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Predictors of length of stay in forensic psychiatry: The influence of perceived risk of violence.

Andreasson, Helena; Nyman, Marielle LU ; Krona, Hedvig LU ; Meyer, Lennart; Anckarsäter, Henrik LU ; Nilsson, Thomas and Hofvander, Björn LU (2014) In International Journal of Law and Psychiatry 37(6). p.635-642
Abstract
This study describes the prevalence of adverse events and length of stay in forensic psychiatric patients with and without a restriction order. Detailed clinical and administrative information from medical records and written court decisions was gathered retrospectively from admission until discharge for a Swedish population-based, consecutive cohort of forensic psychiatric patients (n=125). The median length of stay for the whole cohort was 951days, but patients with a restriction order stayed in hospital almost five times as long as patients without. Restriction orders were related to convictions for violent crime, but not for any other differences in demographic or clinical variables. The majority of the patients (60%) were involved in... (More)
This study describes the prevalence of adverse events and length of stay in forensic psychiatric patients with and without a restriction order. Detailed clinical and administrative information from medical records and written court decisions was gathered retrospectively from admission until discharge for a Swedish population-based, consecutive cohort of forensic psychiatric patients (n=125). The median length of stay for the whole cohort was 951days, but patients with a restriction order stayed in hospital almost five times as long as patients without. Restriction orders were related to convictions for violent crime, but not for any other differences in demographic or clinical variables. The majority of the patients (60%) were involved in adverse events (violence, threats, substance abuse, or absconding) at some time during their treatment. Patients with restriction orders were overrepresented in violent and threat events. Previous contact with child and adolescence psychiatric services, current violent index crime, psychotic disorders, a history of substance, and absconding during treatment predicted longer length of stay. Being a parent, high current Global Assessment of Functioning scores, and mood disorders were all significantly related to earlier discharge. In a stepwise Cox regression analysis current violent index crime and absconding remained risk factors for a longer hospital stay, while a diagnosis of mood disorder was significantly related to a shorter length of stay. (Less)
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organization
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type
Contribution to journal
publication status
published
subject
in
International Journal of Law and Psychiatry
volume
37
issue
6
pages
635 - 642
publisher
Elsevier
external identifiers
  • pmid:24631525
  • wos:000345542000013
  • scopus:84909943399
ISSN
0160-2527
DOI
10.1016/j.ijlp.2014.02.038
language
English
LU publication?
yes
id
78256cce-6025-4ad3-a62b-0e783724ef45 (old id 4383195)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/24631525?dopt=Abstract
date added to LUP
2014-04-03 16:31:48
date last changed
2017-11-19 03:15:12
@article{78256cce-6025-4ad3-a62b-0e783724ef45,
  abstract     = {This study describes the prevalence of adverse events and length of stay in forensic psychiatric patients with and without a restriction order. Detailed clinical and administrative information from medical records and written court decisions was gathered retrospectively from admission until discharge for a Swedish population-based, consecutive cohort of forensic psychiatric patients (n=125). The median length of stay for the whole cohort was 951days, but patients with a restriction order stayed in hospital almost five times as long as patients without. Restriction orders were related to convictions for violent crime, but not for any other differences in demographic or clinical variables. The majority of the patients (60%) were involved in adverse events (violence, threats, substance abuse, or absconding) at some time during their treatment. Patients with restriction orders were overrepresented in violent and threat events. Previous contact with child and adolescence psychiatric services, current violent index crime, psychotic disorders, a history of substance, and absconding during treatment predicted longer length of stay. Being a parent, high current Global Assessment of Functioning scores, and mood disorders were all significantly related to earlier discharge. In a stepwise Cox regression analysis current violent index crime and absconding remained risk factors for a longer hospital stay, while a diagnosis of mood disorder was significantly related to a shorter length of stay.},
  author       = {Andreasson, Helena and Nyman, Marielle and Krona, Hedvig and Meyer, Lennart and Anckarsäter, Henrik and Nilsson, Thomas and Hofvander, Björn},
  issn         = {0160-2527},
  language     = {eng},
  number       = {6},
  pages        = {635--642},
  publisher    = {Elsevier},
  series       = {International Journal of Law and Psychiatry},
  title        = {Predictors of length of stay in forensic psychiatry: The influence of perceived risk of violence.},
  url          = {http://dx.doi.org/10.1016/j.ijlp.2014.02.038},
  volume       = {37},
  year         = {2014},
}