Detained Persons Incarcerated for the First Time and Needing Acute Psychiatric Care: Sociodemographic and Clinical Characteristics

Article Article scientifique Article Detained Persons Incarcerated for the First Time and Needing Acute Psychiatric Care: Sociodemographic and Clinical Characteristics eng 2022-06-28 2022 author D'Orta Isabella 797415 author Guilbert Nicolas author Pierrard Mathieu 715892 author Herrmann François 70980 author Giannakopoulos Panteleimon 44657 904735 10.3389/fpsyt.2022.904735 35836658 1664-0640 PMC9273735 https://www.frontiersin.org/articles/10.3389/fpsyt.2022.904735/full Among detained persons, those incarcerated for the first time (FTI: first time incarceration) are known to present long-standing psychological vulnerability but also suffer significant deterioration of their mental health during the first year following imprisonment. Whether the patterns of psychiatric morbidity differ in FTI cases compared to cases with repeated and long term incarceration (RLTI) is still a matter of debate. We examined the sociodemographic and clinical differences between a subgroup of FTI vs. one of RLTI in a series of 139 randomly selected detained persons admitted to an acute psychiatric ward located in the central prison of Geneva, Switzerland. Fisher exact, unpaired Student t and Mann-Whitney U tests were used to explore sociodemographic (age, gender, marital status, religion, knowledge of French, education) and clinical (psychiatric outpatient care, suicidal behavior, psychiatric diagnosis) differences between the two groups. Subsequently, univariate and multiple logistic regression models were used to detect the variables associated with FTI. The proportion of women was significantly higher in the FTI compared to the RLTI group. FTI cases were also more frequently separated or divorced, with less frequent religious affiliation. 16.9% of FTI cases but only 1.3% of RLTI cases had a clinical diagnosis of depression. In multiple regression models, female sex and lower religious affiliation rate were associated with FTI status. Among diagnostic categories, depression was strongly related to FTI status both in univariate and multivariable models. Importantly, this was not the case for adjustment disorders, previous history of psychiatric care and suicidal behavior. Our observations support the assumption that FTI cases with lower affective support, less religious investment and without psychiatric care prior to imprisonment are particularly vulnerable to depressive illness. Acute psychiatric care Depression First time inmates Prison Psychiatry Dewey 616.89 Dewey 613 Dewey 618.97 65 Département de réadaptation et gériatrie 22B 60 Département de psychiatrie 225 66 Institut de santé globale 22A1 false 161 Groupe Giannakopoulos Panteleimon (psychiatrie générale) 201 Frontiers in psychiatry 13 50ce4d45-4f13-4c2c-b7d6-6c038a715eee Article (Published version) Public Article-scientifique-from-europePmc.pdf 177996 application/pdf CC BY-4.0 openAccess Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie Faculté de médecine / Section de médecine clinique / Département de psychiatrie Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires / Institut de santé globale

Title	Published in	Access level	OA Policy	Year	Views	Downloads

Detained Persons Incarcerated for the First Time and Needing Acute Psychiatric Care: Sociodemographic and Clinical Characteristics	Frontiers in psychiatry			2022	186	118

Archive ouverte UNIGE

Pierrard, Mathieu