A total population‐based cohort study of female psychiatric inpatients who have served a prison sentence

Abstract Background Studies of the overlap between severe mental disorder and criminality tend to focus on prison populations rather than psychiatric populations. Aims Our aims were to establish the prevalence of previous imprisonment among female psychiatric inpatients and test relationships betwee...

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Published in:Criminal Behaviour and Mental Health
Main Authors: Steingrimsson, Steinn, Sigurdsson, Martin I., Gudmundsdottir, Hafdis, Aspelund, Thor, Magnusson, Andres
Format: Article in Journal/Newspaper
Language:English
Published: Wiley 2015
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Online Access:http://dx.doi.org/10.1002/cbm.1952
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spelling crwiley:10.1002/cbm.1952 2024-06-02T08:09:12+00:00 A total population‐based cohort study of female psychiatric inpatients who have served a prison sentence Steingrimsson, Steinn Sigurdsson, Martin I. Gudmundsdottir, Hafdis Aspelund, Thor Magnusson, Andres 2015 http://dx.doi.org/10.1002/cbm.1952 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fcbm.1952 https://onlinelibrary.wiley.com/doi/pdf/10.1002/cbm.1952 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Criminal Behaviour and Mental Health volume 25, issue 3, page 220-225 ISSN 0957-9664 1471-2857 journal-article 2015 crwiley https://doi.org/10.1002/cbm.1952 2024-05-03T10:41:00Z Abstract Background Studies of the overlap between severe mental disorder and criminality tend to focus on prison populations rather than psychiatric populations. Aims Our aims were to establish the prevalence of previous imprisonment among female psychiatric inpatients and test relationships between diagnoses, mortality and imprisonment. Methods A nationwide cohort of 18–65‐year‐old women who had been hospitalised for psychiatric disorder between January 1983 and March 2008 was identified from a hospital records database and linked to the database of the Prison and Probation Administration of Iceland as well as the National Register of causes of death at Statistics Iceland from January 1985. Results Six thousand and ninety‐four women had had at least one psychiatric hospitalisation, 102 of them had been imprisoned on 172 occasions between them, giving an imprisonment rate of 118 per 100,000 over the 24 year period of study. The crude imprisonment proportion was 1.7% during a 20‐year follow‐up period; it was at its peak (5%) among 18–30 year‐olds at index admission. Substance use and personality disorders were the most common diagnoses associated with imprisonment. Mortality rates were not statistically different between those imprisoned and not (hazard ratio = 1.3, 95% confidence interval 0.5–3.5). Conclusion and implications for practice Women admitted to a psychiatric hospital have higher rates of imprisonment than the general population. Because admission predated imprisonment in most cases, this may be seen as an opportunity for early intervention to reduce later criminality. Copyright © 2015 John Wiley & Sons, Ltd. Article in Journal/Newspaper Iceland Wiley Online Library Criminal Behaviour and Mental Health 25 3 220 225
institution Open Polar
collection Wiley Online Library
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language English
description Abstract Background Studies of the overlap between severe mental disorder and criminality tend to focus on prison populations rather than psychiatric populations. Aims Our aims were to establish the prevalence of previous imprisonment among female psychiatric inpatients and test relationships between diagnoses, mortality and imprisonment. Methods A nationwide cohort of 18–65‐year‐old women who had been hospitalised for psychiatric disorder between January 1983 and March 2008 was identified from a hospital records database and linked to the database of the Prison and Probation Administration of Iceland as well as the National Register of causes of death at Statistics Iceland from January 1985. Results Six thousand and ninety‐four women had had at least one psychiatric hospitalisation, 102 of them had been imprisoned on 172 occasions between them, giving an imprisonment rate of 118 per 100,000 over the 24 year period of study. The crude imprisonment proportion was 1.7% during a 20‐year follow‐up period; it was at its peak (5%) among 18–30 year‐olds at index admission. Substance use and personality disorders were the most common diagnoses associated with imprisonment. Mortality rates were not statistically different between those imprisoned and not (hazard ratio = 1.3, 95% confidence interval 0.5–3.5). Conclusion and implications for practice Women admitted to a psychiatric hospital have higher rates of imprisonment than the general population. Because admission predated imprisonment in most cases, this may be seen as an opportunity for early intervention to reduce later criminality. Copyright © 2015 John Wiley & Sons, Ltd.
format Article in Journal/Newspaper
author Steingrimsson, Steinn
Sigurdsson, Martin I.
Gudmundsdottir, Hafdis
Aspelund, Thor
Magnusson, Andres
spellingShingle Steingrimsson, Steinn
Sigurdsson, Martin I.
Gudmundsdottir, Hafdis
Aspelund, Thor
Magnusson, Andres
A total population‐based cohort study of female psychiatric inpatients who have served a prison sentence
author_facet Steingrimsson, Steinn
Sigurdsson, Martin I.
Gudmundsdottir, Hafdis
Aspelund, Thor
Magnusson, Andres
author_sort Steingrimsson, Steinn
title A total population‐based cohort study of female psychiatric inpatients who have served a prison sentence
title_short A total population‐based cohort study of female psychiatric inpatients who have served a prison sentence
title_full A total population‐based cohort study of female psychiatric inpatients who have served a prison sentence
title_fullStr A total population‐based cohort study of female psychiatric inpatients who have served a prison sentence
title_full_unstemmed A total population‐based cohort study of female psychiatric inpatients who have served a prison sentence
title_sort total population‐based cohort study of female psychiatric inpatients who have served a prison sentence
publisher Wiley
publishDate 2015
url http://dx.doi.org/10.1002/cbm.1952
https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fcbm.1952
https://onlinelibrary.wiley.com/doi/pdf/10.1002/cbm.1952
genre Iceland
genre_facet Iceland
op_source Criminal Behaviour and Mental Health
volume 25, issue 3, page 220-225
ISSN 0957-9664 1471-2857
op_rights http://onlinelibrary.wiley.com/termsAndConditions#vor
op_doi https://doi.org/10.1002/cbm.1952
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