Violent Behavior During Psychiatric Inpatient Treatment in a German Prison Hospital

Overview

Journal Front Psychiatry

Specialty Psychiatry

Date 2019 Nov 19

PMID 31736795

Citations 1

Authors

P Seidel

N Konrad

V Negatsch

D Dezso

I Kogan

U Gauger

B Neumann

A Voulgaris

A Opitz-Welke

Affiliations

Soon will be listed here.

Abstract

Violent behavior in correctional facilities is common and differs substantially in type, target, implication, and trigger. Research on frequency and characteristics of violent behavior in correctional facilities and psychiatric hospitals is limited. Results from recent research suggest that comorbidity of severe mental disorder, personality disorder, and diagnosis of substance abuse is related to a higher risk of violent behavior. In the Berlin prison hospital, a database was created to collect data from all violent incidences (n=210) between 1997 and 2006 and between 2010 and 2016. In a retrospective, case-control study, we analyzed specific socioeconomic data and psychiatric diagnosis and compared the group of prisoners with violent behavior with randomly selected prisoners of the same department without violent behavior (n = 210). Diagnosis of schizophrenia, non-German nationality, no use of an interpreter, no children, and no previous sentence remained significantly associated with the dependent variable violent behavior. There were no significant differences regarding age and legal statuses. Practical implications for clinical work are discussed.

Citing Articles

[Suicides in the German prison system: frequency, risk factors, and prevention].

Opitz-Welke A, Konrad N Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2021; 65(1):18-24.

PMID: 34964913 PMC: 8732920. DOI: 10.1007/s00103-021-03460-4.

References

Watt D . L. S. Penrose FRS (1898-1972). Psychiatrist and professor of human genetics. Br J Psychiatry. 1999; 173:458-61. DOI: 10.1192/bjp.173.6.458. View

Muller M, Olschinski C, Jochim D, Feldhordt M . [Assessment of Aggressive Assaults by Patients from 2008 to 2015 in two German Psychiatric Hospitals: Results and Implications]. Psychiatr Prax. 2016; 44(5):258-265. DOI: 10.1055/s-0042-105177. View

Blais J, Bonta J . Tracking and managing high risk offenders: A Canadian initiative. Law Hum Behav. 2014; 39(3):253-65. DOI: 10.1037/lhb0000109. View

Priebe S, Frottier P, Gaddini A, Kilian R, Lauber C, Martinez-Leal R . Mental health care institutions in nine European countries, 2002 to 2006. Psychiatr Serv. 2008; 59(5):570-3. DOI: 10.1176/ps.2008.59.5.570. View

Seppanen A, Tormanen I, Shaw C, Kennedy H . Modern forensic psychiatric hospital design: clinical, legal and structural aspects. Int J Ment Health Syst. 2018; 12:58. PMC: 6195744. DOI: 10.1186/s13033-018-0238-7. View

Dressing H, Salize H . Pathways to psychiatric care in European prison systems. Behav Sci Law. 2009; 27(5):801-10. DOI: 10.1002/bsl.893. View

Iozzino L, Ferrari C, Large M, Nielssen O, de Girolamo G . Prevalence and Risk Factors of Violence by Psychiatric Acute Inpatients: A Systematic Review and Meta-Analysis. PLoS One. 2015; 10(6):e0128536. PMC: 4464653. DOI: 10.1371/journal.pone.0128536. View

BONTA J, Law M, Hanson K . The prediction of criminal and violent recidivism among mentally disordered offenders: a meta-analysis. Psychol Bull. 1998; 123(2):123-42. DOI: 10.1037/0033-2909.123.2.123. View

Imai A, Hayashi N, Shiina A, Sakikawa N, Igarashi Y . Factors associated with violence among Japanese patients with schizophrenia prior to psychiatric emergency hospitalization: a case-controlled study. Schizophr Res. 2014; 160(1-3):27-32. DOI: 10.1016/j.schres.2014.10.016. View

10.

Spiessl H, Krischker S, Cording C . [Aggression in the psychiatric hospital. A psychiatric basic documentation based 6-year study of 17,943 inpatient admissions]. Psychiatr Prax. 1998; 25(5):227-30. View

11.

Cantor-Graae E, Pedersen C, McNeil T, Mortensen P . Migration as a risk factor for schizophrenia: a Danish population-based cohort study. Br J Psychiatry. 2003; 182:117-22. DOI: 10.1192/bjp.182.2.117. View

12.

Borowsky I, Hogan M, Ireland M . Adolescent sexual aggression: risk and protective factors. Pediatrics. 1998; 100(6):E7. DOI: 10.1542/peds.100.6.e7. View

13.

Fazel S, Wolf A, Palm C, Lichtenstein P . Violent crime, suicide, and premature mortality in patients with schizophrenia and related disorders: a 38-year total population study in Sweden. Lancet Psychiatry. 2014; 1(1):44-54. PMC: 4124855. DOI: 10.1016/S2215-0366(14)70223-8. View

14.

Opitz-Welke A, Konrad N . Inpatient treatment in the psychiatric department of a German prison hospital. Int J Law Psychiatry. 2012; 35(3):240-3. DOI: 10.1016/j.ijlp.2012.02.015. View

15.

Steinert T, Vogel W, Beck M, Kehlmann S . [Aggression by psychiatric patients in the clinic. A one-year study of four state hospitals]. Psychiatr Prax. 1991; 18(5):155-61. View

16.

Wolf A, Fanshawe T, Sariaslan A, Cornish R, Larsson H, Fazel S . Prediction of violent crime on discharge from secure psychiatric hospitals: A clinical prediction rule (FoVOx). Eur Psychiatry. 2017; 47:88-93. PMC: 5797975. DOI: 10.1016/j.eurpsy.2017.07.011. View

17.

Willis G, Grace R . The quality of community reintegration planning for child molesters: effects on sexual recidivism. Sex Abuse. 2008; 20(2):218-40. DOI: 10.1177/1079063208318005. View

18.

Stolk Y, Ziguras S, Saunders T, Garlick R, Stuart G, Coffey G . Lowering the language barrier in an acute psychiatric setting. Aust N Z J Psychiatry. 1998; 32(3):434-40. DOI: 10.3109/00048679809065538. View

19.

Patel K, Kouvonen A, Close C, Vaananen A, OReilly D, Donnelly M . What do register-based studies tell us about migrant mental health? A scoping review. Syst Rev. 2017; 6(1):78. PMC: 5387245. DOI: 10.1186/s13643-017-0463-1. View

20.

Fazel S, Seewald K . Severe mental illness in 33,588 prisoners worldwide: systematic review and meta-regression analysis. Br J Psychiatry. 2012; 200(5):364-73. DOI: 10.1192/bjp.bp.111.096370. View