Nielssen Olav, Misrachi Shavtay
Division of Psychiatry, St Vincents Hospital, Sydney, Australia.
Aust N Z J Psychiatry. 2005 Jun;39(6):453-9. doi: 10.1080/j.1440-1614.2005.01603.x.
To estimate the prevalence of psychotic illnesses among men received to prisons in New South Wales. The study also sought to estimate the sensitivity and specificity of the psychosis screener in the Composite International Diagnostic Interview (CIDI-Auto).
The study was part of a larger study on psychiatric disorder in men received to New South Wales prisons. Using a structured questionnaire, the CIDI-Auto (modified), which included screening questions for psychotic illness, the prisoners who gave positive responses to the screening questions for psychosis as well as any subjects considered by the experienced clinicians performing the CIDI-Auto interviews to show features of a psychotic illness, were referred to the researchers for a clinical assessment. The clinical assessment included a review of all available information.
Of the prisoners, 5.1% were thought to have definite psychotic illness and 1.9% to have possible psychotic illness. The psychosis screener was found to be neither sensitive nor specific.
The rate of psychotic illness among people remanded to New South Wales prisons is between 10 and 14 times the rate found in a similar study in the wider community. The poor performance of the psychosis screener suggests that screening for psychotic illness on reception to prisons should be performed by clinically trained staff.
评估新南威尔士州监狱男性囚犯中精神疾病的患病率。该研究还试图评估综合国际诊断访谈（CIDI-Auto）中精神病筛查工具的敏感性和特异性。
该研究是一项关于新南威尔士州监狱男性囚犯精神疾病的大型研究的一部分。使用一份结构化问卷，即经过修改的CIDI-Auto，其中包括精神病筛查问题，对精神病筛查问题给出肯定回答的囚犯，以及进行CIDI-Auto访谈的经验丰富的临床医生认为有精神病特征的任何受试者，都被转介给研究人员进行临床评估。临床评估包括对所有可用信息的审查。
在囚犯中，5.1%被认为患有明确的精神疾病，1.9%被认为可能患有精神疾病。发现精神病筛查工具既不敏感也不特异。
被还押到新南威尔士州监狱的人群中精神疾病的发病率是在更广泛社区中进行的类似研究中发现的发病率的10至14倍。精神病筛查工具的表现不佳表明，对入狱人员进行精神病筛查应由经过临床培训的工作人员进行。
