title: Prevalence of traumatic brain injury and epilepsy among prisoners in France: Results of the Fleury TBI study.
abstract: The first aim of this study was to estimate the prevalence of TBI and epilepsy in a French prison population and to study variables known to be associated with TBI. The second aim was to compare prisoners with and without a history of TBI.
  
  
  
  All offenders (females, males and juveniles) admitted consecutively to Fleury-Mérogis prison over a period of 3 months were included in the study.
  
  
  
  During the admission procedure, offenders were interviewed by healthcare staff using a self-reported questionnaire.
  
  
  
  In all, 1221 prisoners were included. The rates of TBI and epilepsy were high, with a prevalence of 30.6% and 5.9%, respectively. Psychiatric care, anxiolytic and antidepressant treatment, use of alcohol and cannabis were all significantly higher among offenders with a history of TBI. Moreover, the number of times in custody and the total time spent in jail over the preceding 5 years were significantly higher among offenders with a history of TBI.
  
  
  
  These results provide further evidence that specific measures need to be developed such as, first of all, screening for TBI upon arrival in prison.
authors.affiliation: a Sorbonne Universités , UPMC, Laboratoire d'Imagerie Biomédicale (LIB) , Paris , France.|b Fondation Sainte Marie, Service de MPR , Paris , France.
authors.forename: E
authors.initials: E
authors.lastname: Durand
authors.affiliation: c Inserm , Paris , France.|d Institut Pasteur, PhEMI , Paris , France.|e Université Versailles Saint Quentin , Faculté de Médecine de Paris et Ile -de -France Ouest , France.
authors.forename: L
authors.initials: L
authors.lastname: Watier
authors.affiliation: f UCSA des maisons d'arrêt de Fleury-Mérogis , Sainte Geneviève des Bois , France.
authors.forename: M
authors.initials: M
authors.lastname: Fix
authors.affiliation: g Centre Ressources francilien du traumatisme crânien , Paris , France.
authors.forename: J J
authors.initials: JJ
authors.lastname: Weiss
authors.affiliation: a Sorbonne Universités , UPMC, Laboratoire d'Imagerie Biomédicale (LIB) , Paris , France.|h Service de Rééducation des pathologies neurologiques acquises de l'enfant , Hôpitaux de Saint Maurice , Saint Maurice , France.
authors.forename: M
authors.initials: M
authors.lastname: Chevignard
authors.affiliation: a Sorbonne Universités , UPMC, Laboratoire d'Imagerie Biomédicale (LIB) , Paris , France.|i Service de Médecine physique et de réadaptation , Hôpital de la Pitié-Salpêtrière , Paris , France.
authors.forename: P
authors.initials: P
authors.lastname: Pradat-Diehl
mesh_terms: D000293:Adolescent; D000328:Adult; D000070642:Brain Injuries, Traumatic / Q000453:epidemiology*; D004827:Epilepsy / Q000453:epidemiology*; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D015995:Prevalence; D011329:Prisoners / Q000706:statistics & numerical data*; D057566:Self Report; D055815:Young Adult
keywords: Prisoners; head injury; inmates; neuropsychology; traumatic brain injury