Curtin Katharine, Monks Stephen, Wright Brenda, Duffy Dearbhia, Linehan Sally, Kennedy Harry G
Central Mental Hospital,Dundrum,Dublin 14,Ireland.
Ir J Psychol Med. 2009 Dec;26(4):169-173. doi: 10.1017/S079096670000063X.
To describe the prevalence of psychiatric morbidity and the treatment needs of new committals to Irish prisons.
A population survey of 615 prisoners representing 7.9% of male committals to Irish prisons in the year of survey, 313 remands (9.6% of total remand committals) and 302 sentenced committals (6.4% of total sentenced committals). The main outcome measures were ICD-10 diagnoses of mental disorder based on interviews using SADS-L and prison medical records.
Current prevalence rates of any psychotic illness were 3.8% (remand) and 0.3% (sentenced), six month prevalence rate 5.1% (remand) and 2.6% (sentenced) and lifetime rate 9.3% (remand) and 6.6% (sentenced). Schizophrenia and drug/organic psychoses were the most common psychoses. Major depressive disorder had a current prevalence of 4.5% (remand) and 4.6% (sentenced), a six month prevalence of 4.8% (remand) and 6.0% (sentenced), and a lifetime prevalence of 8.6% (remand) and 15.9% (sentenced). Sixty-point-six per cent of the sample had a current substance misuse problem.
There is significant psychiatric morbidity in committal prisoners.
描述爱尔兰监狱新收押人员的精神疾病患病率及治疗需求。
对615名囚犯进行了一项人口调查，这些囚犯占调查年份爱尔兰监狱男性收押人数的7.9%，其中313人还押候审（占还押候审总人数的9.6%），302人已被判刑（占已判刑总人数的6.4%）。主要结局指标是基于使用SADS-L进行的访谈和监狱医疗记录得出的ICD-10精神障碍诊断。
任何精神病性疾病的当前患病率，还押候审人员为3.8%，已判刑人员为0.3%；六个月患病率，还押候审人员为5.1%，已判刑人员为2.6%；终生患病率，还押候审人员为9.3%，已判刑人员为6.6%。精神分裂症和药物/器质性精神病是最常见的精神病。重度抑郁症的当前患病率，还押候审人员为4.5%，已判刑人员为4.6%；六个月患病率，还押候审人员为4.8%，已判刑人员为6.0%；终生患病率，还押候审人员为8.6%，已判刑人员为15.9%。66.6%的样本目前存在药物滥用问题。
收押囚犯中存在显著的精神疾病发病率。
