Evidence map›Paper›PMID 32390094›Full record

ArticleSocial psychiatry and psychiatric epidemiology2020

Disengagement from mental health treatment and re-offending in those with psychosis: a multi-state model of linked data.

Ye In Jane Hwang, Olayan Albalawi, Armita Adily, Malcolm Hudson, Handan Wand, Azar Kariminia, Colman O'Driscoll, Stephen Allnutt, Luke Grant, Grant Sara and 3 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 25% of its field
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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

13 authors at 6 institutions in 2 countries.

Ye In Jane HwangKirby Institute, University of New South Wales, Sydney, Australia. jane.hwang@unsw.edu.au.ORCID http://orcid.org/0000-0003-0142-3251
Olayan AlbalawiKirby Institute, University of New South Wales, Sydney, Australia.
Armita AdilyKirby Institute, University of New South Wales, Sydney, Australia.
Malcolm HudsonDepartment of Mathematics and Statistics, Macquarie University, Sydney, Australia.
Handan WandKirby Institute, University of New South Wales, Sydney, Australia.
Azar KariminiaKirby Institute, University of New South Wales, Sydney, Australia.
Colman O'DriscollSt John of God Health Care, Sydney, Australia.
Stephen AllnuttCommunity and Forensic Mental Health Services, New South Wales, Australia.
Luke GrantCorrective Services New South Wales, Haymarket, Australia.
Grant SaraNorthern Clinical School, University of Sydney, Sydney, Australia.
James OgloffCentre for Forensic Behavioural Science, Swinburne University of Technology, Melbourne, Australia.
David Mace GreenbergJustice Health and Forensic Mental Health Network New South Wales, Matraville, Australia.
Tony ButlerKirby Institute, University of New South Wales, Sydney, Australia.
UNSW Sydney · AUMental Health Australia · AUMacquarie University · AUSt John of God Hospital · AUSwinburne University of Technology · AUThe University of Sydney · AU

Funding

National Health and Medical Research Council APP1057492
6 · The paper itself

Abstract

BACKGROUND AND

aimsIndividuals with psychosis are over-represented in the criminal justice system and, as a group, are at elevated risk of re-offending. Recent studies have observed an association between increased contacts with mental health services and reduced re-offending, as well as reduced risk of re-offending in those who are ordered to mental health treatment rather than punitive sanctions. In furthering this work, this study examines the effect of disengagement from mental health treatment on probability of re-offence in offenders with psychosis over time.

methodsData linkage was conducted with judicial, health and mortality datasets from New South Wales, Australia (2001-2015). The study population included 4960 offenders with psychosis who received non-custodial sentences and engaged with community-based mental health treatment. Risk factors for leaving treatment and/or reconviction were examined using multivariate cox regression. Further, a multi-state model was used to observe the probabilities associated with individuals moving between three states: conviction, disengagement from mental health treatment and subsequent re-conviction.

resultsA threefold increase was observed in the risk of re-offending for those who disengaged from treatment compared to those who did not (aHR = 2.76, 95% CI 1.65-4.62, p < 0.001). The median time until re-offence was 195 days, with the majority (67%) being convicted within one year of leaving treatment. A higher risk of leaving treatment was found for those born outside of Australia, with substance-related psychosis, and a history of violent offence.

conclusionsThe findings argue for an emphasis on continued engagement with mental health services following release for offenders with psychosis and identify subgroups within this population for whom concentrated efforts regarding treatment retention should be targeted.

Indexed as

CriminalsPsychotic DisordersAustraliaHumansMental HealthNew South WalesSemantic WebCriminal behaviourData linkageMental health treatmentPsychosisRecidivism

Identifiers

PMID32390094
OpenAlexW3023889652

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.