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Psychiatric Disorders among Prisoners: A National Study in Egypt
A El-Gilany1, M Khater2, Z Gomaa2
1Public Health, Faculty of Medicine, Mansoura University, Egypt.
Summary
Psychiatric disorders affect 22% of prisoners, with personality disorders being most common. Early assessment and ongoing monitoring are crucial for inmate mental health care.
Area of Science:
- Forensic Psychiatry
- Clinical Psychology
- Epidemiology
Background:
- High prevalence of psychiatric disorders in correctional facilities is a global concern.
- Understanding associated factors is key for targeted interventions.
Purpose of the Study:
- To determine the overall prevalence of psychiatric disorders among Egyptian prisoners.
- To identify factors associated with these disorders.
- To estimate the prevalence of specific mental and personality disorders.
Main Methods:
- Cross-sectional descriptive study in 16 Egyptian prisons.
- Stratified proportional random sample of 1350 adult prisoners.
- Direct interviews using Structured Clinical Interview for DSM-IV Axis I and II disorders.
Main Results:
- Overall psychiatric disorder prevalence was 22% (excluding substance abuse/alcohol).
- Key predictors included substance abuse outside prison, prior psychiatric history, and repeated admissions.
- Prevalence of personality disorders was 13.6%; mood disorders 3.3%; psychosis 1.3%.
Conclusions:
- Psychiatric disorders, particularly personality and antisocial disorders, are highly prevalent in the prison population.
- Routine psychiatric assessment upon imprisonment and regular follow-up are essential.
- Interventions should address identified risk factors like substance abuse and prior psychiatric history.
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