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[Post-traumatic stress disorder in prison].

B Belet1, F D'Hondt2, M Horn3

  • 1Pôle de psychiatrie, CHU de Lille, 59000 Lille, France.

L'Encephale
|September 14, 2020
PubMed
Summary
This summary is machine-generated.

Post-traumatic stress disorder (PTSD) is highly prevalent in prisons, particularly among women, and often goes undiagnosed. Improved screening and treatment are crucial for inmates exposed to trauma.

Keywords:
DétenusEpidemiologyInmatesPTSDPrisonTraumaTraumatismesTrouble de stress post-traumatiqueÉpidémiologie

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Area of Science:

  • Forensic Psychiatry
  • Mental Health in Corrections
  • Trauma Studies

Background:

  • Post-traumatic stress disorder (PTSD) affects a significant portion of the incarcerated population, with lifetime prevalence rates of 17.8% in males and 40.1% in females.
  • Despite high prevalence, PTSD remains underdiagnosed in correctional facilities due to limited research and awareness.

Purpose of the Study:

  • To review the literature and identify sociodemographic characteristics and specificities of PTSD within incarcerated populations.
  • To highlight the underdiagnosis of PTSD among inmates, especially following violent crimes or during periods of severe mental illness.

Main Methods:

  • Literature review of studies focusing on PTSD in prison populations.
  • Analysis of epidemiological data and risk factors associated with PTSD in inmates.

Main Results:

  • PTSD prevalence in prisons mirrors general population trends, with higher rates in women, significant comorbidity with depression and anxiety, and elevated suicide rates.
  • PTSD is common after violent offenses, particularly homicide, and is often linked to pre-existing severe mental illness, yet remains underdiagnosed.
  • Incarceration itself can be a source of trauma, contributing to PTSD, which requires systematic exploration and further research.

Conclusions:

  • There is an urgent need for systematic screening and improved diagnosis of PTSD in all inmates by prison psychiatrists.
  • Current screening and treatment for PTSD in French prisons are insufficient, necessitating strategic interventions by national health institutions.
  • Future research should investigate complex PTSD within the prison population and address the mental health consequences of imprisonment.