Criminal Offending and Incarceration in United States Adults With Early Phase Psychosis and Comorbid Substance Use Disorder

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-01-26 DOI:10.1111/eip.70005

Kyle D. Webster, Tracy D. Gunter, Jenifer L. Vohs, Alan Breier

{"title":"Criminal Offending and Incarceration in United States Adults With Early Phase Psychosis and Comorbid Substance Use Disorder","authors":"Kyle D. Webster, Tracy D. Gunter, Jenifer L. Vohs, Alan Breier","doi":"10.1111/eip.70005","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>Studies have shown that people experiencing early phase psychosis (EPP) are at increased risk for criminal conviction and incarceration. However, there is limited data looking at overall legal burden. To address these gaps in the literature, the goal of this study was to categorise criminal charges and convictions using the United States Federal Bureau of Investigation (FBI) uniform crime reporting (UCR) program, assess frequency of incarcerations, and describe the frequency of substance use disorder (SUD) diagnoses and its relationship to criminal offending and incarceration in a well categorised EPP population.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A sample of 309 adults experiencing EPP were enrolled in a specialty care clinic. The research team expanded upon prior work and collected data from three public databases to identify legal burden in this population.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Almost 50% (<i>n</i> = 155) of subjects had a history of a criminal charge, 34% (<i>n</i> = 104) of subjects had a history of criminal conviction, and 40% (<i>n</i> = 123) of subjects had at least one incarceration event. The most common typology of criminal offence were crimes against society. Lastly, a dual diagnosis was statistically associated with incarcerations (<i>χ</i><sup>2</sup> = 10.152, <i>p</i> < 0.0011), crimes against society (<i>χ</i><sup>2</sup> = 13.172, <i>p</i> < 0.0002), and crimes against persons (<i>χ</i><sup>2</sup> = 9.136, <i>p</i> < 0.0023).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>These data highlight the high legal burden people experiencing EPP face and the need for future work to examine the risks incarceration places on this population. This work also shows the need for specialty care clinics managing EPP to be proficient in treating a dual diagnosis or the need to partner with an appropriate clinic.</p>\n </section>\n </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771553/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Early Intervention in Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/eip.70005","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

Studies have shown that people experiencing early phase psychosis (EPP) are at increased risk for criminal conviction and incarceration. However, there is limited data looking at overall legal burden. To address these gaps in the literature, the goal of this study was to categorise criminal charges and convictions using the United States Federal Bureau of Investigation (FBI) uniform crime reporting (UCR) program, assess frequency of incarcerations, and describe the frequency of substance use disorder (SUD) diagnoses and its relationship to criminal offending and incarceration in a well categorised EPP population.

Methods

A sample of 309 adults experiencing EPP were enrolled in a specialty care clinic. The research team expanded upon prior work and collected data from three public databases to identify legal burden in this population.

Results

Almost 50% (n = 155) of subjects had a history of a criminal charge, 34% (n = 104) of subjects had a history of criminal conviction, and 40% (n = 123) of subjects had at least one incarceration event. The most common typology of criminal offence were crimes against society. Lastly, a dual diagnosis was statistically associated with incarcerations (χ² = 10.152, p < 0.0011), crimes against society (χ² = 13.172, p < 0.0002), and crimes against persons (χ² = 9.136, p < 0.0023).

Conclusions

These data highlight the high legal burden people experiencing EPP face and the need for future work to examine the risks incarceration places on this population. This work also shows the need for specialty care clinics managing EPP to be proficient in treating a dual diagnosis or the need to partner with an appropriate clinic.

查看原文本刊更多论文

美国成年早期精神病和共病性物质使用障碍患者的犯罪和监禁。

目的：研究表明，经历早期精神病（EPP）的人被刑事定罪和监禁的风险增加。然而，有关整体法律负担的数据有限。为了解决文献中的这些空白，本研究的目标是使用美国联邦调查局（FBI）统一犯罪报告（UCR）计划对刑事指控和定罪进行分类，评估监禁频率，并描述物质使用障碍（SUD）诊断频率及其与分类良好的EPP人群中的犯罪和监禁的关系。方法：在一家专科诊所登记了309名经历EPP的成年人。研究小组扩大了先前的工作，并从三个公共数据库收集数据，以确定这一人群的法律负担。结果：近50% （n = 155）的被试有刑事指控史，34% （n = 104）的被试有刑事定罪史，40% （n = 123）的被试至少有一次监禁事件。最常见的犯罪类型是反社会犯罪。最后，双重诊断与监禁有统计学关联（χ2 = 10.152, p 2 = 13.172, p 2 = 9.136, p）。结论：这些数据突出了经历EPP的人面临着很高的法律负担，需要进一步研究监禁对这一人群的风险。这项工作还表明，需要专业护理诊所管理EPP精通治疗双重诊断或需要与适当的诊所合作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.