Jones I H, Marris B, Hornsby H
Department of Psychiatry, University of Tasmania, Hobart.
Aust N Z J Psychiatry. 1995 Dec;29(4):671-7. doi: 10.3109/00048679509064984.
The aim of the paper is to describe some of the psychiatric, social and criminological features of female prisoners in Tasmania between 1981 and 1990 inclusive.
Data were collated from prison records for all 210 women prisoners incarcerated between the above dates. Using the Mental Health Services database it was determined which prisoners had prior contact with State Psychiatric Services, their clinical state, various demographic data and ICD-9 diagnoses. Forensic data obtained from prison records were compared for those with and those without a psychiatric history of attendance at Mental Health Services; appropriate privacy safeguards were used in handling the material.
Thirty-five per cent of prisoners had prior contact with the Mental Health Services before imprisonment. They were predominantly persons with an abnormal personality. Non-addictive drug abuse was the next most common psychiatric category (19%). Only 3% suffered from schizophrenia or affective disorder. Those with prior psychiatric presentation had greater social maladjustment, longer sentences for similar offences and a higher recidivism rate. There was an increase in the number of prisoners with and without a psychiatric diagnosis during the decade.
Thirty-five per cent of the female prison population had previously attended psychiatric services in the State. This is fewer than reported in Britain and the US, probably because of the different social structure of this community. These persons differ from other prisoners by showing greater impairment in social adjustments and relationships. They appear to be treated differently with respect to sentencing. There was no evidence of a simple reciprocal relationship between deinstitutionalisation and imprisonment.
本文旨在描述1981年至1990年（含）期间塔斯马尼亚女性囚犯的一些精神病学、社会学和犯罪学特征。
整理了上述日期期间被监禁的所有210名女性囚犯的监狱记录数据。利用心理健康服务数据库，确定哪些囚犯曾与国家精神病服务机构有过接触、他们的临床状况、各种人口统计学数据以及国际疾病分类第九版（ICD - 9）诊断。对有和没有心理健康服务机构就诊精神病史的囚犯的监狱记录中的法医数据进行了比较；在处理这些材料时采取了适当的隐私保护措施。
35%的囚犯在入狱前曾与心理健康服务机构有过接触。他们主要是人格异常者。非成瘾性药物滥用是第二常见的精神疾病类别（19%）。只有3%患有精神分裂症或情感障碍。有过精神病史的囚犯社会适应不良情况更严重，因类似罪行被判刑更长，再犯率更高。在这十年间，有精神疾病诊断和无精神疾病诊断的囚犯人数都有所增加。
35%的女性监狱人口此前曾在该州接受过精神病服务。这一比例低于英国和美国的报告，可能是因为该社区的社会结构不同。这些人与其他囚犯的不同之处在于，他们在社会适应和人际关系方面受损更严重。在量刑方面，他们似乎受到了不同的对待。没有证据表明非机构化和监禁之间存在简单的相互关系。
