Alcohol and Alcoholism Advance Access published online on December 15, 2006
Alcohol and Alcoholism, doi:10.1093/alcalc/agl098
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1 Department of Psychiatry and Psychotherapy, University of Erlangen-Nuremberg, Germany Schwabachanlage 6, 91054 Erlangen, Germany
* To whom correspondence should be addressed. Aims: Worldwide criminal statistics show a disproportionately high incidence of violent offences committed under the influence of alcohol. A psychopathological subtyping of alcohol dependence in offenders who committed homicide has mainly been related to impulsive and dissocial personalities up to now. Methods: In an investigation on 48 alcohol-dependent offenders who committed homicide, a subtyping according to the multidimensional classification systems of Lesch and Cloninger has now been conducted for the first time. Results: In Lesch's classification, there was a high incidence of homicides committed by type II and type III subjects with the comorbidity anxiety and cyclothymia. While type III offenders were more often repeat offenders, there was a remarkably high rate of first offenders among type II subjects (Chi-squared test;
Received November 3, 2006
Revised November 3, 2006
Accepted November 7, 2006
Article
ALCOHOLISM AND HOMICIDE WITH RESPECT TO THE CLASSIFICATION SYSTEMS OF LESCH AND CLONINGER
UDO REULBACH 1, TERESA BIERMANN 1, STEFAN BLEICH 1, THOMAS HILLEMACHER 1, JOHANNES KORNHUBER 1, and WOLFGANG SPERLING 1 *
WOLFGANG SPERLING, E-mail: Wolfgang.Sperling{at}uk-erlangen.de
Abstract 
2 = 30.0, df = 3, P < 0.001). With respect to Lesch's typology, the blood alcohol concentrations did differ significantly in the group of offenders (Kruskal-Wallis, 2 = 18.3, df = 3, P < 0.001), whereas the blood alcohol concentration of type II offenders at the time of offence was significantly lower than in type III offenders (Mann-Whitney-U, Z = -3.47; P = 0.001). Regarding to the Cloninger's typology, no significant differences in the aforementioned parameters could be found. Discussion: An excessive noradrenergic reaction of anxiety offenders with initial withdrawal is discussed as a possible explanatory model.
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