Queensland Forensic Mental Health Services, Queensland Health, Brisbane, QLD.
Med J Aust. 2012 Jul 2;197(1):37-41. doi: 10.5694/mja11.11352.
To estimate the prevalence of mental disorder in a representative sample of Aboriginal and Torres Strait Islander people in Queensland prisons.
DESIGN, SETTING AND PARTICIPANTS: Cross-sectional assessment of mental health using the Composite International Diagnostic Interview (CIDI) and clinical interviews, conducted by Indigenous mental health clinicians who undertook specific training for this purpose, with support from forensic psychiatrists when indicated. We assessed adults who self-identified as Indigenous and were incarcerated in six of the nine major correctional centres across Queensland (housing 75% of all Indigenous men and 90% of all Indigenous women in Queensland prisons) between May and June 2008.
Diagnoses of anxiety, depressive and substance misuse disorders using the CIDI; diagnosis of psychotic illness determined through psychiatrist interviews supplemented by a diagnostic panel.
We interviewed 25% of all Indigenous men (347/1381; mean age, 31.5 years) and 62% of all Indigenous women (72/116; mean age, 29.2 years) incarcerated at the time of our study. The recruitment fraction was 71% for men and 81% for women. Among the 396 individuals who completed both the interview and the CIDI, the 12-month prevalence of mental disorder was 73% among men and 86% among women. This comprised anxiety disorders (men, 20%; women, 51%); depressive disorders (men, 11%; women, 29%); psychotic disorders (men, 8%; women, 23%) and substance misuse disorders (men, 66%; women, 69%).
The prevalence of mental disorder among Indigenous adults in Queensland custody is very high compared with community estimates. There remains an urgent need to develop and resource culturally capable mental health services for Indigenous Australians in custody.
估计昆士兰州监狱中代表性的原住民和托雷斯海峡岛民人群中精神障碍的患病率。
设计、地点和参与者：采用复合国际诊断访谈（CIDI）和临床访谈，对心理健康进行横断面评估，由专门为此目的接受培训的土著心理健康临床医生进行，在需要时由法医精神病学家提供支持。我们评估了自我认同为土著并于 2008 年 5 月至 6 月期间在昆士兰州的九个主要惩教中心中的六个中心被监禁的成年人（昆士兰州监狱中所有土著男性的 75%和所有土著女性的 90%都关押在这里）。
使用 CIDI 诊断焦虑、抑郁和物质使用障碍；通过精神病学家访谈和诊断小组补充来确定精神病诊断。
我们对当时正在服刑的所有土著男性（1381 人中的 347 人；平均年龄 31.5 岁）的 25%和所有土著女性（116 人中的 72 人；平均年龄 29.2 岁）的 62%进行了访谈。男性的招募率为 71%，女性的招募率为 81%。在完成访谈和 CIDI 的 396 名个体中，男性的 12 个月精神障碍患病率为 73%，女性为 86%。这包括焦虑障碍（男性，20%；女性，51%）；抑郁障碍（男性，11%；女性，29%）；精神病障碍（男性，8%；女性，23%）和物质使用障碍（男性，66%；女性，69%）。
与社区估计相比，昆士兰州拘留所中土著成年人的精神障碍患病率非常高。仍迫切需要为被拘留的澳大利亚土著人开发和提供有文化能力的精神卫生服务。
