There are no firm epidemiologic data concerning psychiatric disorders associated with homicide recidivism. The authors studied all homicide recidivists who were incarcerated in Finnish prisons or high-security hospitals and had committed their last offense during the 3-year period July 1, 1988-June 30, 1991. All recidivists (13 subjects) could be considered to suffer from either severe alcoholism combined with personality disorder (N = 11, 85%) or from schizophrenia (N = 2, 15%).