[Predicting length of stay in Italian Psychiatric Forensic Hospitals: a survival analysis].

作者: Angelo Fioritti , Elisa Ferriani , Paola Rucci , Vittorio Melega , Cristina Venco

DOI: 10.1017/S1121189X00005200

关键词:

摘要: UNLABELLED Admission to an Italian Forensic Hospital (OPG) results in formal exit from psychiatric care provided by NHS community based services. The length of stay such facilities is often perceived as a factor negatively affecting the opportunity for reintegration community. METHOD Factors predicting OPG were investigated means survival analysis carried out on cohort 118 inmates three OPGs (Castiglione delle Stiviere, Reggio Emilia and Montelupo Fiorentino), who represent whole forensic population 3 different geographical areas at 30.06.97; all discharges occurred following 18 months examined. RESULTS In analyses conducted individual predictors, five variables predicted longer stay: type offenses (homicide: 706.6 weeks vs. 307.1 minor 194.7 grievous bodily harm, log-rank = 31.8, p < 0.001), admission (RR 0.98, CI 95% 0.97-0.99, diagnosis schizophrenia (621.9 398.9 or less other diagnoses; log rank 9.08, df 3, 0.028), BPRS thought disturbance score 0.89, 98% 0.81-0.98, 0.01), hospital (314.6 Fiorentino 621.9 Castiglione Stiviere; 9.64, 2, 0.001). Cox linear regression model significant factors selected: stype admission, schizophrenia. CONCLUSIONS Judicial are relevant determining OPG. seems play independent role stay.

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