[Patients with psychotic disorders in forensic psychiatric hospitals: are there consequences for general psychiatry?].
We assessed data concerning demographic, criminological and psychiatric characteristics of all patients with disorders of the schizophrenic spectrum, who were detained in the forensic psychiatric departments of Mecklenburg-West Pomerania, a federal state of Germany, in 2007. Of the 202 patients of both clinics, 45 suffer from a disorder of the schizophrenic spectrum assessed in ICD-10: F20-F29, which corresponds to 22%. This level is markedly lower than in other regions of Germany. But similarly to results assessed in other federal states of Germany and in Austria there is a high rate of pre-treatment in general psychiatric institutions. It remains a relevant task for general psychiatry to establish adequate interventions for hostile and violent psychotic patients, especially for those with a double diagnosis, history of delinquency and social decline.
Habermeyer
E
E
Forensisch-Psychiatrischer Dienst, Psychiatrische Universitätsklinik Zürich, Lenggstrasse 31, 8032, Zürich, Schweiz. elmar.habermeyer@puk.zh.ch
Wolff
R
R
Gillner
M
M
Strohm
R
R
Kutscher
S
S
D000328:Adult; D003134:Commitment of Persons with Psychiatric Disorders / Q000706:statistics & numerical data*; D005260:Female; D005555:Forensic Psychiatry / Q000706:statistics & numerical data*; D005858:Germany / Q000453:epidemiology; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000453:epidemiology*; D018570:Risk Assessment; D012307:Risk Factors; D055815:Young Adult