@article{ref1,
title="Schizophrenia in a high-security hospital: long-term forensic, clinical, administrative & social outcomes",
journal="Journal of forensic psychiatry and psychology",
year="2017",
author="Darjee, R. and Øfstegaard, M. and Thomson, L.",
volume="28",
number="4",
pages="525-547",
abstract="OBJECTIVE: To determine forensic, clinical, social and administrative outcomes of high-security patients. <br><br>METHOD: Prospective year follow-up study of 169 patients with schizophrenia, 1992-1993. <br><br>RESULTS: By the end of the study, 46 (27.2%) patients were in high security, 43 (25.5%) in medium- or low-secure units, 35 (20.7%) in an open ward, 3 (1.8%) in prison and 40 (23.7%) in the community. Violence occurred in 75% of patients over the 10-year follow-up period, and this was serious in 25%. Continuous positive symptoms of psychosis were present in over one-third. One-third had self-harmed during this period but there was only one known suicide and 11 (6.5%) deaths in total. At the end of the study, there was only one person in voluntary employment, 18 (12.7%) living independently and 10 (7.1%) in a relationship. Models were developed to determine factors relevant to these major outcomes. <br><br>CONCLUSIONS: This is the first study providing comprehensive outcome data over a 10-year period. Forensic services appear good at managing the risk to the community but poor at promoting better social outcomes. The levels of violence within inpatient units are high. © 2017 Informa UK Limited, trading as Taylor & Francis Group.<p /><p>Language: en</p>",
language="en",
issn="1478-9949",
doi="10.1080/14789949.2017.1308537",
url="http://dx.doi.org/10.1080/14789949.2017.1308537"
}