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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

机译:德国囚犯的精神病:与未被拘留的社区群体的被监禁的人口的精神病障碍的临床外观比较

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摘要

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.
机译:调查确认了在包括无家可归和合并症的心理学患者的危险因素。还有一致认为,严重的精神病可能会导致暴力。描述德国心理学的囚犯的数据是稀缺的。我们的旨在将患者与社区医院的入狱医院和精神病患者进行比较。收集人口统计数据,以及使用德国版的18项简介精神评级规模(BPRS)和正负综合征规模(平底锅)的物质依赖性和精神病评估的合并症。在监狱医院组中,更多患者无家可归(17与2%)和非德语(36与4%)。还有更多患者在监狱医院组中依赖物质依赖或滥用。监狱医院组的BPRS和平底锅的总分降低(BPRS,43.8与51.2;平底锅,71.5与83.7)。我们假设在检测到有效治疗之前,在症状受到症状冒犯者的社交解体。为了避免进一步的社会解体,可能进一步恶化发布违法者的心理健康状况,这可能导致在监禁后重新核开,应改善从监狱发布后的出院管理。

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  • 来源
    《Behavioral sciences & the law》 |2020年第5期|共11页
  • 作者单位

    Brandenburg Med Sch Dept Psychiat Psychotherapy &

    Psychosomat Med Fehrbelliner Str 38 D-16816 Neuruppin Germany;

    Brandenburg Med Sch Dept Psychiat Psychotherapy &

    Psychosomat Med Fehrbelliner Str 38 D-16816 Neuruppin Germany;

    Charite Inst Forens Psychiat Berlin Germany;

    Charite Inst Forens Psychiat Berlin Germany;

    Charite Inst Forens Psychiat Berlin Germany;

    Charite Inst Forens Psychiat Berlin Germany;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 心理学;
  • 关键词

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