ArticleDer Nervenarzt2024
[The situation in the German forensic commitment-Results of a survey by the DGPPN].
Article in Der Nervenarzt, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 16 citations in OpenAlex.
- 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
- [Focus: forensic psychiatric commitment and solution approaches].Der Nervenarzt · 2025Article
- [Forensic psychiatry § 63 StGB patients in Mecklenburg-Western Pomerania - Findings from a pilot study in preparation of an annual survey in forensic mental health services].Psychiatrische Praxis · 2025Article
- [The relevance of pharmacogenetic testing in forensics].Der Nervenarzt · 2025Article
- Recidivism rates of female offenders discharged from forensic psychiatric treatment.Frontiers in psychiatry · 2025Article
- Institutional influence on length of stay in German forensic hospitals: a multilevel analysis of patients with schizophrenia spectrum disorders.Frontiers in psychiatry · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
11 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveIn German forensic psychiatry detention under Sections 63 and 64 of the German Penal Code have been repeatedly reformed over the past years; however, despite the most recent amendments to the law on detention, clinics and state authorities warn of insufficient capacities and worrying conditions. Media reports paint a defiant picture. At the same time, there is a lack of valid data that would allow an objective description of the situation in forensic psychiatry. Against this background the management of institutions in Germany has been surveyed. MATERIAL AND
methodsThe survey was conducted as an online survey and sent to all 78 forensic hospitals in Germany. The survey covered topics such as structural data of the facilities, the occupancy and staffing situation, incidents, support from supervisory authorities and funding agencies, and patient characteristics. The results are presented descriptively.
resultsOf the 78 facilities contacted, 45 (approximately 60%) participated at least partially in the survey. Many of the clinics (68.5%) complained of significant overcrowding. A clear lack of staff and rooms was reported, at the same time it was stated that patients do not receive adequate treatment. Approximately 1 in 5 patients have a length of stay for more than 10 years and one third of the clinics reported an increasing number of physical assaults by patients.
conclusionThis overview shows that the forensic psychiatric hospitals are in very different but generally strained situations. A significant number of clinics are under great pressure. Financial, structural, spatial and personnel resources were described as insufficient to properly and professionally fulfill the legal mandate. The treatment standards presented by the DGPPN in 2017 are not met in many clinics.
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