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Difference between forensic patients with schizophrenia spectrum disorders in Italy and other European countries: Results of the EU‐VIORMED project.

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Title: Difference between forensic patients with schizophrenia spectrum disorders in Italy and other European countries: Results of the EU‐VIORMED project.
Authors: Castelletti, Luca (AUTHOR), Iozzino, Laura (AUTHOR), Zamparini, Manuel (AUTHOR), Heitzman, Janusz (AUTHOR), Markiewicz, Inga (AUTHOR), Nicolò, Giuseppe (AUTHOR), Picchioni, Marco (AUTHOR), Restuccia, Giuseppe (AUTHOR), Rivellini, Gianfranco (AUTHOR), Teti, Fabio (AUTHOR), Wancata, Johannes (AUTHOR), de Girolamo, Giovanni (AUTHOR)
Source: Criminal Behaviour & Mental Health. Aug2023, Vol. 33 Issue 4, p243-260. 18p. 5 Charts.
Subjects: Schizophrenia, Mental health services, People with schizophrenia, Medical care, Informed consent (Medical law)
Geographic Terms: Italy
Abstract: Background: There has been a substantial change in the law on the provision of secure health services for offender‐patients in Italy, a country currently with the lowest general psychiatry bed availability per head of the population in Europe, raising questions about possible differences in offender‐patient admissions between European countries. Aims: In this multicentre case–control study, our aim was to compare the socio‐demographic, clinical and criminological characteristics of a sample of Italian forensic in‐patients with schizophrenia or similar psychosis with patients in a similar diagnostic range in specialist in‐patient services elsewhere in Europe. Methods: Secure hospital unit in‐patients with psychosis were recruited across five European countries (Italy, Austria, Germany, Poland and England). Consenting patients were interviewed by researchers and assessed using a multidimensional standardised process. Within country similarities between Austria, Germany, Poland and England were confirmed. Results: Overall, 39 Italian participants had had fewer years of education than the 182 patients in the other countries and were less likely to have ever had skilled or professional employment. The Italian patients had been older at first contact with any mental health services than the other Europeans. Diagnosed comorbidity rates were similar, but the Italian group reported higher levels of disability. Although the other European forensic patients were more likely to be undergoing treatment at the time of their index offence, they were also more likely to have been poorly compliant with treatment. The rate of suicide‐related behaviours was significantly lower among the Italian patients than among the others. Conclusions: Notwithstanding similar diagnoses, important differences emerged between patients in Italian forensic mental health resident services and those in four other European countries, some possibly reflecting less access to earlier relevant services in Italy. Others, including lower disability ratings among the Italian patients and a lower rate of suicide‐related behaviours, may indicate that the Italian reforms carry benefits. This is worthy of further evaluation. [ABSTRACT FROM AUTHOR]
Copyright of Criminal Behaviour & Mental Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Difference between forensic patients with schizophrenia spectrum disorders in Italy and other European countries: Results of the EU‐VIORMED project.
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  Data: <searchLink fieldCode="AR" term="%22Castelletti%2C+Luca%22">Castelletti, Luca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Iozzino%2C+Laura%22">Iozzino, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zamparini%2C+Manuel%22">Zamparini, Manuel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Heitzman%2C+Janusz%22">Heitzman, Janusz</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Markiewicz%2C+Inga%22">Markiewicz, Inga</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nicolò%2C+Giuseppe%22">Nicolò, Giuseppe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Picchioni%2C+Marco%22">Picchioni, Marco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Restuccia%2C+Giuseppe%22">Restuccia, Giuseppe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rivellini%2C+Gianfranco%22">Rivellini, Gianfranco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Teti%2C+Fabio%22">Teti, Fabio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wancata%2C+Johannes%22">Wancata, Johannes</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Girolamo%2C+Giovanni%22">de Girolamo, Giovanni</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Criminal+Behaviour+%26+Mental+Health%22">Criminal Behaviour & Mental Health</searchLink>. Aug2023, Vol. 33 Issue 4, p243-260. 18p. 5 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Schizophrenia%22">Schizophrenia</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+schizophrenia%22">People with schizophrenia</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Informed+consent+%28Medical+law%29%22">Informed consent (Medical law)</searchLink>
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  Data: Background: There has been a substantial change in the law on the provision of secure health services for offender‐patients in Italy, a country currently with the lowest general psychiatry bed availability per head of the population in Europe, raising questions about possible differences in offender‐patient admissions between European countries. Aims: In this multicentre case–control study, our aim was to compare the socio‐demographic, clinical and criminological characteristics of a sample of Italian forensic in‐patients with schizophrenia or similar psychosis with patients in a similar diagnostic range in specialist in‐patient services elsewhere in Europe. Methods: Secure hospital unit in‐patients with psychosis were recruited across five European countries (Italy, Austria, Germany, Poland and England). Consenting patients were interviewed by researchers and assessed using a multidimensional standardised process. Within country similarities between Austria, Germany, Poland and England were confirmed. Results: Overall, 39 Italian participants had had fewer years of education than the 182 patients in the other countries and were less likely to have ever had skilled or professional employment. The Italian patients had been older at first contact with any mental health services than the other Europeans. Diagnosed comorbidity rates were similar, but the Italian group reported higher levels of disability. Although the other European forensic patients were more likely to be undergoing treatment at the time of their index offence, they were also more likely to have been poorly compliant with treatment. The rate of suicide‐related behaviours was significantly lower among the Italian patients than among the others. Conclusions: Notwithstanding similar diagnoses, important differences emerged between patients in Italian forensic mental health resident services and those in four other European countries, some possibly reflecting less access to earlier relevant services in Italy. Others, including lower disability ratings among the Italian patients and a lower rate of suicide‐related behaviours, may indicate that the Italian reforms carry benefits. This is worthy of further evaluation. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Criminal Behaviour & Mental Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/cbm.2302
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        Text: English
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