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Mental health among young adults in prison : the importance of childhood-onset conduct disorder

Hofvander, Björn LU ; Anckarsäter, Henrik LU ; Wallinius, Märta LU and Billstedt, Eva (2017) In BJ Psych Open 3(2). p.78-84
Abstract

BACKGROUND: The psychiatric health burden of prisoners is substantial. However, there is a lack of high-quality studies of psychiatric disorders among young adults with a high risk of reoffending.

AIMS: To investigate the lifetime prevalence of psychiatric disorders and use of mental health services among young male violent offenders and the impact of childhood-onset conduct disorder (COCD).

METHOD: A nationally representative cohort (n = 270, age 18-25) of male offenders was followed back in medical records and clinically assessed by gold standard methods. Lifetime prevalences are presented together with odds ratios (ORs) as risk estimates in relation to COCD.

RESULTS: Previous use of psychiatric services among the... (More)

BACKGROUND: The psychiatric health burden of prisoners is substantial. However, there is a lack of high-quality studies of psychiatric disorders among young adults with a high risk of reoffending.

AIMS: To investigate the lifetime prevalence of psychiatric disorders and use of mental health services among young male violent offenders and the impact of childhood-onset conduct disorder (COCD).

METHOD: A nationally representative cohort (n = 270, age 18-25) of male offenders was followed back in medical records and clinically assessed by gold standard methods. Lifetime prevalences are presented together with odds ratios (ORs) as risk estimates in relation to COCD.

RESULTS: Previous use of psychiatric services among the participants was high but their lifetime psychiatric morbidity was even higher, with 93% meeting criteria for at least one Axis I disorder. The COCD group was overrepresented in most clinical categories and carried five times higher odds (OR = 5.1, 95% CI 2.0-12.8) of a psychotic disorder, three times higher odds (OR = 3.2, 95% CI 1.2-8.5) of a substance use disorder and two times higher odds of a mood disorder (OR = 2.3, 95% CI 1.3-4.0) or anxiety disorder (OR = 2.0, 95% CI 1.1-3.5).

CONCLUSIONS: The mental health burden is substantial among young violent offenders, and COCD is an important indicator of future mental health problems which must be a priority for public health efforts.

DECLARATION OF INTEREST: None.

COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.

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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BJ Psych Open
volume
3
issue
2
pages
7 pages
publisher
Cambridge University Press
external identifiers
  • scopus:85027677345
  • pmid:28357134
ISSN
2056-4724
DOI
10.1192/bjpo.bp.116.003889
language
English
LU publication?
yes
id
426fe924-624c-435d-85e0-7168a238aa19
date added to LUP
2019-05-21 19:15:09
date last changed
2024-05-14 10:16:39
@article{426fe924-624c-435d-85e0-7168a238aa19,
  abstract     = {{<p>BACKGROUND: The psychiatric health burden of prisoners is substantial. However, there is a lack of high-quality studies of psychiatric disorders among young adults with a high risk of reoffending.</p><p>AIMS: To investigate the lifetime prevalence of psychiatric disorders and use of mental health services among young male violent offenders and the impact of childhood-onset conduct disorder (COCD).</p><p>METHOD: A nationally representative cohort (n = 270, age 18-25) of male offenders was followed back in medical records and clinically assessed by gold standard methods. Lifetime prevalences are presented together with odds ratios (ORs) as risk estimates in relation to COCD.</p><p>RESULTS: Previous use of psychiatric services among the participants was high but their lifetime psychiatric morbidity was even higher, with 93% meeting criteria for at least one Axis I disorder. The COCD group was overrepresented in most clinical categories and carried five times higher odds (OR = 5.1, 95% CI 2.0-12.8) of a psychotic disorder, three times higher odds (OR = 3.2, 95% CI 1.2-8.5) of a substance use disorder and two times higher odds of a mood disorder (OR = 2.3, 95% CI 1.3-4.0) or anxiety disorder (OR = 2.0, 95% CI 1.1-3.5).</p><p>CONCLUSIONS: The mental health burden is substantial among young violent offenders, and COCD is an important indicator of future mental health problems which must be a priority for public health efforts.</p><p>DECLARATION OF INTEREST: None.</p><p>COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.</p>}},
  author       = {{Hofvander, Björn and Anckarsäter, Henrik and Wallinius, Märta and Billstedt, Eva}},
  issn         = {{2056-4724}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{78--84}},
  publisher    = {{Cambridge University Press}},
  series       = {{BJ Psych Open}},
  title        = {{Mental health among young adults in prison : the importance of childhood-onset conduct disorder}},
  url          = {{http://dx.doi.org/10.1192/bjpo.bp.116.003889}},
  doi          = {{10.1192/bjpo.bp.116.003889}},
  volume       = {{3}},
  year         = {{2017}},
}