Evidence map›Paper›PMID 31608850›Full record

ArticleBJPsych open2019

First diagnosis of psychosis in the prison: results from a data-linkage study.

Nabila Z Chowdhury, Olayan Albalawi, Handan Wand, Armita Adily, Azar Kariminia, Stephen Allnutt, Grant Sara, Kimberlie Dean, Julia Lappin, Colman O'Driscoll and 4 more

Abstract read
In one paragraph

Article in BJPsych open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Suicidal Ideation in a Sample of Incarcerated Men.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2022
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Nabila Z ChowdhuryPhD student, Kirby Institute, University of New South Wales, Australia.ORCID https://orcid.org/0000-0002-4023-3760
Olayan AlbalawiPhD student, Kirby Institute, University of New South Wales, Australia.
Handan WandAssociate Professor, Kirby Institute, University of New South Wales, Australia.
Armita AdilyResearch Fellow, Kirby Institute, University of New South Wales, Australia.
Azar KariminiaSenior Lecturer, Kirby Institute, University of New South Wales, Australia.
Stephen AllnuttForensic Psychiatrist and Conjoint Senior Lecturer, University of New South Wales, Australia.
Grant SaraDirector, InforMH, NSW Ministry of Health; and Clinical Associate Professor, University of Sydney Northern Clinical School, Australia.
Kimberlie DeanAssociate Professor, Forensic Mental Health, School of Psychiatry, University of New South Wales, Australia.
Julia LappinPsychiatrist, School of Psychiatry, University of New South Wales, Australia.
Colman O'DriscollExecutive Director, Lifeline Australia; and Conjoint Lecturer, University of New South Wales, Australia.
Luke GrantAssistant Commissioner, Corrections Strategy & Policy, Corrective Services NSW, Australia.
Peter W SchofieldFRACP Clinical Director, Neuropsychiatry Service, Hunter New England Local Health District; and Conjoint Professor, University of Newcastle, Australia.
David GreenbergDirector, New South Wales State-Wide Clinical Court Liaison Service, New South Wales Justice and Forensic Mental Health Network; and Conjoint Lecturer, University of New South Wales, Australia.
Tony ButlerProgram Head, Justice Health Research Program, Kirby Institute, University of New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychosis is more prevalent among people in prison compared with the community. Early detection is important to optimise health and justice outcomes; for some, this may be the first time they have been clinically assessed.

aimsDetermine factors associated with a first diagnosis of psychosis in prison and describe time to diagnosis from entry into prison.

methodThis retrospective cohort study describes individuals identified for the first time with psychosis in New South Wales (NSW) prisons (2006-2012). Logistic regression was used to identify factors associated with a first diagnosis of psychosis. Cox regression was used to describe time to diagnosis from entry into prison.

resultsOf the 38 489 diagnosed with psychosis for the first time, 1.7% (n = 659) occurred in prison. Factors associated with an increased likelihood of being diagnosed in prison (versus community) were: male gender (odds ratio (OR) = 2.27, 95% CI 1.79-2.89), Aboriginality (OR = 1.81, 95% CI 1.49-2.19), older age (OR = 1.70, 95% CI 1.37-2.11 for 25-34 years and OR = 1.63, 95% CI 1.29-2.06 for 35-44 years) and disadvantaged socioeconomic area (OR = 4.41, 95% CI 3.42-5.69). Eight out of ten were diagnosed within 3 months of reception.

conclusionsAmong those diagnosed with psychosis for the first time, only a small number were identified during incarceration with most identified in the first 3 months following imprisonment. This suggests good screening processes are in place in NSW prisons for detecting those with serious mental illness. It is important these individuals receive appropriate care in prison, have the opportunity to have matters reheard and possibly diverted into treatment, and are subsequently connected to community mental health services on release. DECLARATION OF INTEREST: None.

Indexed as

communitydata-linkageFirst diagnosis of psychosisprisontime to diagnosis

Identifiers

PMID31608850
PMCPMC6854362

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.