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

A clinical and demographic comparison between a forensic and a general sample of female patients with schizophrenia
A clinical and demographic comparison between a forensic and a general sample of female patients with schizophrenia
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.
females, schizophrenia, general psychiatric patients, forensic incarcerated patients, basic clinical documentation, comorbidities
1176-1183
Landgraf, Steffen
417a6932-107a-493a-97e7-16f6938e0d7d
Blumenauer, Katrin
1121092b-e545-4a92-93df-930dd3722489
Osterheider, Michael
307b1739-62bf-406a-b2d7-4e9f585043fd
Eisenbarth, Hedwig
41af3dcb-da48-402b-a488-49de88e64f0c
Landgraf, Steffen
417a6932-107a-493a-97e7-16f6938e0d7d
Blumenauer, Katrin
1121092b-e545-4a92-93df-930dd3722489
Osterheider, Michael
307b1739-62bf-406a-b2d7-4e9f585043fd
Eisenbarth, Hedwig
41af3dcb-da48-402b-a488-49de88e64f0c

Landgraf, Steffen, Blumenauer, Katrin, Osterheider, Michael and Eisenbarth, Hedwig (2013) A clinical and demographic comparison between a forensic and a general sample of female patients with schizophrenia. Psychiatry Research, 210 (3), 1176-1183. (doi:10.1016/j.psychres.2013.09.009). (PMID:24103910)

Record type: Article

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.

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Accepted/In Press date: 12 September 2013
e-pub ahead of print date: 5 October 2013
Published date: 30 December 2013
Keywords: females, schizophrenia, general psychiatric patients, forensic incarcerated patients, basic clinical documentation, comorbidities
Organisations: Psychology

Identifiers

Local EPrints ID: 384800
URI: http://eprints.soton.ac.uk/id/eprint/384800
PURE UUID: ab15670d-6ca0-41b2-a3b9-afc0d5eb4858
ORCID for Hedwig Eisenbarth: ORCID iD orcid.org/0000-0002-0521-2630

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Date deposited: 13 Jan 2016 10:31
Last modified: 15 Mar 2024 03:51

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Contributors

Author: Steffen Landgraf
Author: Katrin Blumenauer
Author: Michael Osterheider
Author: Hedwig Eisenbarth ORCID iD

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