Clinical-social and forensic-psychiatric characteristics of patients undergoing compulsory treatment

Published: 6 September 2021| Version 1 | DOI: 10.17632/33p5sh2245.1
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Excel table with baseline research data presents the clinical-social and forensic-psychiatric characteristics of patients undergoing compulsory treatment. V. 1. The original version is in Russian, the version in English is made with an automatic translator, so there may be inaccuracies. An article with the results of this research is being prepared for publication. The study was carried out in May 2021 in Specialized Neuropsychiatric Hospital of the Krasnodar Region Ministry of Health, Zarechny, Krasnodar Region, Russia - A large psychiatric hospital with beds for compulsory treatment. The overwhelming majority of compulsory treatment were men (72.22%), whose average age was 41.58 ± 16.5 years. Most of the patients are natives of the Krasnodar Territory (66.67%) and live in rural areas. Most of the patients on compulsory treatment are not officially married, but have children. Intrafamily relationships are mostly characterized as formal, while among male patients, conflicts are more common among family members. The studied contingent is characterized by a low level of education and low-skilled labor, and almost half of the patients are disabled. Women reported better housing conditions before hospitalization than men. They were more likely to live in separate households. While a significant proportion of men lived in their parents' homes. 74.07% of patients undergoing compulsory treatment are hospitalized again, 5.56% were treated in a narcological dispensary. 79.63% of patients are followed by a psychiatrist; 7.41% is a narcologist. 96.30% of patients were hospitalized as planned. 85.19% of patients hospitalized for compulsory treatment were in a stable mental state. In 68.52% of cases, the sanitary state of patients was safe, which indirectly indicates a compensated state of the underlying disease in a significant part of the patients entering for compulsory treatment. The main diagnoses of patients undergoing compulsory treatment are schizophrenia and schizotypal disorders, organic disorders and mental retardation. In 78% of cases, no hereditary burden was revealed. 85.19% of patients undergoing compulsory treatment are legally competent, 83.33% of patients have a disability group. Concomitant diseases of a therapeutic profile were detected in 74.07%, the presence of concomitant neurological pathology was noted in 51.85%, and the same number of patients abused alcohol. 24.07% of patients committed a crime while intoxicated. 50.00% committed “crimes against life and health”, 35.19% - “crimes against property”. Among men, there is a high proportion of patients who were ordered by the court to undergo compulsory treatment in psychiatric hospitals of a special type or a special type with intensive supervision.

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Psychiatry, Forensic Psychiatry, Psychiatric Service, In-Patient Psychiatric Service

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