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Different yet similar? Prisoners versus psychiatric patients – A comparison of their mental health

Published online by Cambridge University Press:  23 March 2020

S. Otte ,
N. Vasic ,
S. Nigel ,
J. Streb ,
T. Ross ,
C. Spitzer ,
H.J. Grabe  and
M. Dudeck
S. Otte*
Affiliation:
Department of forensic psychiatry and psychotherapy, university of Ulm, Ulm, Germany
N. Vasic
Affiliation:
Department of forensic psychiatry and psychotherapy, university of Ulm, Ulm, Germany
S. Nigel
Affiliation:
Department of forensic psychiatry and psychotherapy, university of Ulm, Ulm, Germany
J. Streb
Affiliation:
Department of forensic psychiatry and psychotherapy, university of Ulm, Ulm, Germany
T. Ross
Affiliation:
Department of forensic psychiatry and psychotherapy, centre for psychiatry Reichenau, Reichenau, Germany
C. Spitzer
Affiliation:
Asklepios hospital Tiefenbrunn, Rosdorf, Germany
H.J. Grabe
Affiliation:
Department of psychiatry and psychotherapy, university of Greifswald, Greifswald, Germany
M. Dudeck
Affiliation:
Department of forensic psychiatry and psychotherapy, university of Ulm, Ulm, Germany
*
* Corresponding author. Ludwig-Heilmeyer-Strasse 2, 89312 Günzburg, Germany. E-mail address:stefanie.otte@bkh-guenzburg.de (S. Otte).
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Abstract

Background:

Previous research indicates that prisoners have severe psychological distress. To assess their distress level and potential need for treatment, the present study compared the subjective psychological distress of long- and short-term prisoners with that of psychiatric and forensic patients.

Methods:

Long- (n = 98) and short-term prisoners (n = 94) and forensic (n = 102) and psychiatric (n = 199) patients completed the German versions of the Symptom Checklist Revised (SCL-90-R) and Brief Symptom Inventory (BSI).

Results:

In general, long-term prisoners showed the same level of mental distress as psychiatric patients and more than that reported by forensic patients. Short-term prisoners reported the least level of distress. Long- but not short-term prisoners showed clinically significant results on the scales for depression, paranoid ideation, and psychosis.

Conclusions:

The improvements in psychiatric treatment for inmates demanded by many stakeholders need to differentiate between long- and short-term prisoners. Because depression seems to cause the most psychological distress among inmates, suicide prevention seems to be an important issue in prisons.

Keywords

PrisonersForensic psychiatryPsychological distress
Type
Original article
Information
European Psychiatry , Volume 44 , July 2017 , pp. 97 - 103
Copyright
Copyright © European Psychiatric Association 2017

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References

Schanda, HKnecht, GSchreinzer, DStompe, TOrtwein-Swoboda, GWaldhoer, THomicide and major mental disorders: a 25-year study. Acta Psychiatr Scand 2004; 110: 98–107.10.1111/j.1600-0047.2004.00305.xCrossRefGoogle ScholarPubMed
Fazel, SGulati, GLinsell, LGeddes, JRGrann, MSchizophrenia and violence: systematic review and meta-anylsis. PLoS Med 2009;6(8).CrossRefGoogle Scholar
Fazel, SWolf, APalm, CLichtenstein, PViolent crime, suicide, and premature mortality in patients with schizophrenia and related disorders: a 38-year total population study in Sweden. Lancet Psychiatry 2014; 1: 44–54.CrossRefGoogle ScholarPubMed
Fazel, SWolf, AChang, ZLarsson, HGoodwin, GMLichtenstein, PDepression and violence: a Swedish population study. Lancet Psychiatry 2015; 2: 224–232.10.1016/S2215-0366(14)00128-XCrossRefGoogle ScholarPubMed
Dressing, HSalize, HJForensic psychiatric assessment in European Union member states. Acta Psychiatr Scand 2006; 114: 282–289.CrossRefGoogle ScholarPubMed
Mental health in prisons. Geneva: World Health Organization; 2007. http://www.who.int/mental_health/policy/services/en/index.html [accessed 4 September 2007; Mental Health, Human rights and Legislation Information Sheet, Sheet 4].Google Scholar
Haney, CThe psychological impact of incarceration: implications for post-prison adjustment. In: Travis, JWaul, M editors. Prisoners once removed. The implications of incarceration and reentry on children, families and communities. Washington, DC: The Urban Institute Press; 2002. p. 33–65.Google Scholar
Birmingham, LThe mental health of prisoners. Adv Psychiatr Treat 2003; 9(3): 191–201.CrossRefGoogle Scholar
Deaths in custody. Third report of Session 2004-05, 1. London: House of Lords, House of Commons, Joint Committee on Human Rights; 2005. http://www.publications.parliament.uk/pa/jt200405/jtselect/jtrights/15/15.pdf/ [accessed 04.11.16,Report together with formal minutes].Google Scholar
James, DJGlazes, LEMental health problems of prison and jail inmates. US: Department of Justice, office of Justice Programs, bureau of Justice Statistics; 2006 [Special report accessed 04.11.16], https://www.bjs.gov/content/pub/pdf/mhppji.pdf.10.1037/e557002006-001CrossRefGoogle Scholar
Andersen, HSMental health in prison population. A review – with special emphasis on a study of Danish prisoners on remand. Acta Psychiatr Scand 2004; 110(424): 5–59.CrossRefGoogle Scholar
Fazel, SDanesh, JSerious mental disorder in 23,000 prisoners: a systematic review of 62 surveys. Lancet 2002; 359: 545–550.CrossRefGoogle Scholar
Bulten, ENijman, HVDStaak, CPsychiatric disorders and personality characteristics of prisoners at regular prison wards. Int J Law Psychiatry 2009; 32: 115–119.10.1016/j.ijlp.2009.01.007CrossRefGoogle ScholarPubMed
Fotiadou, MLivaditis, MManou, IKaniotou, EXenitidis, KPrevalence of mental disorders and deliberate self-harm in Greek male prisoners. Int J Law Psychiatry 2006; 29: 68–73.CrossRefGoogle ScholarPubMed
Schönfeld, CEVSchneider, FSchröder, TWidmann, BBotthof, UDriessen, MPrävalenz psychischer Störungen, Psychopathologie und Behandlungsbedarf bei weiblichen und männlichen Gefangenen. Nervenarzt 2006; 7: 830–841.CrossRefGoogle Scholar
Blocher, DHenkel, KZiegler, ERösler, MZur Epidemiologie psychischer Beschwerden bei Häftlingen einer Justizvollzugsanstalt. Recht Psychiatr 2001; 19: 136–140.Google Scholar
Andersen, HSSestoft, DLillebæk, TGabrielsen, GHemmingen, RKramp, PAA longitudinal study of prisoners o remand: psychiatric prevalence, incidence and psychopathology in solitary vs. non-solitary confinement. Acta Psychiatr Scand 2000; 102(1): 19–25.CrossRefGoogle Scholar
Fazel, SBaillargeon, JThe health of prisoners. Lancet 2011; 377: 956–965.CrossRefGoogle ScholarPubMed
Walker, JIllingworth, CCanning, AGarner, EWoolley, JTaylor, P, et al.Changes in mental state associated with prison environments: a systematic review. Acta Psychiatr Scand 2014; 129: 427–436.CrossRefGoogle ScholarPubMed
De Viggiani, NUnhealthy prisons: exploring structural determinants of prison health. Sociol Health Illn 2007; 29(1): 115–135.10.1111/j.1467-9566.2007.00474.xCrossRefGoogle ScholarPubMed
Kjelsberg, EHaartvig, PBowitz, HKuisma, INorbech, PRustad, A-B, et al.Mental health consultations in a prison population: a descriptive study. BMC Psychiatry 2006;6:27.CrossRefGoogle Scholar
Ukere, A Zur Prävalenz von Persönlichkeitsstörungen bei Strafgefangenen. Dissertation. https://www.deutsche-digitale-bibliothek.de/binary/2JWQU6G5.Google Scholar
Dettbarn, EEffects of long-term incarceration: a statistical comparison of two expert assessments of two experts at the beginning and the end of incarceration. Int J Law Psychiatry 2012; 35: 236–239.CrossRefGoogle ScholarPubMed
Bjørkly, SSCL-90 profiles in a sample of severely violent psychiatric inpatients. Aggress Behav 2002; 28(6): 446–457.CrossRefGoogle Scholar
Kopp, DDrenkhahn, KDünkel, FFreyberger, HJSpitzer, CDudeck, MPsychische Symptombelastung bei Kurz- und Langzeitstrafgefangenen in Deutschland. Nervenarzt 2011; 82: 880–885.CrossRefGoogle Scholar
Dudeck, MKopp, DDrenkhahn, KKuwert, POrlob, SLüth, HJ, et al.Die Prävalenz psychischer Erkrankungen bei Gefängnisinsassen mit Kurzzeitstrafe [Prevalence of psychiatric disorders in prisoners with a short imprisonment. Results from a prison in north Germany]. Psychiatr Prax 2009; 36: 1–6.CrossRefGoogle Scholar
Dudeck, MDrenkhahn, KSpitzer, CBarnow, SKopp, DFreyberger, HJ, et al.Traumatisation and mental distress in long-term prisoners in Europe. Punishm Soc 2011; 13(4): 403–423.CrossRefGoogle Scholar
Ross, TFontao, MIReed, VDean, ADoenisch-Seidel, UPfäfflin, FDie Beurteilung von lebenspraktischen Fertigkeiten forensisch-psychiatrischer Patienten mit dem BEST-Index. Psychother Psychosom Med Psychol 2007; 57: 298–305.CrossRefGoogle Scholar
Ross, TWoods, PReed, VSookoo, SDean, AKettles, A, et al.Assessing living skills in forensic mental health care with the Behavioural Status Index: a European network study. Psychother Res 2008; 18(3): 334–344.CrossRefGoogle ScholarPubMed
Ross, TReed, VFontao, MIPfäfflin, FAssessing reliability, validity, and clinical utility of the BEST-Index in measuring living skills among forensic inpatients. Int J Offender Ther Comp Criminol 2012; 56(3): 385–400.CrossRefGoogle ScholarPubMed
Spitzer, CDudeck, MLiß, HOrlob, SGillner, MFreyberger, HJPosttraumatic stress disorder in forensic patients. J Forensic Psychiatry 2001; 12(1): 63–77.CrossRefGoogle Scholar
Franke, GHSCL-90-R. Die Symptom-Checkliste von Derogatis – Deutsche Version – Manual Göttingen: Beltz; 1995Google Scholar
Franke, GHBSI: Brief Symptom Inventory von L. R. Derogatis (Kurzform der SCL-90-R). Deutsche Version. Manual. Göttingen: Beltz; 2000Google Scholar
Alves, JDutra, AMaia, AHistory of adversity, health and psychopathology among prisoners: comparison between men and women. Cien Saude Colet 2013; 18(3): 701–709.10.1590/S1413-81232013000300016CrossRefGoogle ScholarPubMed
Obschonka, MWams, MSchulte-Markwort, MBarkmann, CPsychische Belastung bei deutschsprachigen jugendlichen und heranwachsenden. Prax Kinderpsychol K 2010;59(2):101–18.CrossRefGoogle Scholar
Taylor, PJWalker, JDunn, EKissel, AWilliams, AAmos, TImproving mental state in early imprisonment. Crim Behav Ment Health 2010; 20: 215–232.CrossRefGoogle Scholar
Felson, RBSilver, ERemster, BMental disorder and offending in prison. Crim Justice Behav 2012; 39(2): 125–143.10.1177/0093854811428565CrossRefGoogle Scholar
Huey Dye, MDeprivation, importation, and prison suicide: combined effects of institutional conditions and inmate composition. J Crim Justice 2010; 38: 796–806.CrossRefGoogle Scholar
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