[Forensic psychiatric patients in Denmark].
BACKGROUND
In Denmark the number of forensic psychiatric patients is increasing. The objective of this study was to explore whether the increased number of forensic psychiatric patients has been reflected in the use of psychiatric inpatient facilities. Furthermore, we wanted to investigate differences in the treatment of various diagnostic groups of forensic patients and of forensic and non-forensic patients with schizophrenia.


METHODS
Information about admissions and outpatient contact was extracted from the Danish Psychiatric Central Research Register for all Danish patients sentenced to psychiatric treatment in the period 1994-2003. Furthermore, a group of first-admission forensic patients suffering from schizophrenia was compared to a control group of first-admission non-forensic patients with schizophrenia, matched for sex, age and time of admission.


RESULTS
The number of forensic psychiatric patients increased markedly in the period 1994-2003; at the same time, the use of inpatient facilities for this group of patients did not increase to a similar degree but actually decreased. Forensic patients in the group F20-F29 spent more time in hospital than did forensic patients with affective disorders and personality disorders. Forensic psychiatric patients with schizophrenia had significantly longer periods of hospitalization than did non-forensic patients with schizophrenia.


CONCLUSIONS
Forensic psychiatric patients' use of psychiatric inpatient facilities during the last 10 years did not increase to the extent expected relative to the increasing number of forensic psychiatric patients. This raises the question of whether these patients are receiving necessary and sufficient treatment.
Larsen
Tina Gram
TG
Aalborg Psykiatriske Sygehus, Forskningsenheden, Aalborg. tgl@psyk.nja.dk
Valbak
Lone
L
Perto
Gurli
G
Reinert
Kjeld
K
D000328:Adult; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data / Q000639:trends; D003718:Denmark / Q000453:epidemiology; D005260:Female; D005555:Forensic Psychiatry / Q000706:statistics & numerical data / Q000639:trends; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007297:Inpatients / Q000706:statistics & numerical data; D008297:Male; D010045:Outpatients / Q000706:statistics & numerical data; D010343:Patient Admission / Q000706:statistics & numerical data; D015995:Prevalence; D011567:Psychiatric Department, Hospital / Q000706:statistics & numerical data; D012042:Registries; D012559:Schizophrenia / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy