ArticleFrontiers in psychiatry2020
The Unhappy Mental Health Triad: Comorbid Severe Mental Illnesses, Personality Disorders, and Substance Use Disorders in Prison Populations.
Article in Frontiers in psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05875363 (Neurodevelopmental Disorders in Youth With Criminal Behaviors), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.
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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.
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.
Neurodevelopmental Disorders in Youth With Criminal Behaviors
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- The Effectiveness of Schema Therapy in Individuals Who Committed Crimes: A Systematic Review.Trauma, violence & abuse · 2024Pooled it
- The prevalence of comorbid serious mental illnesses and substance use disorders in prison populations: a systematic review and meta-analysis.The Lancet. Public health · 2022Pooled it
- Psychometric Evaluation of the Bilingual Russian-Kazakh Problem Gambling Severity Index: Item-Level Response Patterns and Behavioral Factors Associated with Gambling-Related Harm.Behavioral sciences (Basel, Switzerland) · 2026Article
- Primary Psychoses Among Sentenced Prisoners in Finland.Criminal behaviour and mental health : CBMH · 2026Article
- A nomogram model to predict the risk for etomidate use disorder with antisocial personality disorder.BMC psychiatry · 2026Article
- Determinants of antipsychotic prescription in women detainees admitted to an acute forensic psychiatric unit.Frontiers in psychiatry · 2026Article
- Perceived impacts of medications for opioid use disorder implementation on mental health services and substance use counseling in carceral settings: qualitative findings from 13 Massachusetts jails.Addiction science & clinical practice · 2025Article
- Trajectories of mental health symptoms, suicide attempts and substance use disorders among women after prison release in Santiago, Chile.Social psychiatry and psychiatric epidemiology · 2025Article
- People experiencing homelessness requiring psychiatric review in prison, a study of a male and female remand prison over 1 year period.Irish journal of medical science · 2025Article
- Substance use disorders, severe mental illness and risk of reoffending among women released from prison: a national cohort study.Scientific reports · 2025Article
- Short stays, high needs: gender disparities in Czech forensic psychiatric inpatient care.Frontiers in psychiatry · 2025Article
- Mental disorders in adults deprived of liberty in American countries: a scoping review.Cadernos de saude publica · 2025Article
- Article
- The Co-occurrence of Personality Disorders and Substance Use Disorders.Current psychiatry reports · 2023Review
- Defining the tasks of clinical reasoning in forensic psychiatric evaluation: Psychomedicolegal analysis competency.Heliyon · 2023Article
- Using the stress-vulnerability model to better understand suicide in prison populations.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2023Article
- The health of detainees and the role of primary care: Position paper of the European Forum for Primary Care.Primary health care research & development · 2022Review
- Article
- Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis.The Lancet regional health. Europe · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInformation on the comorbidity of mental health problems in prison populations is scarce. The aim of the present study was to assess the prevalence of comorbidities at intake to prison between three diagnostic groups: severe mental illnesses (SMIs), personality disorders (PDs), and substance use disorders (SUDs). The co-occurrence of those disorders in prison populations may require the integration of differential treatment approaches and novel treatment trials.
methodsA consecutive sample of N = 427 (229 male and 198 female) individuals committed to imprisonment in Santiago de Chile was assessed with the Mini Neuropsychiatric Interview and the Structured Clinical Interview for DSM-IV (module for borderline personality disorders) on arrival at prison. Diagnoses were
resultsThe triad of SMI, PD, and SUD was present in n = 138 (32.3%; 95% IC: 28.0-36.9) study participants, n = 105 (45.9%; 95% CI: 39.4-52.4) of the men and n = 33 (16.7%; 95% CI: 12.1-22.6) of the women. Among those with the disorder triad, n = 129 (30.2%; 95% CI: 26.0-34.8) had major depression, PD and SUD; n = 54 (12.6%; 95% CI: 9.8-16.2) had psychosis, PD and SUD. The disorder triad was more common in men (OR = 4.86; 95% IC: 2.63-8.95), younger age (OR = 0.94; 95% CI: 0.91-0.97), and participants with lower educational levels (OR = 1.69; 95% CI: 1.01-2.82). The disorder triad was significantly associated with previous incarcerations (OR 2.60; 95% CI: 1.55-4.34) and histories of psychiatric hospitalizations (OR 2.82; 95% CI: 1.27-6.28). DISCUSSION: The complex triad of disorders from different diagnostic groups is common in prison populations, especially among young men. Successful treatment interventions may have the potential to break a cycle of repeat institutionalization in prisons and psychiatric institutions.
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