Rule-violating behavior related to substance misuse has been mostly studied in prisons, with less focus on forensic psychiatric settings.
The study aimed to identify factors associated with substance misuse among patients with schizophrenia or similar disorders in a Swiss forensic psychiatric unit, using data from 1982 to 2016.
Results showed that substance misuse during hospitalization was uncommon (14%), with prior substance use disorders being a significant factor, while other associated factors included younger age, nature of offending, and previous treatment complications.
The study investigates the prevalence of self-injury among patients with schizophrenia spectrum disorders (SSD) in forensic psychiatry, utilizing a sample of 356 inmates from a Swiss facility.
Using machine learning to analyze 512 potential predictors, the research identified ten key variables that effectively distinguished self-injuring patients from those who did not, achieving balanced accuracy of 68%.
Findings indicate that younger patients with SSD who self-injured displayed more severe symptoms of depression and anxiety upon admission, suggesting these symptoms could be critical targets for future prevention efforts.