Mental health among young adults in prison: The importance of childhood-onset conduct disorder
Background The psychiatric health burden of prisoners is substantial. However, there is a lack of high-quality studies of psychiatric disorders among young adults with a high risk of reoffending. Aims...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2017-03-01
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| Series: | BJPsych Open |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472400002052/type/journal_article |
| _version_ | 1811157090359574528 |
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| author | Björn Hofvander Henrik Anckarsäter Märta Wallinius Eva Billstedt |
| author_facet | Björn Hofvander Henrik Anckarsäter Märta Wallinius Eva Billstedt |
| author_sort | Björn Hofvander |
| collection | DOAJ |
| description |
Background
The psychiatric health burden of prisoners is substantial. However, there is a lack of high-quality studies of psychiatric disorders among young adults with a high risk of reoffending.
Aims
To investigate the lifetime prevalence of psychiatric disorders and use of mental health services among young male violent offenders and the impact of childhood-onset conduct disorder (COCD).
Method
A nationally representative cohort (n = 270, age 18–25) of male offenders was followed back in medical records and clinically assessed by gold standard methods. Lifetime prevalences are presented together with odds ratios (ORs) as risk estimates in relation to COCD.
Results
Previous use of psychiatric services among the participants was high but their lifetime psychiatric morbidity was even higher, with 93% meeting criteria for at least one Axis I disorder. The COCD group was overrepresented in most clinical categories and carried five times higher odds (OR = 5.1, 95% CI 2.0–12.8) of a psychotic disorder, three times higher odds (OR = 3.2, 95% CI 1.2–8.5) of a substance use disorder and two times higher odds of a mood disorder (OR = 2.3, 95% CI 1.3–4.0) or anxiety disorder (OR = 2.0, 95% CI 1.1–3.5).
Conclusions
The mental health burden is substantial among young violent offenders, and COCD is an important indicator of future mental health problems which must be a priority for public health efforts.
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| first_indexed | 2024-04-10T05:01:16Z |
| format | Article |
| id | doaj.art-5b8fc3c3acaa441180b42515cfddd66f |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T05:01:16Z |
| publishDate | 2017-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-5b8fc3c3acaa441180b42515cfddd66f2023-03-09T12:28:40ZengCambridge University PressBJPsych Open2056-47242017-03-013788410.1192/bjpo.bp.116.003889Mental health among young adults in prison: The importance of childhood-onset conduct disorderBjörn Hofvander0Henrik Anckarsäter1Märta Wallinius2Eva Billstedt3Department of Clinical Sciences, Lund, Child and Adolescent Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden; Division of Forensic Psychiatry, Region Skåne, Kristianstad, Sweden; Department of Psychiatry, Autism Research Centre, University of Cambridge, Cambridge, UKDepartment of Forensic Psychiatry, Centre of Ethics, Law and Mental Health, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, SwedenDepartment of Clinical Sciences, Lund, Child and Adolescent Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden; Regional Forensic Psychiatric Clinic, Växjö, SwedenGillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden Background The psychiatric health burden of prisoners is substantial. However, there is a lack of high-quality studies of psychiatric disorders among young adults with a high risk of reoffending. Aims To investigate the lifetime prevalence of psychiatric disorders and use of mental health services among young male violent offenders and the impact of childhood-onset conduct disorder (COCD). Method A nationally representative cohort (n = 270, age 18–25) of male offenders was followed back in medical records and clinically assessed by gold standard methods. Lifetime prevalences are presented together with odds ratios (ORs) as risk estimates in relation to COCD. Results Previous use of psychiatric services among the participants was high but their lifetime psychiatric morbidity was even higher, with 93% meeting criteria for at least one Axis I disorder. The COCD group was overrepresented in most clinical categories and carried five times higher odds (OR = 5.1, 95% CI 2.0–12.8) of a psychotic disorder, three times higher odds (OR = 3.2, 95% CI 1.2–8.5) of a substance use disorder and two times higher odds of a mood disorder (OR = 2.3, 95% CI 1.3–4.0) or anxiety disorder (OR = 2.0, 95% CI 1.1–3.5). Conclusions The mental health burden is substantial among young violent offenders, and COCD is an important indicator of future mental health problems which must be a priority for public health efforts. https://www.cambridge.org/core/product/identifier/S2056472400002052/type/journal_article |
| spellingShingle | Björn Hofvander Henrik Anckarsäter Märta Wallinius Eva Billstedt Mental health among young adults in prison: The importance of childhood-onset conduct disorder BJPsych Open |
| title | Mental health among young adults in prison: The importance of childhood-onset conduct disorder |
| title_full | Mental health among young adults in prison: The importance of childhood-onset conduct disorder |
| title_fullStr | Mental health among young adults in prison: The importance of childhood-onset conduct disorder |
| title_full_unstemmed | Mental health among young adults in prison: The importance of childhood-onset conduct disorder |
| title_short | Mental health among young adults in prison: The importance of childhood-onset conduct disorder |
| title_sort | mental health among young adults in prison the importance of childhood onset conduct disorder |
| url | https://www.cambridge.org/core/product/identifier/S2056472400002052/type/journal_article |
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