ArticleFrontiers in psychiatry2020
Factors Influencing Length of Stay of Forensic Patients: Impact of Clinical and Psychosocial Variables in Medium Secure Setting.
Article in Frontiers in psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Factors influencing the length of stay in forensic psychiatric settings: a systematic review.BMC health services research · 2024Pooled it
- Effectiveness of, access to and need for electroconvulsive therapy in forensic psychiatric hospitals: a survey in Germany and Switzerland.European archives of psychiatry and clinical neuroscience · 2026Article
- Analysing length of stay disparities in inpatient forensic psychiatric care: a cross-sectional study in Czechia.International journal of mental health systems · 2025Article
- An exploration of the determinants of risk formulation, care plan and disposition among older adults in the Ontario forensic psychiatry system: implication for practice.CNS spectrums · 2025Article
- Factors predicting the length of stay in inpatient forensic psychiatric care in Hungary.Frontiers in psychiatry · 2025Article
- Quantifying institutional-level length of stay variation among hospitalizations for schizophrenia in Ontario between 2014-2021.PLOS mental health · 2025Article
- Factors associated with length of stay in medium secure units: A realist review.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2024Review
- Markers of predicting discharge from forensic psychiatric hospitals in Czechia.The International journal of social psychiatry · 2024Article
- Intervening factors between risk of violence and aggressive behaviours among forensic inpatients: a scoping review.BMC psychology · 2024Article
- Stigmatization of patients with mental disorders: a comparative study of nurses in forensic psychiatry and inpatient settings.Frontiers in psychiatry · 2024Article
- Institutional influence on length of stay in German forensic hospitals: a multilevel analysis of patients with schizophrenia spectrum disorders.Frontiers in psychiatry · 2024Article
- Determinants of clinical outcome and length of stay in acute care forensic psychiatry units.BMC psychiatry · 2023Article
- Court-ordered inpatient psychiatric care in Switzerland: determinants of length of stay and treatment outcome.Frontiers in psychiatry · 2023Article
- Factors Affecting Length of Inpatient Forensic Stay: Retrospective Study From Czechia.Frontiers in psychiatry · 2022Article
- Perspectives on Recruitment and Representativeness in Forensic Psychiatric Research.Frontiers in psychiatry · 2021Article
- Polish Experiences of Safety Measures Involving Forensic Psychiatric Inpatients Implemented During the SARS-CoV-2 Pandemic.Frontiers in psychiatry · 2020Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesForensic psychiatric care has two, often contradictory, aims-the treatment of mentally ill offenders and the isolation of the perpetrators to ensure public safety. It is essential to ensure that any periods of liberty deprivation do not last longer than necessary to provide appropriate treatment. Therefore, identifying the factors affecting the length of stay (LoS) is one of the most important research areas in the forensic psychiatry. The literature on this subject is scarce and to date there no data available on LoS for patients in Eastern or Central European patients.
methodsWe conducted a retrospective analysis of data for 150 inpatients in a medium secure unit. Based on a literature review and clinical experience, variables potentially influencing LoS were identified and included in the analysis.
resultsThe variables that were significantly associated with LoS included duration of mental illness; severity of index offense; whether a crime was committed as a result of hallucinations or during drug treatment discontinuation; if the index offenses was a continuous crime (crimes committed over an extended period of time); persistent psychosis; multiple antipsychotic treatments; as well as a diagnosis of schizophrenia and schizoaffective disorder.
conclusionsOur findings are highly consistent with observations made by other researchers. However, contrary the majority of previous studies our project incorporates data concerning the clinical presentation of patients. For example, we demonstrate that variables measuring treatment resistance might be one of the crucial determinants of LoS, which is a novel research finding.
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