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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Psychiatry | doi: 10.3389/fpsyt.2019.00762

Violent behavior during psychiatric inpatient treatment in a German prison hospital

  • 1Charité Medical University of Berlin, Germany
  • 2Justizvollzugskrankenhaus Berlin, Germany
  • 3University Medical Center Hamburg-Eppendorf, Germany

Violent behavior in correctional facilities is common and differs substantially in type, target, implication and trigger. Research on frequency and characteristics of violent behavior in correctional facilities and psychiatric hospitals is limited. Results from recent research suggest that comorbidity of severe mental disorder, personality disorder and diagnosis of substance abuse is related to a higher risk of violent behavior. In the Berlin prison hospital, a database was created to collect data from all violent incidences (n=210) between 1997 and 2006 and between 2010 and 2016. In a retrospective, case control study, specific socioeconomic data and psychiatric diagnosis were analyzed. We compared the group of prisoners with violent behavior with randomly selected prisoners of the same department without violent behavior (n=210). Parenthood, using a language interpreter and previous sentences were associated with non-violent patients. There were no significant differences regarding age, diagnosis or legal status. Practical implications for clinical work are discussed.

Keywords: mental disorder, Prison hospital, violent behaviour, Schizophrenia, age

Received: 31 Dec 2018; Accepted: 23 Sep 2019.

Copyright: © 2019 Opitz-Welke, Seidel, Negatsch, Dezsö, Kogan, Neumann and Voulgaris. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Annette Opitz-Welke, Charité Medical University of Berlin, Berlin, Germany, annette.opitz-welke@charite.de