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[Multimorbid Patients in Forensic Psychiatry: Chances of Being Discharged]
Amelie Werner1, Jan Bulla1, Jan Querengässer1
1Zentrum für Psychiatrie Reichenau.
Objective:
to determine the chances of discharge of forensic psychiatric patients (section 63 of the German Legal Code) diagnosed with comorbid psychiatric and somatic disorders.
Methods:
N = 364 patients were evaluated. Diagnostic groups were compared with regard to types and frequencies of comorbid diagnoses, and treatment duration.
Results:
Both personality disorders as main diagnoses and comorbid personality disorders were associated with prolonged inpatient treatment. Substance dependence in addition to a personality disorder was an aggravating factor. Comorbid somatic disorders affected treatment duration of patients diagnosed with a psychotic disorder.
Conclusions:
Somatic comorbidity may negatively interact with the treatment of psychiatric problems in schizophrenic patients and thus affect the prospects of discharge in this patient group.
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