TY  - JOUR
PY  - 2017//
TI  - Schizophrenia in a high-security hospital: long-term forensic, clinical, administrative & social outcomes
JO  - Journal of forensic psychiatry and psychology
A1  - Darjee, R.
A1  - Øfstegaard, M.
A1  - Thomson, L.
SP  - 525
EP  - 547
VL  - 28
IS  - 4
N2  - 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>
LA  - en
SN  - 1478-9949
UR  - http://dx.doi.org/10.1080/14789949.2017.1308537
ID  - ref1
ER  -