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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2016 ; 11
(5
): e0155906
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gab.com Text
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English Wikipedia
Mortality, Rehospitalisation and Violent Crime in Forensic Psychiatric Patients
Discharged from Hospital: Rates and Risk Factors
#MMPMID27196309
Fazel S
; Wolf A
; Fimi?ska Z
; Larsson H
PLoS One
2016[]; 11
(5
): e0155906
PMID27196309
show ga
OBJECTIVES: To determine rates and risk factors for adverse outcomes in patients
discharged from forensic psychiatric services. METHOD: We conducted a historical
cohort study of all 6,520 psychiatric patients discharged from forensic
psychiatric hospitals between 1973 and 2009 in Sweden. We calculated hazard
ratios for mortality, rehospitalisation, and violent crime using Cox regression
to investigate the effect of different psychiatric diagnoses and two
comorbidities (personality or substance use disorder) on outcomes. RESULTS: Over
mean follow-up of 15.6 years, 30% of patients died (n = 1,949) after discharge
with an average age at death of 52 years. Over two-thirds were rehospitalised (n
= 4,472, 69%), and 40% violently offended after discharge (n = 2,613) with a mean
time to violent crime of 4.2 years. The association between psychiatric diagnosis
and outcome varied-substance use disorder as a primary diagnosis was associated
with highest risk of mortality and rehospitalisation, and personality disorder
was linked with the highest risk of violent offending. Furthermore comorbid
substance use disorder typically increased risk of adverse outcomes. CONCLUSION:
Violent offending, premature mortality and rehospitalisation are prevalent in
patients discharged from forensic psychiatric hospitals. Individualised treatment
plans for such patients should take into account primary and comorbid psychiatric
diagnoses.
|Adult
[MESH]
|Female
[MESH]
|Forensic Psychiatry/statistics & numerical data
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Mental Disorders/*epidemiology/mortality
[MESH]
|Patient Discharge/*statistics & numerical data
[MESH]
|Patient Readmission/*statistics & numerical data
[MESH]