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Healthcare utilizat...
Healthcare utilization and psychiatric morbidity in violent offenders: findings from a prospective cohort study
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- Tärnhäll, André (author)
- University of Gothenburg,Lund University,Lunds universitet,Gothenburg University,Göteborgs universitet,Centrum för etik, juridik och mental hälsa,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Centre for Ethics, Law, and Mental Health,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry,Barn- och ungdomspsykiatri,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Enheten för klinisk forskning om utagerande beteenden och utvecklingsrelaterad psykopatologi,Forskargrupper vid Lunds universitet,Child and Adolescent Psychiatry,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Clinical Research on Externalizing and Developmental psychopathology (LU-CRED),Lund University Research Groups,Region Skåne
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- Björk, Jonas (author)
- Lund University,Lunds universitet,Centrum för ekonomisk demografi,Ekonomihögskolan,Avdelningen för arbets- och miljömedicin,Institutionen för laboratoriemedicin,Medicinska fakulteten,Kirurgi och folkhälsa,Forskargrupper vid Lunds universitet,EPI@LUND,Centre for Economic Demography,Lund University School of Economics and Management, LUSEM,Division of Occupational and Environmental Medicine, Lund University,Department of Laboratory Medicine,Faculty of Medicine,Surgery and public health,Lund University Research Groups
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- Wallinius, Märta, 1981 (author)
- University of Gothenburg,Lund University,Lunds universitet,Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Centrum för etik, juridik och mental hälsa,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry,Centre for Ethics, Law, and Mental Health,Barn- och ungdomspsykiatri,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Enheten för klinisk forskning om utagerande beteenden och utvecklingsrelaterad psykopatologi,Forskargrupper vid Lunds universitet,Child and Adolescent Psychiatry,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Clinical Research on Externalizing and Developmental psychopathology (LU-CRED),Lund University Research Groups,Regional Forensic Psychiatric Clinic in Växjö
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- Gustafsson, Peik (author)
- Lund University,Lunds universitet,Barn- och ungdomspsykiatri,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Utvecklingsrelaterade störningar, affektiv sjukdom och ångestsyndrom i barn- och ungdomspsykiatri,Forskargrupper vid Lunds universitet,Evidensbaserade kliniska metoder,Child and Adolescent Psychiatry,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Disorders in clinical child and adolescent psychiatry,Lund University Research Groups,Evidence based clinical methods
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- Billstedt, Eva, 1961 (author)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Gillbergcentrum,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Gillberg Neuropsychiatry Centre,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry
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- Hofvander, Björn (author)
- University of Gothenburg,Lund University,Lunds universitet,Gothenburg University,Göteborgs universitet,Centrum för etik, juridik och mental hälsa,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Centre for Ethics, Law, and Mental Health,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry,Barn- och ungdomspsykiatri,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Enheten för klinisk forskning om utagerande beteenden och utvecklingsrelaterad psykopatologi,Forskargrupper vid Lunds universitet,Child and Adolescent Psychiatry,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Clinical Research on Externalizing and Developmental psychopathology (LU-CRED),Lund University Research Groups,Region Skåne
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(creator_code:org_t)
- 2022-12-27
- 2023
- English.
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In: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 58:4, s. 617-628
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Abstract
Subject headings
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- Purpose Although persistent offenders with histories of imprisonment and violence have disproportionate high rates of psychiatric disorders, little is known of their psychiatric healthcare utilization (HCU) and HCU-associated factors. This study aimed to explore psychiatric HCU, psychiatric morbidity, and psychotropic prescription drugs in violent offenders with a history of incarceration. Methods Male offenders aged 18-25 (n = 266) imprisoned for violent and/or physical sexual offenses were clinically assessed in 2010-2012 and prospectively followed in Swedish national registries through 2017. Register-based information regarding HCU, psychiatric morbidity, and psychotropic drugs was tracked and compared with a general population group (n = 10,000) and across offending trajectory groups. Baseline risk factors were used to explain prospective psychiatric HCU in violent offenders. Results Violent offenders used less general healthcare and psychiatric outpatient care, but more psychiatric inpatient care and were more often given psychiatric diagnoses and psychotropic drugs than the general population. Participants previously assigned to persisting offending trajectory groups had higher rates of psychiatric HCU than those assigned to a desisting trajectory. In multivariable regression models, psychiatric HCU was associated with anxiety disorders, prior psychiatric contact, placement in a foster home, psychopathic traits, low intellectual functioning, and persistent offending. Conclusions Violent offenders are burdened by extensive and serious psychiatric morbidity and typically interact with psychiatric healthcare as inpatients rather than outpatients. Knowledge about their backgrounds, criminal behaviors, and psychiatric statuses can aid the planning of psychiatric services for this troublesome group.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Keyword
- Psychiatric morbidity
- Violent offenders
- Healthcare utilization
- Psychotropic drugs
- Criminal behavior
- deficit-hyperactivity disorder
- early adulthood
- prisoners
- outcomes
- release
- hospitalization
- aggression
- prevalence
- medication
- regression
- Psychiatry
Publication and Content Type
- ref (subject category)
- art (subject category)
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