-represented offence |
|---|---|---|
Autism spectrum disorder | No excess | Fire-setting |
Autism without intellectual disability (formerly Asperger's syndrome) | Not raised | Criminal damage, with arson a weaker second |
Sexual offending and stalking
Men whose sexual offending is confined to indecent images of children are better educated, more often employed, higher earning, younger and more often single than contact offenders.
They also have fewer previous convictions, less substance misuse and fewer antisocial traits.
Personality disorder is the commonest diagnostic category in people who stalk, ahead of psychotic, mood and substance use disorders, though only about half have any mental disorder.
Ethnic minority groups
The Lammy review (2017) found minority ethnic defendants made up about a fifth of the relevant court caseload, against roughly an eighth of the population.
The AESOP study found higher rates of first-presentation psychosis in Black African and Black Caribbean than White British people, with more compulsory admissions and police involvement.
Deaf and physically disabled offenders
British Sign Language (BSL) has its own grammar and is recognised in England, Scotland and Wales by the BSL Act 2022.
Written English and lip reading may not give a first-language BSL user reliable access, so use a qualified, registered interpreter, never a relative or investigating officer.
Language deprivation and ordinary BSL structure can be mistaken for thought disorder.
Reasonable adjustments for disability are duties under the Equality Act 2010 in Great Britain.
Fair participation
Article 6 of the European Convention on Human Rights requires effective participation and a fair trial, with communication support where needed.