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Prospective cohort study of mental health during imprisonment

by King, Carlene , Hassan, Lamiece , Lowthian, Carrie , Mills, Alice , Senior, Jane , Jarrett, Manuela , Webb, Roger , Harty, Mari A. , Birmingham, Luke , Lathlean, Judith , Thornicroft, Graham , Shaw, Jenny , Jones, Peter

in Adult / Cohort analysis / Female / Female offenders / Health services / Humans / Illnesses / Imprisonment / Interviews / Male / Mass Screening / Mental depression / Mental disorders / Mental Disorders - epidemiology / Mental health / Mental health care / Mental illness / Prevalence / Prisoners / Prisoners - psychology / Prisoners - statistics & numerical data / Prisons / Prisons - statistics & numerical data / Prospective Studies / Psychiatric Status Rating Scales / Psychiatric symptoms / Psychiatry / Psychosis / Questionnaires / R&D / Remand prisoners / Research & development / Sample size / Schizophrenia / Social exclusion / Stress, Psychological - epidemiology / Stress, Psychological - etiology / Symptoms / Time Factors / United Kingdom - epidemiology / Young Adult / Young adults

2011

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2011

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2011

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Journal Article

Prospective cohort study of mental health during imprisonment

King, Carlene,

Hassan, Lamiece,

Lowthian, Carrie,

Mills, Alice,

Senior, Jane,

Jarrett, Manuela,

Webb, Roger,

Harty, Mari A.,

Birmingham, Luke,

Lathlean, Judith,

Thornicroft, Graham,

Shaw, Jenny,

Jones, Peter

2011

Overview

Mental illness is common among prisoners, but little evidence exists regarding changes in symptoms in custody over time. To investigate the prevalence and predictors of psychiatric symptoms among prisoners during early custody. In a prospective cohort study, 3079 prisoners were screened for mental illness within 3 days of reception. To establish baseline diagnoses and symptoms, 980 prisoners were interviewed; all remaining in custody were followed up 1 month and 2 months later. Symptom prevalence was highest during the first week of custody. Prevalence showed a linear decline among men and convicted prisoners, but not women or remand prisoners. It decreased among prisoners with depression, but not among prisoners with other mental illnesses. Overall, imprisonment did not exacerbate psychiatric symptoms, although differences in group responses were observed. Continued discussion regarding non-custodial alternatives for vulnerable groups and increased support for all during early custody are recommended.

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Publisher

Cambridge University Press

Subject

/ Female

/ Humans