ArticlePloS one2016
Mortality, Rehospitalisation and Violent Crime in Forensic Psychiatric Patients Discharged from Hospital: Rates and Risk Factors.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pharmacological Treatment in Forensic Psychiatry-A Systematic Review.Frontiers in psychiatry · 2019Pooled it
- Improving risk assessment in forensic mental health: Temporal validation and clinical refinement of the FoVOx risk tool.European psychiatry : the journal of the Association of European Psychiatrists · 2026Article
- Life situation and mortality among former forensic psychiatric patients.Frontiers in psychiatry · 2026Article
- Health care workers' experiences of exercise in forensic psychiatry: a qualitative focus group study.International journal of qualitative studies on health and well-being · 2025Article
- Corticolimbic Structural Deficits in Violent Patients with Schizophrenia.Brain sciences · 2025Article
- Predictors of rehospitalization due to violent behavior in patients with psychotic disorders with a history of violent behavior.Frontiers in psychiatry · 2025Article
- Markers of predicting discharge from forensic psychiatric hospitals in Czechia.The International journal of social psychiatry · 2024Article
- Association of duration of treatment on post-discharge mortality in forensic psychiatric patients in Finland.Frontiers in psychiatry · 2024Article
- What happens after forensic psychiatric care? A latent class analysis of dimensions of welfare for former forensic psychiatric patients.BMC psychiatry · 2023Article
- Predictive validity on clinical item-level of the HKT-R divided into clinical patient classes.BMC psychiatry · 2023Article
- Integrating static and modifiable risk factors in violence risk assessment for forensic psychiatric patients: a feasibility study of FoVOx.Nordic journal of psychiatry · 2023Article
- Duration of forensic psychiatric care and subsequent criminal recidivism in individuals sentenced in Sweden between 2009 and 2019.Frontiers in psychiatry · 2023Article
- The reconvictions of mentally disordered offenders-how, when, and where?BMC psychiatry · 2022Article
- A review and comparative analysis of the risk-needs-responsivity, good lives, and recovery models in forensic psychiatric treatment.Frontiers in psychiatry · 2022Review
- Violence-related deaths among people released from incarceration: systematic review and meta-analysis of cohort studies.EClinicalMedicine · 2021Article
- Immersive Virtual Reality Simulation in Forensic Psychiatry and Adjacent Clinical Fields: A Review of Current Assessment and Treatment Methods for Practitioners.Frontiers in psychiatry · 2021Review
- Differences Between Readmitted and Non-readmitted Women in an Italian Forensic Unit: A Retrospective Study.Frontiers in psychology · 2021Article
- Exploration of morbidity, suicide and all-cause mortality in a Scottish forensic cohort over 20 years.BJPsych open · 2020Article
- Excessive mortality and causes of death among patients with personality disorder with comorbid psychiatric disorders.Social psychiatry and psychiatric epidemiology · 2019Article
- Perspective On Excellence in Forensic Mental Health Services: What We Can Learn From Oncology and Other Medical Services.Frontiers in psychiatry · 2019Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
Abstract
objectivesTo determine rates and risk factors for adverse outcomes in patients discharged from forensic psychiatric services.
methodWe conducted a historical cohort study of all 6,520 psychiatric patients discharged from forensic psychiatric hospitals between 1973 and 2009 in Sweden. We calculated hazard ratios for mortality, rehospitalisation, and violent crime using Cox regression to investigate the effect of different psychiatric diagnoses and two comorbidities (personality or substance use disorder) on outcomes.
resultsOver mean follow-up of 15.6 years, 30% of patients died (n = 1,949) after discharge with an average age at death of 52 years. Over two-thirds were rehospitalised (n = 4,472, 69%), and 40% violently offended after discharge (n = 2,613) with a mean time to violent crime of 4.2 years. The association between psychiatric diagnosis and outcome varied-substance use disorder as a primary diagnosis was associated with highest risk of mortality and rehospitalisation, and personality disorder was linked with the highest risk of violent offending. Furthermore comorbid substance use disorder typically increased risk of adverse outcomes.
conclusionViolent offending, premature mortality and rehospitalisation are prevalent in patients discharged from forensic psychiatric hospitals. Individualised treatment plans for such patients should take into account primary and comorbid psychiatric diagnoses.
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