Vajawat Bhavika, Kumar Channaveerachari Naveen, Hegde Prakyath, Moirangthem Sydney, Basavaraju Vinay, Prathyusha Vasuki, Bhaskarapillai Binukumar, Math Suresh Bada, Murthy Pratima
Dept. of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Dept. of Biostatistics, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Indian J Psychol Med. 2023 Jul;45(4):405-410. doi: 10.1177/02537176221127141. Epub 2022 Oct 2.
The relationship between imprisonment and mental illness is bidirectional. The clinical outcomes of prisoners with mental illness have not been widely studied, especially in developing countries. This study was conducted to assess the same among male inpatients under judicial custody with charges of homicide.
A retrospective chart review of male forensic ward inpatients admitted between January 1, 2003, and December 31, 2016, was conducted. Diagnosis in the files was based on the International Classification of Diseases (ICD)-10 criteria. The Clinical and Global Improvement-Severity (CGI-S) scale was used to measure the severity of illness. Mean CGI-S assessment was carried out at baseline, end of 1 year, 5 years, and 15 years. The data were analyzed using descriptive statistics, Friedman's test, and Dunn's post hoc test.
Schizophrenia spectrum disorders and other psychotic disorders, mood disorders, and alcohol use disorders were diagnosed in 62(49.6%), 22(17.6%), and 44(35.2%) subjects, respectively. Forty-one (32.8%) subjects had at least one readmission. The average CGI-S score for the total subjects was 5 (markedly ill) at baseline and 2 (borderline ill) at the end of their latest contact with the tertiary care hospital. For the 34 subjects (27.2%) who had follow-up information of 15 years, the average CGI-S score was 1 (normal, not at all ill) at the end of 15 years (P < 0.001).
Clinical outcomes of prisoners with mental illness seem promising, subject to the seamless availability of services. Studies from other parts of the country are required for a more systematic understanding of the requirements of care.
监禁与精神疾病之间的关系是双向的。患有精神疾病的囚犯的临床结局尚未得到广泛研究，尤其是在发展中国家。本研究旨在评估因杀人罪被司法拘留的男性住院患者的情况。
对2003年1月1日至2016年12月31日期间收治的男性法医病房住院患者进行回顾性病历审查。档案中的诊断基于国际疾病分类（ICD）-10标准。使用临床和总体改善-严重程度（CGI-S）量表来衡量疾病的严重程度。在基线、1年、5年和15年末进行平均CGI-S评估。使用描述性统计、弗里德曼检验和邓恩事后检验对数据进行分析。
分别在62名（49.6%）、22名（17.6%）和44名（35.2%）受试者中诊断出精神分裂症谱系障碍和其他精神病性障碍、心境障碍以及酒精使用障碍。41名（32.8%）受试者至少有一次再次入院。所有受试者的平均CGI-S评分在基线时为5（明显患病），在与三级护理医院的最后一次接触结束时为2（边缘患病）。对于有15年随访信息的34名受试者（27.2%），15年末的平均CGI-S评分为1（正常，完全未患病）（P<0.001）。
患有精神疾病的囚犯的临床结局似乎很有希望，但前提是能无缝获得服务。需要该国其他地区的研究，以便更系统地了解护理需求。
