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首页> 外文期刊>The journal of forensic psychiatry & psychology >Prison vs. hospital for offenders with psychosis; effects on reoffending
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Prison vs. hospital for offenders with psychosis; effects on reoffending

机译：监狱与医院为精神病的罪犯; 对重建的影响

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With research showing a high prevalence of psychosis in prisons, its effective management is essential for clinical and criminal outcomes. In a matched sample of released prisoners and discharged patients with psychosis (124 pairs) we investigated whether group participation (prison vs. hospital) affected the likelihood of reoffending as well as time to reoffending. Statistical analysis was completed using multilevel logistic regression and multilevel survival analysis. We found that prison cases were more likely to commit any offence within a given period of time (1, 2 or 3 years). Moreover, at any particular time 3 times as many patients with psychosis released from prisons reoffended proportionally to their matched controls discharged from hospitals (HR = 2.92, 95% CI = 1.99, 4.29, P < 0.001). In conclusion, release from prison carries higher risk of a future offending and reduced time to reoffending among offenders with psychosis. Notwithstanding limitations inherent in observational study designs, we advocate that in addition to clinical need and the humanitarian argument, offenders with psychosis should be treated in secure hospitals to reduce future recidivism.
机译：随着调查中的精神病患病率高的研究，其有效的管理对于临床和刑事成果至关重要。在释放囚犯的匹配样本中，并在精神病（124对）中排出患者（124对），我们调查了集团参与（监狱与医院）是否影响了再脱开的可能性以及重新核准的时间。使用多级物流回归和多级生存分析完成统计分析。我们发现监狱案件更有可能在给定的时间内（1,2或3岁）犯任何罪行。此外，在任何特定时间3次，许多精神病患者从监狱释放到从医院排出的匹配控制成比例地重建（HR = 2.92,95％CI = 1.99,4.29，P <0.001）。总之，从监狱的释放带来了更高的未来违规风险，并减少了在有精神病的罪犯中重建的时间。尽管在观察研究设计中固有的局限性，但我们倡导外，除了临床需求和人道主义论证之外，应在安全的医院接受精神病的违法者，以减少未来的累犯。

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