法医学杂志

法医学杂志 ›› 2013, Vol. 29 ›› Issue (2): 120-121,124.DOI: 10.3969/j.issn.1004-5619.2013.02.010

• 案例分析 • 上一篇    下一篇

交通事故精神伤残程度重新鉴定51例分析

余关茂，陈正平，田国强   

  1. （绍兴市第七人民医院司法鉴定所，浙江 绍兴 312000）
  • 发布日期:2013-04-25 出版日期:2013-04-28
  • 作者简介:余关茂（1958—），男，浙江绍兴人，副主任医师，主检法医师，主要从事精神卫生研究；E-mail：85334356@sxmail.net

Reappraisals of Mental Disabilities Due to Traffic Accidents: a Retrospective Analysis of 51 Cases

YU GUAN-MAO, CHEN ZHENG-PING, TIAN GUO-QIANG   

  1. （Institute of Forensic Science, Shaoxing Seventh People’s Hospital, Shaoxing 312000, China）
  • Online:2013-04-25 Published:2013-04-28

被引次数

2

摘要： 目的 探讨道路交通事故所致精神伤残的伤残程度重新鉴定意见改变的原因。 方法 回顾性分析绍兴市第七人民医院司法鉴定所2009年10月—2011年10月受理的交通事故致精神伤残的伤残程度重新鉴定案件51例。 结果 要求重新鉴定的案例中，鉴定意见有改变的共计30例（58.82%），其中伤残等级提高8例，伤残等级降低22例。按鉴定意见改变原因分，鉴定人评定时对精神障碍严重程度的理解差异8例，鉴定人自由裁量差异10例，鉴定人对某些精神症状的认识差异2例，鉴定时间差异10例。 结论 精神伤残程度鉴定应准确把握鉴定时机，减少鉴定人个体差异引起的鉴定意见改变，正确理解条款规定的要求。

关键词: 司法精神病学, 事故, 交通, 伤残等级, 重新鉴定

Abstract: Objective To discuss the causes for changes of opinions in reappraisals of mental disabilities due to traffic accidents. Methods Fifty-one reappraisals of mental disorders due to traffic accidents from October 2009 to October 2011 in the Institute of Forensic Science, Shaoxing Seventh People’s Hospital, were retrospectively analyzed. Results In the reappraisals, the opinions about disability grade changed in 30 cases （58.82%）, including 8 cases increased and 22 cases decreased. According to the causes of changing the opinions, there were 8, 10 and 2 cases related to different understandings of appraisers in the severities of mental disorders, subjective judgements and certain psychiatric symptoms, respectively. Also, there were 10 cases related to different appraisal time. Conclusion Appraisals of mental disabilities should grasp the appraisal time, decrease the changes of opinions due to the differences of appraisers and correctly understand the orders of rules and clauses.

Key words: forensic psychiatry, accidents, traffic, disability grade, reappraisal

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