Univ Lille, Inserm, CHU de Lille, U1172, Lille Neuroscience & Cognition, 59000 Lille, France.
F2RSM psy-fédération régionale de recherche en psychiatrie et santé mentale Hauts-de-France, Saint-André-Lez-Lille, France; Univ Lille, faculté ingénierie et management de la santé, 59000 Lille, France.
Encephale. 2023 Dec;49(6):645-648. doi: 10.1016/j.encep.2023.04.008. Epub 2023 May 26.
Basic epidemiological data are rare concerning the activity of specialized forensic psychiatric facilities in France. Here, we investigated the activity of the ten (640 beds) French "units for difficult patients" (unités pour malades difficiles [UMDs]).
We used the Programme de médicalisation des systèmes d'information (PMSI) database to describe the characteristics and evolution of psychiatric hospitalisations in UMDs between 2012 and 2021, as well as the age, sex, and principal diagnoses of the patients hospitalized in these facilities.
Between 2012 and 2021, 4857 patients were hospitalized in UMDs (6082 stays). Among them, 897 (18.5%) had more than one stay. The number of admissions ranged from a minimum of 434 to a maximum of 632 per year. The number of discharges ranged from a minimum of 473 to a maximum of 609 per year. The mean length of stay was 13.5 (SD: 22.64) months with a median of 7.3 months (IQR: 4.0-14.4). Among the 6082 stays, 5721 (94.1%) involved male patients. The median age was 33 (IQR: 26-41) years. The most frequent principal psychiatric diagnoses were psychotic disorders and personality disorders.
The number of individuals hospitalized in specialized forensic psychiatric facilities has been stable for 10 years in France and remains lower than in most European countries.
关于法国专门法医精神病学机构的活动，基本的流行病学数据很少。在这里，我们调查了法国的十个（640 张床位）“困难患者单位”（unités pour malades difficiles [UMDs]）的活动。
我们使用 Programme de médicalisation des systèmes d'information (PMSI) 数据库来描述 2012 年至 2021 年间 UMD 中精神科住院的特点和演变，以及在这些设施中住院的患者的年龄、性别和主要诊断。
2012 年至 2021 年间，有 4857 名患者在 UMD 住院（6082 人次）。其中，897 人（18.5%）有多次住院。入院人数从每年 434 人最少到 632 人最多不等。出院人数从每年 473 人最少到 609 人最多不等。平均住院时间为 13.5（SD：22.64）个月，中位数为 7.3 个月（IQR：4.0-14.4）。在 6082 次入住中，5721 次（94.1%）涉及男性患者。中位年龄为 33 岁（IQR：26-41）。最常见的主要精神科诊断是精神病和人格障碍。
在法国，专门法医精神病学机构的住院人数在 10 年内保持稳定，仍然低于大多数欧洲国家。
