Chariot Patrick, Beaufrère Aurélie, Denis Céline, Dang Catherine, Vincent Renaud, Boraud Cyril
Department of Forensic Medicine, Hôpital Jean-Verdier (AP-HP), 93140, Bondy, France,
Int J Legal Med. 2014 Sep;128(5):853-60. doi: 10.1007/s00414-014-0990-4. Epub 2014 Mar 27.
The annual number of detainees held in police custody in France is approximately 700,000. Medical data regarding arrestees are scarce across countries. We present the medical characteristics of detainees kept in police custody, including addictive behaviours and high-risk medical situations.
We conducted a prospective study over 1 year in a suburban area near Paris.
A total of 19,098 medical examinations were performed on 13,317 individuals. The examinations mainly concerned male subjects (18,116 of 19,098, 95 %). Median age was 24 years (range 13-83). Medical examination was requested by the detainee in 6,638 of 16,801 cases (40 %). Assaults were reported in 4,052 of 17,312 cases (23 %) and occurred at the time of arrest in most cases (2,243, 13 %). A total of 2,394 of 13,317 detainees (18 %) had at least one chronic somatic disorder including asthma (603, 5 %), diabetes (263, 2 %) and arterial hypertension (205, 2 %). A history of psychiatric disorder was reported by 6 % of individuals (674 of 11,787). Regular alcohol drinking was reported by 58 % of detainees. Illicit drug use mainly involved cannabis (4,021 cases, 30 %). In 14,661 of 19,098 cases (77 %), detainees were considered to be unconditionally fit for detention in custody, and 274 detainees (1 %) were declared unfit to be detained.
The present study showed a high frequency of alcohol or substance use and reported assaults or traumatic lesions in arrestees. Attending physicians should pay particular attention to addictive behaviours and traumatic injuries in arrestees, both for immediate care and for prevention.
法国每年被警方拘留的人数约为70万。各国关于被拘留者的医学数据都很匮乏。我们展示了被警方拘留者的医学特征，包括成瘾行为和高风险医疗状况。
我们在巴黎附近的一个郊区进行了为期1年的前瞻性研究。
共对13317人进行了19098次医学检查。检查主要涉及男性受试者（19098例中的18116例，95%）。中位年龄为24岁（范围13 - 83岁）。在16801例中的6638例（40%）中，医学检查是应被拘留者要求进行的。在17312例中的4052例（23%）报告有袭击事件，且大多数袭击事件发生在逮捕时（2243例，13%）。13317名被拘留者中有2394名（18%）至少有一种慢性躯体疾病，包括哮喘（603例，5%）、糖尿病（263例，2%）和动脉高血压（205例，2%）。11787名个体中有6%（674例）报告有精神疾病史。58%的被拘留者报告有规律饮酒。非法药物使用主要涉及大麻（4021例，30%）。在19098例中的14661例（77%）中，被拘留者被认为无条件适合拘留，274名被拘留者（1%）被宣布不适合拘留。
本研究显示被拘留者中酒精或物质使用、报告的袭击或创伤性损伤的频率较高。主治医生应特别关注被拘留者的成瘾行为和创伤性损伤，以便进行即时护理和预防。
