Criminal recidivism and mortality among patients discharged from a forensic medium secure hospital

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Björk, Tabita,1966-Psychiatric Research Centre, Örebro, Sweden; Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden (author)

Criminal recidivism and mortality among patients discharged from a forensic medium secure hospital

Article/chapterEnglish2012

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2012-01-03
London, United Kingdom :Informa Healthcare,2012
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LIBRIS-ID:oai:DiVA.org:oru-44482
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-44482URI
https://doi.org/10.3109/08039488.2011.644578DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:125282667URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Background: One of the goals in forensic psychiatric care is to reduce the risk of recidivism, but current knowledge about the general outcome of forensic psychiatric treatment is limited.Aims: To analyse the rate of criminal recidivism and mortality after discharge in a sample of patients sentenced to forensic psychiatric treatment in a Swedish county.Methods: All offenders in Örebro County, Sweden, sentenced to forensic psychiatric treatment and discharged during 1992-2007 were included: 80 males and eight females. Follow-up data was retrieved from the Swedish National Council for Crime Prevention, the National Cause-of-Death register and clinical files. Mean follow-up time was 9.4 years.Results: The mean age at discharge was 40 years. Schizophrenia, other psychoses and personality disorders were the most prevalent diagnoses. Thirty-eight percent of those still alive and still living in the country re-offended and were sentenced to a new period of forensic psychiatric treatment or incarceration during follow-up. Four male re-offenders committed serious violent crimes. Substance-related diagnosis was significantly associated with risk of recidivism and after adjustment for diagnoses, age and history of serious violent crime, the Hazard Ratio was 4.04 (95% CI 1.51-10.86, P = 0.006). Of all included patients, 23% had died at the end of follow-up (standardized mortality rate 10.4).Conclusions: Since repetition of serious violent crimes was unusual, results indicate a positive development subsequent to treatment for those alive at follow-up.Clinical implications: The high mortality rate suggests that more attention should be paid in evaluation of the patients' somatic and psychiatric health during and after care in order to prevent premature death.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
Forensic psychiatric treatment
Mortality
Recidivism
Psychiatry
Psykiatri

Added entries (persons, corporate bodies, meetings, titles ...)

de Santi, Miguel GForensic Psychiatric Service, Örebro County Council, Örebro, Sweden (author)
Kjellin, Lars,1949-Örebro universitet,Institutionen för hälsovetenskap och medicin,Psychiatric Research Centre, Örebro, Sweden(Swepub:oru)lkn (author)
Psychiatric Research Centre, Örebro, Sweden; Department of Clinical Neuroscience, Karolinska Institute, Stockholm, SwedenForensic Psychiatric Service, Örebro County Council, Örebro, Sweden (creator_code:org_t)

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In:Nordic Journal of PsychiatryLondon, United Kingdom : Informa Healthcare66:4, s. 283-90803-94881502-4725

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