법정신의학 연구

1) 

Psychological Medicine (2020 IF= 5.813) 

Antipsychotics 를 처방받은 스웨덴 인구 74,925 명에 대한 연구 

confounders; age, mood-stabilizers 

antipsychotics 를 처방받아 먹었을 때, 안 먹었을 때에 비해 범죄율(구속, 기소..) 유의하게 감소함  

https://www.cambridge.org/core/journals/psychological-medicine/article/associations-between-individual-antipsychotics-and-the-risk-of-arrests-and-convictions-of-violent-and-other-crime-a-nationwide-withinindividual-study-of-74-925-persons/F475430B2C3DECF674178F0B9A91ECD5#article

Associations between individual antipsychotics and the risk of arrests and convictions of violent and other crime: a nationwide

2)

Lancet Public Health (2020 IF = 21.597) 

교정시설의 자살 위험 - 27개 국가, 77개 연구, 35,351 건의 자살에 대한 메타분석                             

자살과 관련된 

1) 임상적 요인: suicidal ideation during the current period in prison, a history of attempted suicide, current psychiatric diagnosis  

2) Institutional factors: occupation of a single cell, no social visits 

3) 범죄 관련 요인: remand status,  serving a life sentence, being convicted of a violent offence, in particular homicide

https://www.sciencedirect.com/science/article/pii/S2468266720302334

Risk factors for suicide in prisons: a systematic review and meta-analysis

3) 

JAACAP (IF  =6.391) 

소년원과 교정시설 청소년들의 정신건강 

- 19개 국가, 47개 연구, 28,033명의 남자 + 4,754명의 여자 청소년에 대한 체계적 문헌고찰/메타분석       - - 남자 청소년: 

 2.7% (95% CI 2.0%–3.4%): psychotic illness

10.1% (95% CI 8.1%–12.2%): major depression

17.3% (95% CI 13.9%–20.7%): ADHD

61.7% (95% CI 55.4%–67.9%): conduct disorder

8.6% (95% CI 6.4%–10.7%): PTSD

- 여자 청소년: 

2.9% (95% CI 2.4%–3.5%): psychotic illness

25.8% (95% CI 20.3%–31.3%): major depression

17.5% (95% CI 12.1%–22.9%): ADHD

59.0% (95% CI 44.9%–73.1%): conduct disorder

18.2% (95% CI 13.1%–23.2%): PTSD

특히 여자 청소년들은 남자 청소년에 비해 우울증, 외상후스트레스장애 비율 높음

https://www.sciencedirect.com/science/article/pii/S0890856720300617#!

An Updated Systematic Review and Meta-regression Analysis: Mental Disorders Among Adolescents in Juvenile Detention and Correcti

4) 

Lancet Psychiatry (IF = 16.209) 

교정시설 자해의 위험요인 

- 20개 국가, 35개 연구, 663,735명의 수용자 

- 이 중 3.8%가 교정시설 안에서 자해 병력 있음 

- 위험요인:
현재 또는 최근 자살 사고(suicidal ideation), 과거 자살 사고lifetime history of suicidal ideation, 자해 기왕력, 현재 정신 질환 - 특히 우울증, 경계성 성격장애

교정시설 특수 요인 - solitary confinement, disciplinary infractions, experiencing sexual or physical victimization while in prison

https://www.sciencedirect.com/science/article/pii/S2215036620301905

Risk factors for self-harm in prison: a systematic review and meta-analysis

5) 

Lancet Global Health (IF = 21.597) 

LMIC 수용자들의 중증정신질환 및 물질사용장애                         

- estimated pooled 1 year prevalence rate-  

psychosis: 6·2% (95% CI 4·0–8·6)

major depression: 16·0% (11·7–20·8)

alcohol use disorder: 3·8% (1·2–7·6) 

drug use disorder:  5·1% (2·9–7·8) 

--> 일반인구에 비해 높은 유병율 (정신증은 16배, 우울증/마약은 6배, 알코올은 2배)  

지리적 특징 

alcohol use disorders: southeast Asian region >  eastern Mediterranean region

drug use disorders: eastern Mediterranean region > Europe. 

 

https://www.sciencedirect.com/science/article/pii/S2214109X18305394

Severe mental illness and substance use disorders in prisoners in low-income and middle-income countries: a systematic review an