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BMC Psychiatry. 2006 Aug 21;6:33.

Prevalence of mental disorders in French prisons for men.

Author information

1
Inserm U669, Maison de Solenn, 97 Bd du Port Royal, 75679 Paris, France. falissard_b@wanadoo.fr

Abstract

BACKGROUND:

Psychiatric surveys conducted in prison populations find high prevalence rates, but diagnoses may be difficult in this particular context. None of these surveys have been conducted in France.

METHODS:

800 incarcerated male were sampled at random. Each prisoner was interviewed by a group of 2 clinicians, at least one of them being a senior psychiatrist. One of the clinicians used a structured clinical interview which generated DSM IV diagnosis (MINI plus); the second completed the procedure with an open clinical interview.

RESULTS:

Prevalence rates for a diagnosis given independently by both clinicians and for a consensual diagnosis were respectively: 3.8% (6.2%) for schizophrenia, 17.9% (24%) for major depressive disorder, 12.0% (17.7%) for generalized anxiety and 10.8% (14.6%) for drug dependence.

CONCLUSION:

Psychiatric diagnosis can be difficult to interpret in prison, especially using traditional standardized interviews. The approach proposed here, with good reliability and closer to a day-to-day clinical practice, yields high prevalence rates.

PMID:
16923177
PMCID:
PMC1559686
DOI:
10.1186/1471-244X-6-33
[Indexed for MEDLINE]
Free PMC Article
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