1
|
Bernardi N, Delteil C, Kania É, Giravalli P, Tuchtan L, Guay JP, Piercecchi MD, Bartoli C, Guivarch J. Psychiatric disorders and management of sexual offenders in the prison psychiatric consultation unit of Marseille. J Forensic Sci 2024; 69:574-583. [PMID: 38083832 DOI: 10.1111/1556-4029.15450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 11/06/2023] [Accepted: 11/07/2023] [Indexed: 03/07/2024]
Abstract
Since 2017, complaints of sexual violence have increased in France. At the same time, the management of sexual offenders has been at the center of international public health policies. The prevalence of mental disorders among sexual offenders is an essential field of research. There are some published studies on the prevalence of psychiatric disorders in sexual offenders in detention, but there are few recent published studies among French individuals who were detained. Our objectives were to determine the prevalence of psychiatric disorders among persons detained for sexual offenses and the level of care received according to their diagnosis. For this purpose, we carried out a retrospective observational study from January 2017 to October 2021 of all adult sexual offenders, whether accused or convicted, who were seen in the psychiatric consultation unit of Les Baumettes prison, Marseille, France. The primary outcome measure was the psychiatric diagnosis entered in the medical records. One hundred forty-two patients were included in analysis. All patients were men, and the majority (n = 97, 68.3%) of these patients presented with at least one psychiatric disorder, principally a personality disorder (31.7%). 10.6% presented with a schizophrenic disorder, 4.9% a bipolar disorder, 3.5% a depressive disorder, 5.6% pedophilic paraphilia, and 25.4% an addictive disorder. Their management and comorbid addictions were analyzed in subgroups for each psychiatric disorder. Patients appeared to receive an appropriate level of care for their diagnosed disorder. It seems important to develop structured assessment of recidivism risk for better management of sexual offenders.
Collapse
Affiliation(s)
- Noémie Bernardi
- Service de Médecine Légale, Assistance Publique-Hôpitaux de Marseille, Marseille, France
| | - Clémence Delteil
- Service de Médecine Légale, Assistance Publique-Hôpitaux de Marseille, Marseille, France
- Aix Marseille Univ, CNRS, EFS, ADES, Marseille, France
| | - Éric Kania
- Département de Psychiatrie et Addictologie en Détention, Assistance Publique-Hôpitaux de Marseille, Marseille, France
| | - Pascale Giravalli
- Département de Psychiatrie et Addictologie en Détention, Assistance Publique-Hôpitaux de Marseille, Marseille, France
| | - Lucile Tuchtan
- Service de Médecine Légale, Assistance Publique-Hôpitaux de Marseille, Marseille, France
- Aix Marseille Univ, CNRS, EFS, ADES, Marseille, France
| | - Jean-Pierre Guay
- School of Criminology, Université de Montréal, Montréal, Quebec, Canada
- Centre International de Criminologie Comparée, Montréal, Quebec, Canada
- Institut national de psychiatrie légale Philippe-Pinel, Montréal, Quebec, Canada
| | - Marie-Dominique Piercecchi
- Service de Médecine Légale, Assistance Publique-Hôpitaux de Marseille, Marseille, France
- Aix Marseille Univ, CNRS, EFS, ADES, Marseille, France
| | - Christophe Bartoli
- Service de Médecine Légale, Assistance Publique-Hôpitaux de Marseille, Marseille, France
- Aix Marseille Univ, CNRS, EFS, ADES, Marseille, France
- Service de Médecine en Détention, Assistance Publique-Hôpitaux de Marseille, Marseille, France
| | - Jokthan Guivarch
- Aix-Marseille université, Institut de neurosciences de la Timone, AMU, CNRS, CanoP, UMR 7289, Marseille, France
- Service de Pédopsychiatrie, Assistance Publique-Hôpitaux de Marseille, Hôpital Sainte-Marguerite, Marseille, France
- Is'Crim, Institut des Sciences Criminelles, Université de Poitiers, Poitiers, France
| |
Collapse
|
2
|
Buyle-Bodin S, Aly P, Fovet T. [Prison health care for juveniles who are incarcerated in France]. SOINS; LA REVUE DE REFERENCE INFIRMIERE 2022; 67:45-47. [PMID: 36681506 DOI: 10.1016/j.soin.2022.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
In France, on the 1st march 2022, 656 underage persons are in prison. They have more psychiatric and substance use disorders compared to the juveniles in the general population. In prison, health care is organized according to three levels. A global and partnership approach is promoted. The main objectives are prevention, risk reduction and continuity of care.
Collapse
Affiliation(s)
- Suzanne Buyle-Bodin
- Unité sanitaire en milieu pénitentiaire, Centre pénitentiaire de Longuenesse, Établissement public de santé mentale Val-de-Lys-Artois, route des Bruyères, 62219 Longuenesse, France
| | - Pierrine Aly
- Direction de la protection judiciaire de la jeunesse, Ministère de la Justice, Pôle santé, 13 place Vendôme, 75001 Paris, France
| | - Thomas Fovet
- Université de Lille, Inserm, CHU Lille, U1172, LilNcog, Lille Neuroscience and Cognition, 59000 Lille, France.
| |
Collapse
|
4
|
Fovet T, Plancke L, Amariei A, Benradia I, Carton F, Sy A, Kyheng M, Tasniere G, Amad A, Danel T, Thomas P, Roelandt JL. Mental disorders on admission to jail: A study of prevalence and a comparison with a community sample in the north of France. Eur Psychiatry 2020; 63:e43. [PMID: 32336297 PMCID: PMC7355167 DOI: 10.1192/j.eurpsy.2020.38] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background. The aim of the present study was to estimate prevalence rates of psychiatric and substance use disorders in male and female prisoners on admission to prison in the north of France and compare the frequency of these disorders to the general population. Methods. This cross-sectional survey on Mental Health in the Prison Population (MHPP), conducted between March 2014 and April 2017, interviewed 653 randomly selected men and women who had recently been committed to the French general population prison system in the Nord and Pas-de-Calais departments. For each subject, the Mini International Neuropsychiatric Interview (MINI), a standardized psychiatric interview, was used to screen for psychiatric and substance use disorders. The prevalence rates were then compared with data from the Mental Health in the General Population (MHGP) survey, a general population survey that used the same assessment methodology as MHPP in the Nord and Pas-de-Calais departments. A control sample was taken from the MHGP survey with a ratio of one case (MHPP) to three controls (MHGP) matching on age and sex. Results. The sample was primarily composed of French men, most of them single with low educational levels at the time of imprisonment. The mean age was 31.7 (standard deviation = 9.9; min = 18; max = 67). Most of the subjects included were first-time prisoners. The prevalence of affective disorders among newly incarcerated individuals was 31.2% with higher rates for major depressive disorder (27.2%). The prevalence of anxiety disorders was 44.4% with higher rates for generalized anxiety disorder (25.2%). The prevalence of psychotic syndromes was 6.9%. The prevalence of substance use disorders was 53.5% and a suicide risk was identified in 31.4% of the prisoners interviewed. Higher prevalence rates were found in the MHPP when compared with the MHGP for all psychiatric and substance use disorders assessed except for dysthymia and current isolated psychotic syndrome. Conclusions. Our study shows very high levels of prevalence for psychiatric and substance use disorders in recently committed French prisoners.
Collapse
Affiliation(s)
- Thomas Fovet
- Univ. Lille, Inserm, U1172-Lille Neuroscience & Cognition-Equipe Plasticity & SubjectivitY, F-59000 Lille, France.,CHU Lille, Pôle de Psychiatrie, F-59000 Lille, France
| | - Laurent Plancke
- Fédération régionale de recherche en psychiatrie et santé mentale Hauts-de-France (F2RSM Psy), Saint-André-Lez-Lille, France.,Univ. Lille, CNRS, UMR 8019 - CLERSE - Centre Lillois d'Études et de Recherches sociologiques et Économiques, F-59000 Lille, France
| | - Alina Amariei
- Fédération régionale de recherche en psychiatrie et santé mentale Hauts-de-France (F2RSM Psy), Saint-André-Lez-Lille, France
| | - Imane Benradia
- EPSM Lille-Métropole, Centre Collaborateur de l'Organisation Mondiale de la Santé pour la Recherche et la Formation en Santé Mentale, Lille, France.,ECEVE, UMRS 1123, Université Paris Diderot, Sorbonne Paris Cité, INSERM, Paris, France
| | - Fanny Carton
- CHU Lille, Pôle de Psychiatrie, F-59000 Lille, France
| | - Aminata Sy
- EPSM Lille-Métropole, Centre Collaborateur de l'Organisation Mondiale de la Santé pour la Recherche et la Formation en Santé Mentale, Lille, France
| | - Maeva Kyheng
- Univ. Lille, CHU Lille, ULR 2694 - METRICS : évaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France.,CHU Lille, Département de Biostatistiques, F-59000 Lille, France
| | | | - Ali Amad
- Univ. Lille, Inserm, U1172-Lille Neuroscience & Cognition-Equipe Plasticity & SubjectivitY, F-59000 Lille, France.,CHU Lille, Pôle de Psychiatrie, F-59000 Lille, France
| | - Thierry Danel
- Fédération régionale de recherche en psychiatrie et santé mentale Hauts-de-France (F2RSM Psy), Saint-André-Lez-Lille, France
| | - Pierre Thomas
- Univ. Lille, Inserm, U1172-Lille Neuroscience & Cognition-Equipe Plasticity & SubjectivitY, F-59000 Lille, France.,CHU Lille, Pôle de Psychiatrie, F-59000 Lille, France
| | - Jean-Luc Roelandt
- EPSM Lille-Métropole, Centre Collaborateur de l'Organisation Mondiale de la Santé pour la Recherche et la Formation en Santé Mentale, Lille, France.,ECEVE, UMRS 1123, Université Paris Diderot, Sorbonne Paris Cité, INSERM, Paris, France
| |
Collapse
|
5
|
Moncany AH, Dandelot D, Bouchard JP. Entre détention et psychiatrie, les unités hospitalières spécialement aménagées (UHSA) pour prendre en charge les personnes détenues dont l’état psychique relève d’une hospitalisation. ANNALES MEDICO-PSYCHOLOGIQUES 2019. [DOI: 10.1016/j.amp.2019.01.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|