Schizophrenia in a high security hospital: long-term forensic, clinical, administrative & social outcomes

Rajan Darjee, Marianne Ofstegaard, Lindsay Thomson

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Objective: To determine forensic, clinical, social and administrative outcomes of high security patients.

Method: Prospective year follow-up study of 169 patients with schizophrenia, 1992 - 1993.

Results: By the end of the study 46 (27.2%) patients were in high security, 43 (25.5%) in medium or low secure units, 35 (20.7%) in an open ward, 3 (1.8%) in prison and 40 (23.7%) in the community. Violence occurred in 75% of patients over the ten year follow-up period, and this was serious in 25%. Continuous positive symptoms of psychosis were present in over one-third. One-third had self-harmed during this period but there was only one known suicide and 11 (6.5%) deaths in total. At the end of the study there was only one person in voluntary employment, 18 (12.7%) living independently and 10(7.1%) in a relationship. , Models were developed to determine factors relevant to these major outcomes.

Conclusions: This is the first study providing comprehensive outcome data over a ten year period. Forensic services appear good at managing the risk to the community but poor at promoting better social outcomes. The levels of violence within inpatient units is high.
Original languageEnglish
Article numberRJFP 1308537
JournalThe Journal of Forensic Psychiatry & Psychology
Early online date27 Mar 2017
Publication statusE-pub ahead of print - 27 Mar 2017

Keywords / Materials (for Non-textual outputs)

  • schizophrenia, outcomes, high security, mentally disordered offenders


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