Mental health of young offenders in Switzerland: Recognizing psychiatric symptoms during detention

Abstract We reviewed the medical records of the 118 adolescent detainees which had at least one consultation by a psychiatrist at the prison health facility during 2007. General practitioners used the International Classification of Primary Care (ICPC-2) for recording health problems. Psychiatrists...

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Published inJournal of forensic and legal medicine Vol. 19; no. 6; pp. 332 - 336
Main Authors Gisin, Dimitri, MAS, Haller, Dagmar M., MD, PhD, Cerutti, Bernard, PhD, Wolff, Hans, MD, MPH, Bertrand, Dominique, MD, Sebo, Paul, MD, Heller, Patrick, MD, Niveau, Gerard, MD, Eytan, Ariel, MD
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.08.2012
Churchill Livingstone Inc., Medical Publishers
Subjects
Adolescent
Child
Delinquency
Detention centers
Female
Forensic sciences
General Practitioners
Humans
Juvenile
Juvenile Delinquency
Juvenile offenders
Male
Medical diagnosis
Mental disorders
Mental Disorders - diagnosis
Mental Disorders - epidemiology
Mental Health
Pathology
Prison
Prisoners - statistics & numerical data
Psychiatry
Retrospective Studies
Sex Distribution
Switzerland - epidemiology
Young Adult
Switzerland
Prison
Juvenile
Psychiatry
Delinquency
Mental health
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Summary:Abstract We reviewed the medical records of the 118 adolescent detainees which had at least one consultation by a psychiatrist at the prison health facility during 2007. General practitioners used the International Classification of Primary Care (ICPC-2) for recording health problems. Psychiatrists used the International Classification of Diseases (ICD-10) for making psychiatric diagnoses. The concordance between the mental health assessment done by general practitioners using the ICPC-2 and the diagnoses proposed by psychiatrists was globally satisfying. The five most frequent ICD categories (conduct disorder, drug abuse, alcohol abuse, personality disorder, adjustment disorder) encompassed the most frequently reported ICPC-2 psychological symptoms. Several associations between psychological symptoms and socio-demographic characteristics were observed. Apart from providing a description of the mental health of adolescent detainees in one of Switzerland’s largest detention centre for minors, results suggest that general practitioners can adequately identify frequent mental disorders in such contexts.
Bibliography:ObjectType-Article-1
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ISSN:1752-928X
1878-7487
DOI:10.1016/j.jflm.2012.02.013