A clinical and demographic comparison between a forensic and a general sample of female patients with schizophrenia.

Abstract:

:Diagnoses of psychiatric diseases do not include criminal behavior. In schizophrenia, a non-negligible subgroup is incarcerated for capital and other crimes. Most studies that compared offender and non-offender patients with schizophrenia have only focused on male patients. With this study, we compared demographic and disease-related characteristics between 35 female incarcerated forensic patients (fSZ) and 35 female inpatients with schizophrenia (SZ). Basic clinical documentation and basic forensic clinical documentation revealed significant clinical and demographic differences between the two groups. Compared to SZ, fSZ were more severely clinically impaired, showing higher rates of comorbid alcohol and substance disorder, more suicide attempts, had more previous hospitalizations, and were younger at disease onset. Regarding demographic variables, fSZ showed a higher rate of unemployment and homelessness and had to rely more often on housing and legal guardianships compared to SZ. These results suggest that female forensic patients with schizophrenia are more severely affected by clinical and non-clinical variables requiring an adapted intervention program. These results may also indicate two developmental trajectories for criminal and non-criminal schizophrenia in females.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Landgraf S,Blumenauer K,Osterheider M,Eisenbarth H

doi

10.1016/j.psychres.2013.09.009

subject

Has Abstract

pub_date

2013-12-30 00:00:00

pages

1176-83

issue

3

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(13)00576-3

journal_volume

210

pub_type

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