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Prospective cohort study of mental health during imprisonment

  • Lamiece Hassan (a1), Luke Birmingham (a2), Mari A. Harty (a3), Manuela Jarrett (a3), Peter Jones (a4), Carlene King (a5), Judith Lathlean (a6), Carrie Lowthian (a5), Alice Mills (a6), Jane Senior (a5), Graham Thornicroft (a3), Roger Webb (a7) and Jenny Shaw (a7)...
Abstract
Background

Mental illness is common among prisoners, but little evidence exists regarding changes in symptoms in custody over time.

Aims

To investigate the prevalence and predictors of psychiatric symptoms among prisoners during early custody.

Method

In a prospective cohort study, 3079 prisoners were screened for mental illness within 3 days of reception. To establish baseline diagnoses and symptoms, 980 prisoners were interviewed; all remaining in custody were followed up 1 month and 2 months later.

Results

Symptom prevalence was highest during the first week of custody. Prevalence showed a linear decline among men and convicted prisoners, but not women or remand prisoners. It decreased among prisoners with depression, but not among prisoners with other mental illnesses.

Conclusions

Overall, imprisonment did not exacerbate psychiatric symptoms, although differences in group responses were observed. Continued discussion regarding non-custodial alternatives for vulnerable groups and increased support for all during early custody are recommended.

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Copyright
Corresponding author
Lamiece Hassan, University of Manchester, Room 2.314, Jean McFarlane Building, Oxford Road, Manchester M13 9PL, UK. Email: lamiece.hassan@nhs.net
Footnotes
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This study was funded by the National Programme on Forensic Mental Health Research and Development at the Department of Health.

Declaration of interest

None.

Footnotes
References
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1 Brooke, D, Taylor, C, Gunn, J, Maden, A. Point prevalence of mental disorder in unconvicted male prisoners in England and Wales. BMJ 1996; 313: 1524–7.
2 Brugha, T, Singleton, N, Meltzer, H, Bebbington, P, Farrell, M, Jenkins, R. Psychosis in the community and in prisons: a report from the British National Survey of psychiatric morbidity. Am J Psychiatry 2005; 162: 774–80.
3 Fazel, S, Danesh, J. Serious mental disorder in 23000 prisoners: a systematic review of 62 surveys. Lancet 2002; 359: 545–50.
4 Singleton, N, Meltzer, H, Gatward, R. Psychiatric Morbidity among Prisoners in England and Wales. Office of National Statistics, 1998.
5 Blaauw, E, Roozen, H, Val Marle, H. Saved by structure? The course of psychosis within a prison population. Int J Prison Health 2007; 3: 248–56.
6 Bradley, K. The Bradley Report: Lord Bradley's Review of People with Mental Health Problems or Learning Disabilities in the Criminal Justice System. Department of Health, 2009.
7 Shaw, J, Tomenson, B, Creed, F. A screening questionnaire for the detection of serious mental illness in the criminal justice system. J Forensic Psychiatr Psychol 2003; 1: 138–50.
8 Endicott, J, Spitzer, RL. A diagnostic interview: the schedule for affective disorders and schizophrenia. Arch Gen Psychiatry 1978; 35: 837–44.
9 Goldberg, D. GHQ–12. nferNelson, 1978.
10 Lukoff, D, Liberman, RP, Nuechterlein, KH. Symptom monitoring in the rehabilitation of schizophrenic patients. Appendix A. Schizophr Bull 1986; 12: 594602.
11 Andersen, HS, Sestoft, D, Lillebæk, T, Gabrielsend, G, Hemmingsen, R. Validity of the General Health Questionnaire (GHQ-28) in a prison population: data from a randomized sample of prisoners on remand. Int J Law Psychiatry 2002; 25: 573–80.
12 Senior, J. The development of prison mental health services on a community mental health model [PhD Thesis]. Faculty of Medical and Human Sciences, University of Manchester, 2005.
13 Dunn, G, Pickles, A, Tansella, M, Vazquez-Barquero, JL. Two-phase epidemiological surveys in psychiatric research. Br J Psychiatry 1999; 174: 95100.
14 Andersen, HS, Sestoft, D, Lillebaek, T, Gabrielsen, G, Hemmingsen, R. A longitudinal study of prisoners on remand: repeated measures of psychopathology in the initial phase of solitary versus nonsolitary confinement. Int J Law Psychiatry 2003; 26: 165–77.
15 Harding, T, Zimmermann, E. Psychiatric symptoms, cognitive stress and vulnerability factors. A study in a remand prison. Br J Psychiatry 1989; 155: 3643.
16 Hurley, W, Dunne, MP. Psychological distress and psychiatric morbidity in women prisoners. Aust NZ J Psychiatry 1991; 25: 461–70.
17 Taylor, PJ, Walker, J, Dunn, E, Kissell, A, Williams, A, Amos, T. Improving mental state in early imprisonment. Crim Behav Ment Health 2010; 20: 215–31.
18 Liebling, A, Tait, S, Durie, L, Stiles, A, Harvey, J. Safer locals evaluation. Prison Serv J 2005; 162: 812.
19 Shaw, J, Baker, D, Hunt, IM, Moloney, A, Appleby, L. Suicide by prisoners. National clinical survey. Br J Psychiatry 2004; 184: 263–7.
20 Prison Reform Trust. Justice for Women: The Need for Reform. Prison Reform Trust, 2000.
21 Social Exclusion Unit. Reducing Offending by Ex-prisoners. Social Exclusion Unit, 2002.
22 Corsten, J. The Corsten Report. Home Office, 2006.
23 Nurse, J, Woodcock, P, Ormsby, J. Influence of environmental factors on mental health within prisons: focus group study. BMJ 2003; 327: 480.
24 Steel, J, Thornicroft, G, Birmingham, L, Brooker, C, Mills, A, Harty, M, et al. Prison mental health inreach services. Br J Psychiatry 2007; 190: 373–4.
25 Goldberg, DP, Gater, R, Sartorius, N, Ustun, TB, Piccinelli, M, Gureje, O, et al. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med 1997; 27: 191–7.
26 Ormel, J, Koeter, MW, van den Brink, W. Measuring change with the General Health Questionnaire (GHQ). The problem of retest effects. Soc Psychiatry Psychiatr Epidemiol 1989; 24: 227–32.
27 HM Chief Inspector of Prisons for England and Wales. Annual Report 2008–09. TSO (The Stationery Office), 2010.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Prospective cohort study of mental health during imprisonment

  • Lamiece Hassan (a1), Luke Birmingham (a2), Mari A. Harty (a3), Manuela Jarrett (a3), Peter Jones (a4), Carlene King (a5), Judith Lathlean (a6), Carrie Lowthian (a5), Alice Mills (a6), Jane Senior (a5), Graham Thornicroft (a3), Roger Webb (a7) and Jenny Shaw (a7)...
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