title: Psychiatric morbidity in prisoners with intellectual disabilities: analysis of prison survey data for England and Wales.
abstract: A substantial number of prisoners have intellectual disabilities. We analysed data on a sample drawn from all prisons in England and Wales. Intellectual disability was defined as Quick Test scores equivalent to an IQ of ≤65. We found a significantly higher prevalence of probable psychosis, attempted suicide and cannabis use in prisoners with intellectual disabilities. Presence of intellectual disability was twice as likely to be associated with probable psychosis but the relationship was fully mediated by self-rated health status. It is important to identify this group as early as possible in order to provide timely interventions to cope in adverse environments and manage substance misuse.
authors.affiliation: Department of Mental Health Sciences, University College London Medical School, Charles Bell House, 67-73 Riding House Street, London W1W 7EY, UK. a.hassiotis@ucl.ac.uk
authors.forename: Angela
authors.initials: A
authors.lastname: Hassiotis
authors.forename: Dina
authors.initials: D
authors.lastname: Gazizova
authors.forename: Leah
authors.initials: L
authors.lastname: Akinlonu
authors.forename: Paul
authors.initials: P
authors.lastname: Bebbington
authors.forename: Howard
authors.initials: H
authors.lastname: Meltzer
authors.forename: Andre
authors.initials: A
authors.lastname: Strydom
mesh_terms: D000328:Adult; D004739:England / Q000453:epidemiology; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008607:Intellectual Disability / Q000150:complications / Q000453:epidemiology*; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000453:epidemiology*; D009017:Morbidity; D011329:Prisoners / Q000523:psychology / Q000706:statistics & numerical data*; D011330:Prisons / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales; D012959:Socioeconomic Factors; D013405:Suicide / Q000706:statistics & numerical data; D014852:Wales / Q000453:epidemiology