Aida S A, Aili H H, Manveen K S, Salwina W I W, Subash K P, Ng C G, Muhsin A Z M
Psychiatrist and a Senior Lecturer, based at Department of Psychological Medicine, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.
Int J Prison Health. 2014;10(2):132-43. doi: 10.1108/IJPH-06-2013-0029.
The number of juvenile offenders admitted to Malaysian prisons is alarming. The purpose of this paper is to determine the presence of any psychiatric disorders and their association with personal characteristics of juvenile detainees in prisons across Peninsular Malaysia.
DESIGN/METHODOLOGY/APPROACH: Detainees were recruited from five different prisons in Peninsular Malaysia and interviewed by a psychiatrist using the MINI-Kid and FACES-IV, relevant personal and family information was also collected.
A total of 105 detainees participated in the study. Almost all of the offenders (93.3 per cent) had at least one diagnosable psychiatric disorder and more than half (76.2 per cent) had two or more psychiatric diagnoses. Conduct disorder (CD) was the commonest disorder (59.0 per cent), while substance use disorders (SUD) was the commonest co-morbidity. A significant correlation was found between presence of CD, education level and SUD. Almost all (61/62, 98.4 per cent) of the detainees with CD, had not completed schooling (OR 8.03, 95 per cent CI 1.01-71.35), and detainees with this disorder were more likely to use substances than detainees without CD (OR 4.35, 95 per cent CI 1.90-9.99). Detainees with any psychiatric diagnosis were more likely to have four or more siblings in their families (OR 5.5, 95 per cent CI 1.1-26.9).
ORIGINALITY/VALUE: There is a high prevalence of psychiatric disorders among juvenile offenders in Malaysian prisons, detection and intervention would be important.
被马来西亚监狱收押的青少年罪犯数量令人担忧。本文旨在确定马来西亚半岛各监狱青少年被拘留者中是否存在任何精神障碍及其与个人特征的关联。
设计/方法/途径：从马来西亚半岛的五所不同监狱招募被拘留者，由一名精神科医生使用儿童版简明国际神经精神访谈量表（MINI-Kid）和面部表情量表第四版（FACES-IV）进行访谈，同时收集相关个人和家庭信息。
共有105名被拘留者参与了该研究。几乎所有罪犯（93.3%）至少有一种可诊断的精神障碍，超过半数（76.2%）有两种或更多精神障碍诊断。品行障碍（CD）是最常见的障碍（59.0%），而物质使用障碍（SUD）是最常见的共病。发现品行障碍的存在、教育水平和物质使用障碍之间存在显著相关性。几乎所有患有品行障碍的被拘留者（61/62，98.4%）未完成学业（比值比8.03，95%置信区间1.01 - 71.35），患有这种障碍的被拘留者比没有品行障碍的被拘留者更可能使用物质（比值比4.35，95%置信区间1.90 - 9.99）。有任何精神障碍诊断的被拘留者家庭中更可能有四个或更多兄弟姐妹（比值比5.5，95%置信区间1.1 - 26.9）。
原创性/价值：马来西亚监狱中的青少年罪犯精神障碍患病率很高，进行检测和干预很重要。
