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Psychiatric admissions in young people after expiration of criminal justice supervision in Australia: a retrospective data linkage study.
Akpanekpo, Emaediong Ibong; Kariminia, Azar; Srasuebkul, Preeyaporn; Trollor, Julian N; Greenberg, David; Kasinathan, John; Schofield, Peter W; Kenny, Dianna T; Simpson, Melanie; Gaskin, Claire; Chowdhury, Nabila Z; Jones, Jocelyn; Ekanem, Anyiekere Morgan; Butler, Tony.
Affiliation
  • Akpanekpo EI; The Kirby Institute, University of New South Wales, Sydney, New South Wales, Australia eakpanekpo@kirby.unsw.edu.au.
  • Kariminia A; School of Population Health, University of New South Wales, Sydney, New South Wales, Australia.
  • Srasuebkul P; The Kirby Institute, University of New South Wales, Sydney, New South Wales, Australia.
  • Trollor JN; National Centre of Excellence in Intellectual Disability Health, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia.
  • Greenberg D; National Centre of Excellence in Intellectual Disability Health, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia.
  • Kasinathan J; Justice Health and Forensic Mental Health Network, Matraville, New South Wales, Australia.
  • Schofield PW; Justice Health and Forensic Mental Health Network, Matraville, New South Wales, Australia.
  • Kenny DT; The University of Newcastle Hunter Medical Research Institute, New Lambton, New South Wales, Australia.
  • Simpson M; The University of Sydney, Sydney, New South Wales, Australia.
  • Gaskin C; New South Wales Department of Communities and Justice, Parramatta, New South Wales, Australia.
  • Chowdhury NZ; South Eastern Sydney Local Health District, Sydney, New South Wales, Australia.
  • Jones J; School of Population Health, University of New South Wales, Sydney, New South Wales, Australia.
  • Ekanem AM; National Drug Research Institute, Curtin University, Perth, Western Australia, Australia.
  • Butler T; Department of Community Medicine, University of Uyo, Uyo, Akwa Ibom, Nigeria.
BMJ Ment Health ; 27(1)2024 Mar 27.
Article in En | MEDLINE | ID: mdl-38538031
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).

CONCLUSION:

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.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Substance-Related Disorders / Criminal Law Limits: Adolescent / Female / Humans Country/Region as subject: Oceania Language: En Journal: BMJ Ment Health Year: 2024 Document type: Article Affiliation country: Australia
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Substance-Related Disorders / Criminal Law Limits: Adolescent / Female / Humans Country/Region as subject: Oceania Language: En Journal: BMJ Ment Health Year: 2024 Document type: Article Affiliation country: Australia