First-episode psychosis among people who are incarcerated: What is hidden behind the “prison psychosis” concept?

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique Pub Date : 2025-02-07 DOI:10.1016/j.encep.2024.11.011

Marion Eck , Margot Mouchonnet , Anaïs Vaglio , Pierre Thomas , Ali Amad , Thomas Fovet

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引用次数: 0

Abstract

“Prison psychosis” is a historical concept that is still used in clinical practice, but little explored in research. In this short paper, we propose to revisit this concept by studying first-episode psychosis (FEP) in the prison population. We analyzed a series of incarcerated people who were hospitalized for a FEP from November 2020 to May 2021 in a French facility. We dated the onset of the first psychotic symptoms (PSs) in relation to the date of incarceration and of hospitalization and we calculated the duration of untreated psychosis (DUP). While the characteristics of our sample were consistent with what we know about people diagnosed with psychosis in correctional settings (young men with positive symptoms and psychiatric comorbidities), we found great heterogeneity in the DUP and in the chronological sequence between incarceration and the onset of PSs. This preliminary but original work shows the diversity of first diagnosis of psychosis in prison, reflecting the multiplicity and complexity of interactions between psychosis and incarceration.

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被监禁者的首发精神病：“监狱精神病”概念背后隐藏着什么？

“监狱精神病”是一个历史概念，至今仍在临床实践中使用，但在研究中很少被探索。在这篇短文中，我们建议通过研究监狱人口中的首发精神病（FEP）来重新审视这一概念。我们分析了从2020年11月到2021年5月在法国一家机构因FEP住院的一系列被监禁的人。我们将首次精神病症状（PSs）的发作日期与监禁和住院日期联系起来，并计算未治疗精神病（DUP）的持续时间。虽然我们样本的特征与我们所知道的在教养环境中被诊断为精神病的人（有阳性症状和精神合并症的年轻人）一致，但我们发现DUP和监禁与PSs发病之间的时间顺序存在很大的异质性。这项初步但原始的工作显示了监狱中精神病首次诊断的多样性，反映了精神病与监禁之间相互作用的多样性和复杂性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique 医学-精神病学

CiteScore

4.60

自引率

7.40%

发文量

162

审稿时长

6-12 weeks

期刊介绍： Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.