Department of Psychiatry, Bangladesh Specialized Hospital, Dhaka, Bangladesh.
Biomedical Research Foundation, Dhaka, Bangladesh.
Brain Behav. 2024 Aug;14(8):e70004. doi: 10.1002/brb3.70004.
South-East Asia is a densely populated region with a considerable, however, under-prioritized mental health burden. Little is known about the mental health burden and services status in the prisons of the region.
We aimed to investigate the individual country-wise prison mental health status in South-East Asian region.
We performed a narrative review based on the evidence available in PubMed, Scopus, PsycINFO, Google, and Google Scholar considering the review objectives. We highlighted country perspectives on total population, prison numbers, prisoner numbers, the prevalence of psychiatric disorders and suicide among prisoners, prison mental health services, current challenges, and ways ahead.
We discussed the prison mental health of five countries (Bangladesh, India, Indonesia, Nepal, and Sri Lanka). We found overcrowding (131.4%-215.6%) in the prisons, a high prevalence of psychiatric disorders in the prisons (40%-100%), negligible prison mental health services, and a lack of data on prison suicide with some variations among the five countries. Among the countries, Bangladesh has the highest prevalence (66.4%-100%) of psychiatric morbidity with an absence of a mental health system.
Prison mental health in tSouth-East Asia is a neglected domain and warrants attention regarding ensuring adequate mental health services to the prisoners as there are high unmet mental health needs and an absence of poorly supported mental health needs.
东南亚是人口稠密的地区，精神卫生负担相当大，但优先程度较低。该地区监狱的精神卫生负担和服务状况知之甚少。
我们旨在调查东南亚地区各国监狱的精神卫生状况。
我们根据在 PubMed、Scopus、PsycINFO、Google 和 Google Scholar 上获得的证据，进行了叙述性综述，以符合审查目的。我们突出了各国对总人口、监狱数量、囚犯数量、囚犯中精神障碍和自杀的流行情况、监狱精神卫生服务、当前挑战和未来方向的看法。
我们讨论了五个国家（孟加拉国、印度、印度尼西亚、尼泊尔和斯里兰卡）的监狱精神卫生情况。我们发现监狱过度拥挤（131.4%-215.6%），监狱中精神障碍的患病率很高（40%-100%），监狱精神卫生服务微不足道，且缺乏监狱自杀的数据，这在五个国家之间存在一些差异。在这些国家中，孟加拉国的精神疾病发病率最高（66.4%-100%），且没有精神卫生系统。
东南亚的监狱精神卫生是一个被忽视的领域，需要关注确保囚犯获得足够的精神卫生服务，因为他们有很高的未满足的精神卫生需求，且缺乏支持不足的精神卫生需求。
