AI Article Synopsis
- Treatment in medium secure forensic psychiatry aims to reduce public risk by providing care for individuals with mental health issues who have offended.
- A study followed 1,344 patients over an average of 6.2 years post-discharge to analyze the rate of reoffending and identify contributing risk factors.
- Findings showed that while the majority did not reoffend, certain factors like gender, age, and previous convictions increased the likelihood of serious reoffending, indicating a need for better identification and management of high-risk individuals.
Article Abstract
Background: Treatment within medium secure forensic psychiatry services is expected to reduce risk to the public.
Aims: To measure the period prevalence and incidence of offending following discharge and identify associated risk factors.
Method: Follow-up of patients from 7 of 14 regional services in England and Wales who spent time at risk (n=1344) for a mean of 6.2 years. Outcome was obtained from offenders index, hospital case-files and the central register of deaths.
Results: One in 8 men and 1 in 16 women were convicted of grave offences. Incidence rates indicated low density and most patients were not subsequently convicted. Offence predictors included gender, younger age, early-onset offending, previous convictions and a comorbid or primary diagnosis of personality disorder. Longer in-patient stay and restriction on discharge were protective.
Conclusions: Risks of reoffending remain for a subgroup of discharged patients. Future research should aim to improve their identification and risk management following discharge.
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| http://dx.doi.org/10.1192/bjp.bp.105.018788 | DOI Listing |
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