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Long-term forensic psychiatric inpatient treatment - review of the selected literature and the analysis of data from the medium secured forensic psychiatry unit.
 
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Instytut Psychiatrii i Neurologii w Warszawie, Klinika Psychiatrii Sądowej
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Zakład Psychologii Lekarskiej, Katedra Psychiatrii, Collegium Medicum Uniwersytet Jagielloński, Kraków, Polska Klinika Psychiatrii Sądowej Instytut Psychiatrii i Neurologii w Warszawie.
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Poradnia Seksuologii i Patologii Współżycia Szpitala Nowowiejskiego, Warszawa, Polska
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Klinika Psychiatrii Sądowej Instytut Psychiatrii i Neurologii w Warszawie. Katedra Różnic Indywidualnych Diagnozy i Psychometrii, SWPS Uniwersytet Humanistyczno – Społeczny, Warszawa, Polska
CORRESPONDING AUTHOR
Justyna Maria Kotowska   

Zakład Psychologii Lekarskiej, Katedra Psychiatrii, Collegium Medicum Uniwersytet Jagielloński, Kraków, Polska Klinika Psychiatrii Sądowej Instytut Psychiatrii i Neurologii w Warszawie.
Submission date: 2020-08-14
Final revision date: 2021-03-20
Acceptance date: 2021-05-08
Online publication date: 2021-08-07
Publication date: 2021-08-07
 
 
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ABSTRACT
Objectives:
The aim of this study was to perform an analysis of the risk factors of long-term psychiatric detention, defined as a stay in forensic institution exceeding respectively 60 and 84 months, based on data obtained from 150 patients from medium secured forensic psychiatry unit. The socio-demographic factors, the course of the mental disorder, the characteristic of committed criminal acts, aggressive or self-destructive behavior and the clinical characteristic of the disease during in the last 6 months of psychiatric detention were analyzed.

Methods:
A pilot study was based on a retrospective analysis of data from medical records and psychiatric experts’ opinions of a cross-sectional nature. Due to the variables’ characteristic, the T-student tests, Spearman correlation and the Kruskal-Wallis tests were used.

Results:
Risk of long-term hospitalization significantly correlated with factors related to the course of the last 6 months of inpatient treatment, including the mental state of patients, the occurrence of aggressive behaviors and the response to pharmacological treatment. There was no significant effect of demographic factors or coexisting addiction to alcohol and psychoactive substances, diagnosis, age of the patients at the time of admission nor number of detentions. The risk of long-term psychiatric detention increased with the duration of the disease.

Conclusions:
We hope that the presented results will rise a discussion on the shape of psychiatric care in Poland and encourage further research in this area, as well as they will contribute to the optimization of the treatment process.

eISSN:2391-5854
ISSN:0033-2674