Gilard-Pioc Séverine, Dang-Hauter Catherine, Denis Céline, Boraud Cyril, Chariot Patrick
AP-HP, hôpital Jean-Verdier, service de médecine légale, 93140 Bondy, France.
Presse Med. 2013 Sep;42(9 Pt 1):e293-9. doi: 10.1016/j.lpm.2013.01.055. Epub 2013 May 6.
The number of detainees held in police custody in France increased up to 792,000 yearly in 2009. Medical examination is a right for every detainee. Our objective was to assess medical characteristics and addictive behaviours of arrestees.
In this study, we systematically evaluated arrestees detained in police custody in Seine-Saint-Denis, a suburban area near Paris over one year (June 1, 2010-May 31, 2011).
A total of 22,379 medical examinations were performed. Males accounted for 94% of detainees. Median age was 23 (range: 13-78). In 2968 of 18,466 cases (16%), the detainee had at least one chronic somatic disease. Asthma, diabetes, and arterial hypertension were the most commonly encountered. A history of psychiatric disorder was reported in 819 of 16,697 cases (5%). Daily alcohol consumption was reported by 14% of detainees and 77% smoked tobacco. Drug use was reported by 40% of detainees, cannabis in most cases (38%), infrequently cocaine or crack (4%) or heroine (1%). Assaults were reported by 20% of detainees, at the time of arrest in most cases (11%).
The present study showed the high frequency of addictive behaviours and reported assaults or traumatic injuries in arrestees. Attending physicians should pay particular attention to addictive disorders and recent traumatic lesions in arrestees, both for immediate care and for prevention.
2009年法国被警方拘留的人数每年增至79.2万。体格检查是每位被拘留者的一项权利。我们的目的是评估被捕者的医学特征和成瘾行为。
在本研究中，我们系统评估了在巴黎附近郊区塞纳-圣但尼被警方拘留一年（2010年6月1日至2011年5月31日）的被捕者。
共进行了22379次体格检查。男性占被拘留者的94%。中位年龄为23岁（范围：13 - 78岁）。在18466例中的2968例（16%）中，被拘留者至少患有一种慢性躯体疾病。哮喘、糖尿病和动脉高血压最为常见。在16697例中的819例（5%）报告有精神疾病史。14%的被拘留者报告每日饮酒，77%吸烟。40%的被拘留者报告有吸毒行为，大多数情况下为大麻（38%），很少为可卡因或快克（4%）或海洛因（1%）。20%的被拘留者报告有攻击行为，大多数情况下是在被捕时（11%）。
本研究显示被捕者成瘾行为以及报告的攻击行为或创伤性损伤的发生率很高。主治医生应特别关注被捕者的成瘾性疾病和近期创伤性损伤，以便进行即时护理和预防。
