Abolition du discernement : état des lieux des pratiques des experts psychiatres dans l’ouest de la France

Jamet, Laëtitia; Neveux, Paul; Senon, Jean-Louis; Nabhan-Abou, Nidal

doi:10.1016/j.amp.2018.04.016

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…However, we nd this pro le to be not highly speci c; it resembles the majority pro le of secure units admission patients [13,24] or patients declared criminally irresponsible due to psychiatric reasons [21,27]. It also overlaps with many of the factors typically associated with hetero-aggressive violence in patients with schizophrenia [4,9,17].…”

Section: Long-stay Patients' Pro Lementioning

confidence: 91%

Clinical and legal factors associated with long stays in a French secure unit

Larhant,

Raymond,

Claude

et al. 2023

Preprint

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Purpose We aimed to study lengths of stay of patients hospitalized in Henri Colin unit, a secure unit located in Paris area. The objective was to analyze sociodemographic, clinical and legal features associated with long-stay status, and to estimate the proportion of long-stay patients in our sample, along with mean and median lengths of stay. Methods We conducted the first French study on length of stay in a secure unit. We included all 60 inpatients hospitalized on a census day in Henri Colin secure unit. We reviewed files to collect data about length of stay as well as socio-demographic and clinical data. We chose a 2 years threshold to define long stay status. Results Mean length of stay was 756.7 days. 28.3 % of the patients had been hospitalized for more than 2 years, and 8.3 % for more than 5 years. In multivariate analysis, legal status and need for seclusion during stay were significantly associated with long-stay status. Those results are consistent with international literature, especially as they show the significant interplay between legal and medical aspects in the patients care pathway. Finally, we discussed individual impact of our findings and consequences on the psychiatric care system, as well as implications for future research. Conclusion This study sheds light on the complexities surrounding extended stays in secure units and underscores the importance of addressing both clinical and legal aspects in the treatment of patients with mental disorders in forensic settings.

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Section: Long-stay Patients' Pro Lementioning

confidence: 91%

Clinical and legal factors associated with long stays in a French secure unit

Larhant,

Raymond,

Claude

et al. 2023

Preprint

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“…This rate is close to that of Feki et al [3] in Tunisia, who found 25.7% homicides and attempted homicides in their sample of 97 appraised young adults. By contrast, in western France, Jamet et al [2] in 2016 found a homicide rate of around Open Journal of Psychiatry 10.0%. Our higher homicide rate in the expert reports can be explained by the fact that, sometimes, other offences did not benefit from expert reports, whereas expert reports are systematic in cases of homicide in Togo.…”

Section: Homicide Ratementioning

confidence: 92%

Factors Associated with Homicides in Psychiatric Expertise in Togo

Salifou,

Agbobli,

Wenkourama

et al. 2023

OJPsych

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Background: In most societies, homicide or murder is a crime that often leads to imprisonment. Studies around the world have sometimes found cases of mental illness (schizophrenia spectrum disorders) as an explanation for some homicides. The aim of this study was to determine the factors associated with homicide in the Togolese context. Methods: This was a descriptive and analytical cross-sectional study of pre-trial psychiatric expertise reports from January 31 st , 2019 to January 30 th , 2022. Results: Out of 704 defendants appraised, 206 (29.3%) had committed homicide. Males accounted for 91.7% of Homicide defendants (HD). Their average age was 31.6 ± 12.2 years, with extremes of 16 and 74 years. Factors associated with homicide were female gender, age between 30 and 45 years, married or cohabiting status and occupation as a farmer/fisherman/breeder. Psychoactive substance use (PAS), mental illness and psychiatric history were not associated with homicide. Conclusion: Preventing delinquency and interpersonal conflict, and promoting social cohesion, could significantly reduce homicides in Togo.

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Abolition du discernement : état des lieux des pratiques des experts psychiatres dans l’ouest de la France

Cited by 2 publications

References 14 publications

Clinical and legal factors associated with long stays in a French secure unit

Clinical and legal factors associated with long stays in a French secure unit

Factors Associated with Homicides in Psychiatric Expertise in Togo

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