Evidence map›Paper›PMID 42445060›Full record

ArticleBMJ public health2026

Somatic and psychiatric health burden of male and female older incarcerated adults in Switzerland: a retrospective cross-sectional study.

Helene Seaward, Andrea Meyer, N Zoe Hilton, Peter Wermuth, Michael Liebrenz, Monika Egli-Alge, Tobias Vogel, Elmar Habermeyer, Lutz-Peter Hiersemenzel, Dominique Marcot and 3 more

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Article in BMJ public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Helene SeawardInstitute for Biomedical Ethics, University of Basel, Basel, Switzerland.ORCID 0000-0002-3988-0506
Andrea MeyerDepartment of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel, Basel, Switzerland.
N Zoe HiltonWaypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada.ORCID 0000-0002-7961-0615
Peter WermuthAargau Psychiatric Services Central Campus Brugg-Windisch - Areal Königsfelden, Windisch, Switzerland.
Michael LiebrenzDepartment of Forensic Psychiatry, Medical Faculty, University of Bern, Bern, Switzerland.
Monika Egli-AlgeForio AG, Winterthur, Switzerland.
Tobias VogelForensic Department, University Psychiatric Clinic Basel, Basel, Switzerland.
Elmar HabermeyerForensische Psychiatrie und Psychotherapie, Psychiatrische Universitätsklinik Zürich, Zürich, Switzerland.
Lutz-Peter HiersemenzelSolothurner Spitaler AG, Solothurn, SO, Switzerland.
Dominique MarcotFilière légale, Centre Neuchâtelois de Psychiatrie Préfargier, Marin-Épagnier, Switzerland.
Corinne Devaud CornazCentre de Psychiatrie Forensique, Réseau Fribourgeois de Santé Mentale, Villars sur Glâne, Switzerland.ORCID 0000-0002-0469-0286
Elger Bernice SimoneUniversity of Basel, University of Basel, Basel, Switzerland.
Tenzin WangmoUniversity of Basel, University of Basel, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Incarcerated populations are ageing, yet their specific needs remain unclear, hindering adequate care planning. We provide a comprehensive overview of health burden among incarcerated adults in Switzerland, focusing on age-related differences. Methods: This is a retrospective cross-sectional analysis based on data extracted from medical records from 10 prisons and forensic-psychiatric institutions in Switzerland (N=384), comprising 151 older adults. We performed descriptive statistics for all variables. A multiple logistic regression analysis was conducted to identify diagnostic characteristics that differentiate older from younger incarcerated adults. We assessed whether a breakpoint exists in the association between age and total somatic disease burden using a segmented regression model. Results: Almost all older adults had at least one chronic condition (97%), of which the most common were substance use (20.4%) and mood disorders (14.3%), as well as endocrine and metabolic (25%), cardiovascular (17%) and respiratory (14%) diseases. Age differences emerged for affective (OR 1.58, 95% CI 1.23 to 2.05) and personality disorders (OR 2.06, 95% CI 1.60 to 2.66). We found an estimated breakpoint at age 39, at which the number of chronic somatic diseases began to increase at a rate greater than before. Conclusions: The increase in chronic somatic diseases around age 39 may warrant further examination of the commonly used age cut-off of 50. Given the high prevalence of chronic conditions among older adults, health services should shift from a focus on acute care to long-term chronic disease management, enhance screening for early disease detection and provide preventive care.

Indexed as

Mental HealthPreventive MedicinePreventive PsychiatryPublic Health

Identifiers

PMID42445060
PMCPMC13358338

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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.