Author:
Coid Jeremy,Hickey Nicole,Kahtan Nadji,Zhang Tianqiang,Yang Min
Abstract
BackgroundTreatment within medium secure forensic psychiatry services is expected
to reduce risk to the public.AimsTo measure the period prevalence and incidence of offending following
discharge and identify associated risk factors.MethodFollow-up of patients from 7 of 14 regional services in England and Wales
who spent time at risk (n=1344) for a mean of 6.2 years.
Outcome was obtained from offenders index, hospital case-files and the
central register of deaths.ResultsOne in 8 men and 1 in 16 women were convicted of grave offences.
Incidence rates indicated low density and most patients were not
subsequently convicted. Offence predictors included gender, younger age,
early-onset offending, previous convictions and a comorbid or primary
diagnosis of personality disorder. Longer in-patient stay and restriction
on discharge were protective.ConclusionsRisks of reoffending remain for a subgroup of discharged patients. Future
research should aim to improve their identification and risk management
following discharge.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Cited by
124 articles.
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