A cohort of 63 patients with schizophrenia formerly treated in medium security and discharged were followed up with case-notes and interview, up to 10 years later.
Outcome variables studied included reconviction, reoffending behaviour, contact with psychiatric services, mortality, health and social needs, and patient satisfaction.
Previously, the group had high levels of impatient psychiatric care (86%), violent offending (68%), substance abuse (71%), alcohol abuse (29%), history of conduct disorder (48%) and periods in care (22%). At follow-up, 2 were dead (by suicide) ; of the remainder, 92% had retained links with psychiatric services, 30% had been reconvicted of at least one violent offence, and more than this proportion, again, had reoffended violently.
Episodes of violent reoffending outnumbered violent reconviction by nearly 4 : 1. Most violence was non-serious'In terms of violence, comorbidity with conduct disorder or problem alcohol use doubled reoffending rates compared with schizophrenia alone, while young age or polydrug use or conduct disorder predicted increased reconviction rates by factors between 2 and 3 ; restriction orders reduced reconviction rates with a trend to reduced reoffending.
Patients and staff disagreed over the level of help given to and needed by patients, who expressed a broad range of opinion, from satisfaction to dissatisfaction. (...)
Mots-clés Pascal : Délinquance, Violence, Association morbide, Schizophrénie, Besoin utilisateur, Service santé, Santé mentale, Royaume Uni, Europe, Facteur risque, Récidive, Homme, Trouble comportement social, Psychose
Mots-clés Pascal anglais : Delinquency, Violence, Concomitant disease, Schizophrenia, User need, Health service, Mental health, United Kingdom, Europe, Risk factor, Relapse, Human, Social behavior disorder, Psychosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0276788
Code Inist : 002B18G. Création : 16/11/1999.