Feasibility of screening for and treating vitamin D deficiency in forensic psychiatric inpatients

Murie, Jill; Messow, Claudia-Martina; Fitzpatrick, Bridie

doi:10.1016/j.jflm.2012.04.003

Cited by 11 publications

(9 citation statements)

References 32 publications

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“…That study concluded that all patients in secure settings should be screened and offered supplementation based on ‘significant and serious’ deficiency of 25OHD associated with bone demineralisation. 13 Furthermore, such deficiencies do not appear to be limited to secure care. One study of people with IDD in institutionalised nursing care in Finland demonstrated significant 25OHD insufficiency, which was addressed by oral or intramuscular supplementation.…”

Section: Discussionmentioning

confidence: 99%

Vitamin D in patients with intellectual and developmental disability in secure in-patient services in the North of England, UK

et al. 2018

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Aims and methodTo assess the benefits of the introduction of routine vitamin D serum sampling for all patients admitted to a secure in-patient hospital in the North of England providing medium security, low security and rehabilitation services for offenders with intellectual and developmental disability. The vitamin D levels of 100 patients were analysed at baseline. Those with insufficient or deficient levels were offered treatment and retested after 1 year. Vitamin D levels were analysed in the context of level of security, seasonality of test and co-prescription of psychotropic medications.ResultsEighty-three per cent of patients had suboptimal vitamin D levels at initial test (41% deficient and 42% insufficient). This was seen among established patients and new admissions. Regression analysis of baseline vitamin D levels revealed no differences for levels of security, seasonality, whether patients were taking antipsychotic or anticonvulsant medication, or length of stay. Patients with deficiency or insufficiency were all offered supplementation. Those who opted in had significantly higher vitamin D levels at follow-up, compared with those who declined treatment.Clinical implicationsEstablished and newly admitted patients in our secure mental health services had substantial levels of vitamin D insufficiency. In the light of the morbidities that are associated with deficient vitamin D levels, routine screening and the offer of supplementation is advisable.Declaration of interestNone.

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Section: Discussionmentioning

confidence: 99%

Vitamin D in patients with intellectual and developmental disability in secure in-patient services in the North of England, UK

et al. 2018

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“…Baseline levels of deficiency of the present sample were slightly higher than previous intellectual disability studies (Frighi et al, 2014;Kilpinen-Louisa et al, 2009), which reported rates of around 77%. However, rates were slightly lower than forensic mental health services, at 95% (Every-Palmer and Souter, 2014; Murie et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Vitamin D deficiency in an inpatient forensic intellectual disability service

Chester¹,

Simmons

Henriksen³

et al. 2016

J Intellect Disabil

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No research has examined vitamin D deficiency among inpatients within forensic intellectual disability services, despite their potentially increased risk. Tests of serum 25(OHD) concentration in blood are routinely offered to patients within the service as part of the admission and annual physical health check. Results were classified as deficient <25, insufficient <50, sufficient 50-75 or optimal >75. Deficient or insufficient patients were offered supplement treatment and retested within 6 months. Levels were compared between groups: level of security and gender. At baseline, 87% of patients were deficient or insufficient, whilst 13% were sufficient or optimal. At follow-up, 53% had sufficient or optimal levels. However, some patients remained deficient (13%) or insufficient (34%) due to non-compliance with treatment. Women appeared more likely to be deficient. High levels of vitamin D deficiency were found among this population. Vitamin D screening and treatment is a simple and effective way of improving the physical health of this population.

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“…It is well known that alcohol misuse affects dietary intake and produces vitamin disturbances, but vitamin disturbances are also seen in psychotic disorder cases and vitamin B supplements could be a future supplementary treatment for schizophrenia in order to reduce symptoms (35). Vitamin D has also been suggested as supplement for psychosis treatment (36) and vitamin D deficiency has been demonstrated in forensic psychiatric patients (37).…”

Section: Dietmentioning

confidence: 99%

Focus on Brain Health to Improve Care, Treatment, and Rehabilitation in Forensic Psychiatry

Andiné

Bergman

2019

Front. Psychiatry

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Feasibility of screening for and treating vitamin D deficiency in forensic psychiatric inpatients

Cited by 11 publications

References 32 publications

Vitamin D in patients with intellectual and developmental disability in secure in-patient services in the North of England, UK

Vitamin D in patients with intellectual and developmental disability in secure in-patient services in the North of England, UK

Vitamin D deficiency in an inpatient forensic intellectual disability service

Focus on Brain Health to Improve Care, Treatment, and Rehabilitation in Forensic Psychiatry

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