PDF(Pubmed)
Abstract：
BACKGROUND: Mental health services are available for young people involved with the criminal justice system. However, they have unmet mental health needs after the expiration of criminal justice supervision.
OBJECTIVE: To determine the incidence rate and identify predictors of psychiatric hospitalisations within 24 months after the expiration of criminal justice supervision among young people involved with the New South Wales (NSW) criminal justice system.
METHODS: Retrospective data from 1556 individuals aged 14-22 years who participated in four surveys of justice-involved young people in NSW were harmonised and linked to four NSW data collections. We calculated the incidence rates of psychiatric hospitalisations within 24 months postsupervision and identified predictors of these hospitalisations using a competing risks regression analysis.
RESULTS: Within 24 months postsupervision, 11.4% had a psychiatric hospitalisation compared with 3.5% during supervision. 20.7% of those admitted had a known history of mental illness and engaged with community-based and outpatient mental health services postsupervision. Predictors of psychiatric hospitalisations were: female sex (adjusted subdistribution HR (asHR) 1.84, 95% CI 1.24 to 2.73); previous incarceration (highest asHR for ≥4 episodes 1.67, 95% CI 1.01 to 2.78); head injury (asHR 1.63, 95% CI 1.20 to 2.21); personality disorder (asHR 3.66, 95% CI 2.06 to 6.48) and alcohol and substance use disorder (asHR 1.89, 95% CI 1.29 to 2.77).
CONCLUSIONS: Justice-involved youth have higher rates of psychiatric admissions after criminal justice supervision. Engagement with mental health services postsupervision is important in addressing emerging or persisting mental health needs.
OBJECTIVE: To determine the incidence rate and identify predictors of psychiatric hospitalisations within 24 months after the expiration of criminal justice supervision among young people involved with the New South Wales (NSW) criminal justice system.
METHODS: Retrospective data from 1556 individuals aged 14-22 years who participated in four surveys of justice-involved young people in NSW were harmonised and linked to four NSW data collections. We calculated the incidence rates of psychiatric hospitalisations within 24 months postsupervision and identified predictors of these hospitalisations using a competing risks regression analysis.
RESULTS: Within 24 months postsupervision, 11.4% had a psychiatric hospitalisation compared with 3.5% during supervision. 20.7% of those admitted had a known history of mental illness and engaged with community-based and outpatient mental health services postsupervision. Predictors of psychiatric hospitalisations were: female sex (adjusted subdistribution HR (asHR) 1.84, 95% CI 1.24 to 2.73); previous incarceration (highest asHR for ≥4 episodes 1.67, 95% CI 1.01 to 2.78); head injury (asHR 1.63, 95% CI 1.20 to 2.21); personality disorder (asHR 3.66, 95% CI 2.06 to 6.48) and alcohol and substance use disorder (asHR 1.89, 95% CI 1.29 to 2.77).
CONCLUSIONS: Justice-involved youth have higher rates of psychiatric admissions after criminal justice supervision. Engagement with mental health services postsupervision is important in addressing emerging or persisting mental health needs.
摘要：
背景：涉及刑事司法系统的年轻人可以获得精神卫生服务。然而,刑事司法监督期满后，他们的心理健康需求未得到满足。
目的：在新南威尔士州（NSW）刑事司法系统的年轻人中，确定刑事司法监督期满后24个月内精神病住院的发生率并确定预测因素。
方法：对来自1556名年龄在14-22岁之间的个人的回顾性数据进行了协调，并将其与新南威尔士州的四个数据收集相关联。我们计算了监督后24个月内精神病住院的发生率，并使用竞争风险回归分析确定了这些住院的预测因素。
结果：在监督后24个月内，11.4％的精神病患者住院，而在监督期间为3.5％。20.7％的入院者有已知的精神疾病史，并接受了社区和门诊精神卫生服务后的监督。精神科住院的预测因素为：女性（调整后的亚分布HR（asHR）1.84，95％CI1.24至2.73）；既往监禁（≥4次发作的最高asHR1.67，95％CI1.01至2.78）；颅脑损伤（asHR1.63，95％CI1.20至2.21）；人格障碍（asHR3.66，95％CI2.06至6.48）以及酒精和物质使用障碍（1.
结论：涉及司法的青年在刑事司法监督后精神病入院率较高。参与精神卫生服务后监督对于解决新兴或持续存在的精神卫生需求非常重要。
目的：在新南威尔士州（NSW）刑事司法系统的年轻人中，确定刑事司法监督期满后24个月内精神病住院的发生率并确定预测因素。
方法：对来自1556名年龄在14-22岁之间的个人的回顾性数据进行了协调，并将其与新南威尔士州的四个数据收集相关联。我们计算了监督后24个月内精神病住院的发生率，并使用竞争风险回归分析确定了这些住院的预测因素。
结果：在监督后24个月内，11.4％的精神病患者住院，而在监督期间为3.5％。20.7％的入院者有已知的精神疾病史，并接受了社区和门诊精神卫生服务后的监督。精神科住院的预测因素为：女性（调整后的亚分布HR（asHR）1.84，95％CI1.24至2.73）；既往监禁（≥4次发作的最高asHR1.67，95％CI1.01至2.78）；颅脑损伤（asHR1.63，95％CI1.20至2.21）；人格障碍（asHR3.66，95％CI2.06至6.48）以及酒精和物质使用障碍（1.
结论：涉及司法的青年在刑事司法监督后精神病入院率较高。参与精神卫生服务后监督对于解决新兴或持续存在的精神卫生需求非常重要。
