Fovet Thomas, Chan-Chee Christine, Baillet Maëlle, Horn Mathilde, Wathelet Marielle, D'Hondt Fabien, Thomas Pierre, Amad Ali, Lamer Antoine
Univ. Lille, Inserm, CHU Lille, U1172 - Lille Neuroscience and Cognition, Lille F-59000, France.
Centre National de Ressources et de Résilience Lille-Paris (CN2R), Lille F-59000, France.
EClinicalMedicine. 2022 Apr 8;46:101374. doi: 10.1016/j.eclinm.2022.101374. eCollection 2022 Apr.
Despite the poor mental health status of people who are incarcerated, few studies have examined the number of psychiatric hospitalisations in this population. Since 2010, France has progressively opened nine full-time inpatient psychiatric wards exclusively for people who are incarcerated, called "specially adapted hospital units" (, UHSAs, 440 beds). This study aimed to present the annual rates of psychiatric hospitalisations and primary psychiatric diagnoses among people who are incarcerated in France from 2009 to 2019.
We used discharge reports from the French national hospital database to describe longitudinal retrospective administrative data of psychiatric hospitalisations for people in jail and prison between 2009 and 2019, the age, sex, and principal diagnoses of these patients, the proportion of voluntary versus involuntary care, and the interactions between UHSAs and other facilities.
Between Jan 1, 2009, and Dec 31, 2019, 32,228 (92.2% men, = 29,721; 7.8% women, = 2 507) incarcerated people were hospitalised for psychiatric care (64,481 stays). The main diagnoses were psychotic disorders (27.4%), personality disorders (23.2%), and stress-related disorders (20.2%). The annual number of incarcerated people hospitalised in psychiatric care increased from 3263 in 2009 to 4914 in 2019. The gradual increase in the activity of UHSAs (300 hospitalisations in 2010 versus 3252 in 2019) was not associated with a reduction in the rate of hospitalisation of incarcerated people in local psychiatric hospitals.
The creation of psychiatric hospitals specifically dedicated to the prison population has not stopped the hospitalisation of people who are incarcerated at psychiatric hospitals. These findings suggest that access to psychiatric hospitalisation remains problematic for people who are incarcerated in France.
There was no funding source for this study.
尽管被监禁者的心理健康状况不佳，但很少有研究调查过这一人群的精神病住院人数。自2010年以来，法国逐步开设了九个专门为被监禁者设立的全日制住院精神科病房，称为“特别适应医院单元”（UHSAs，共440张床位）。本研究旨在呈现2009年至2019年期间法国被监禁者的年度精神病住院率及主要精神科诊断情况。
我们使用了法国国家医院数据库中的出院报告，来描述2009年至2019年期间监狱中被监禁者精神病住院的纵向回顾性管理数据、这些患者的年龄、性别和主要诊断、自愿与非自愿护理的比例，以及特别适应医院单元与其他机构之间的相互作用。
在2009年1月1日至2019年12月31日期间，32228名（92.2%为男性，n = 29721；7.8%为女性，n = 2507）被监禁者因精神科护理而住院（共64481次住院）。主要诊断为精神障碍（27.4%）、人格障碍（23.2%）和应激相关障碍（20.2%）。2009年因精神科护理住院的被监禁者人数为3263人，到2019年增至4914人。特别适应医院单元的活动逐渐增加（2010年有300次住院，2019年为3252次），但这与当地精神病医院中被监禁者的住院率降低无关。
专门为监狱人群设立的精神病医院的建立，并未阻止被监禁者在精神病医院住院。这些发现表明，在法国，被监禁者获得精神病住院治疗的机会仍然存在问题。
本研究没有资金来源。
