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Psychosis in German prisoners

Comparison of the clinical appearance of psychotic disorder of an imprisoned population with a not detained community group

Bibliographic Data

ID21558401
AuthorsPhilipp Meinert (Department of Psychiatry, Psychotherapy and Psychosomatic Medicine Brandenburg Medical School Neuruppin Germany, corresponding author), Joachim Behr (Department of Psychiatry, Psychotherapy and Psychosomatic Medicine Brandenburg Medical School Neuruppin Germany), Ulrich Gauger (0000-0001-8174-1529, Institute of Forensic Psychiatry Charité University Hospital Berlin Germany), J Krebs (0000-0003-4990-4142, Institute of Forensic Psychiatry Charité University Hospital Berlin Germany), Norbert Konrad (0000-0001-5072-8241, Institute of Forensic Psychiatry Charité University Hospital Berlin Germany), Annette Opitz‐Welke (Institute of Forensic Psychiatry Charité University Hospital Berlin Germany)
Year2020
Volume38
Issue5
Pages482-492
Publication date2020-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBehavioral Sciences & the Law (JOURNAL)
Journal identifiersISSN: 0735-3936 • E-ISSN: 1099-0798
PublisherWiley (PUBLISHER • GB)
DOI10.1002/bsl.2480
PMID32833256
OpenAlexW3080826532
LanguageEN
References cited39

Surveys confirm risk factors for the incarceration of patients with psychosis including homelessness and comorbidity. There is also agreement that severe psychosis can lead to violence. Data describing prisoners with psychosis in Germany are scarce. We aimed to compare patients with psychosis in a prison hospital and patients with psychosis in a community hospital. Demographic data were collected, as well as comorbidity in the form of substance dependence and a psychiatric assessment using the German version of the 18‐item Brief Psychiatric Rating Scale (BPRS) and the Positive and Negative Syndrome Scale (PANSS). In the prison hospital group more patients were homeless (17 versus 2%) and non‐German (36 versus 4%). There were also more patients with substance dependence or abuse in the prison hospital group. The total scores of BPRS and PANSS were lower in the prison hospital group (BPRS, 43.8 versus 51.2; PANSS, 71.5 versus 83.7). We assume that social disintegration for mentally disturbed offenders prior to incarceration hindered effective treatment. To avoid further social disintegration and possible further deterioration of mental health status of released offenders, which may lead to reoffending after imprisonment, discharge management after release from prison should be improved

German · German population · Population · Psychiatry · Psychosis · Clinical Psychology · Healthcare Decision-Making and Restraints · Medicine · Psychology · Psychopathy, Forensic Psychiatry, Sexual Offending · Schizophrenia research and treatment

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