ArticleSocial psychiatry and psychiatric epidemiology2019
Changing characteristics of forensic psychiatric patients in Ontario: a population-based study from 1987 to 2012.
Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Violence risk assessment instruments in forensic psychiatric populations: a systematic review and meta-analysis.The lancet. Psychiatry · 2023Pooled it
- Effectiveness of Transitional Interventions in Improving Patient Outcomes and Service Use After Discharge From Psychiatric Inpatient Care: A Systematic Review and Meta-Analysis.Frontiers in psychiatry · 2019Pooled it
- Forensic mental health service use in early psychosis: A scoping review.Social psychiatry and psychiatric epidemiology · 2026Review
- Substance use disorder in forensic hospitals: A scoping review of practices and interventions.Drug and alcohol dependence reports · 2026Review
- Establishing standards of care for forensic mental health: an international Delphi consensus-building study.Frontiers in psychiatry · 2026Article
- Forensic supportive housing programs: a scoping review.Frontiers in psychiatry · 2026Review
- Experiences of nurses caring for state patients in North West Province of South Africa: a qualitative study.BMC nursing · 2025Article
- Short stays, high needs: gender disparities in Czech forensic psychiatric inpatient care.Frontiers in psychiatry · 2025Article
- Gratitude despite unease among Swedish male forensic psychiatric patients with substance use disorders: an interview study.International journal of qualitative studies on health and well-being · 2024Article
- Homicide in the context of psychosis: analysis of prior service utilisation and age at onset of illness and violence.BJPsych open · 2023Article
- Socio-demographic, clinical and offense-related characteristics of forensic psychiatric inpatients in Hunan, China: a cross-sectional survey.BMC psychiatry · 2023Article
- Care pathways in forensic mental health services in New Zealand.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2023Article
- Barriers and facilitators of access and utilization of mental health services among forensic service users along the care pathway.BMC health services research · 2022Article
- The Ontario Forensic Mental Health System: A Population-based Review.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Review
- Just Like a Woman: Gender Role Stereotypes in Forensic Psychiatry.Frontiers in psychiatry · 2022Review
- Female Forensic Patients May Be an Atypical Sub-type of Females Presenting Aggressive and Antisocial Behavior.Frontiers in psychiatry · 2022Review
- Substance Use Disorders as a Critical Element for Decision-Making in Forensic Assertive Community Treatment: A Systematic Review.Frontiers in psychiatry · 2021Review
- Perceptions of procedural justice and coercion among forensic psychiatric patients: a study protocol for a prospective, mixed-methods investigation.BMC psychiatry · 2020Article
- The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care.Frontiers in psychiatry · 2019Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo quantify the demand for forensic psychiatric services in Ontario over the past 25 years and investigate whether the sociodemographic, clinical and offense-based characteristics of forensic patients have changed over time.
methodsWe investigated all forensic admissions from 1987 to 2012 resulting in a disposition of Not Criminally Responsible on account of Mental Disorder (N = 2533). We present annual proportions of patients with specified sociodemographic, clinical and offense characteristics, and investigate whether the duration of forensic system tenure varies as a function of admission year, psychiatric diagnosis, or index offense.
resultsThere has been a steady increase in forensic admissions over this time period, particularly individuals with comorbid substance use disorders and individuals of non-Caucasian ethno-racial background. The proportion of persons committing severe violence has remained low and has decreased over time. Having a comorbid personality, neurological, or substance use disorder significantly increased forensic system tenure, as did committing a violent offense. Individuals who came into the system in earlier years had slower rates of discharge compared to more recent admissions.
conclusionsDefining the trends characterizing the growth of the forensic population has important policy implications, as forensic services are costly and involve a significant loss of liberty. The current results indicate that young, substance abusing individuals of diverse ethno-racial backgrounds and who commit relatively low-level violence comprise an increasing proportion of Ontario's forensic population, and suggest that treatment must be optimized to best serve the needs of these individuals.
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