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[Decrees of dangerousness]

P Kramp1

  • 1Retspsykiatrisk Klinik, Retslaegerådet, Justitsministeriet, København.

Ugeskrift for Laeger
|March 29, 1993
PubMed
Summary
This summary is machine-generated.

The number of dangerous psychotic patients transferred to Denmark's maximum security institution has significantly increased, particularly among younger individuals with schizophrenia and substance abuse issues.

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Area of Science:

  • Forensic Psychiatry
  • Mental Health Law
  • Public Health Policy

Background:

  • The Danish Civil Commitment Law permits the transfer of dangerous psychotic patients to a specialized maximum security institution.
  • A 1989 Mental Health Act mandates "decrees of dangerousness" issued by the Ministry of Justice, subject to court review.

Observation:

  • Transfers to the maximum security institution have risen sharply, from 2-3 per year in the 1970s to 11 in 1990.
  • Between 1985-1990, 39 cases were reviewed by the Danish Medico-Legal Council, with most meeting criteria for transfer.

Findings:

  • The increase in "decrees of dangerousness" affected younger (≤29 years) and older (≥30 years) patient groups equally.
  • Schizophrenia was the predominant diagnosis; younger patients were more likely to have co-occurring alcohol/drug abuse (11/18) compared to older patients (3/21).

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Implications:

  • Substance abuse among younger schizophrenic patients may contribute to the rising number of "decrees of dangerousness".
  • This trend highlights the need for targeted interventions addressing co-occurring mental health and substance use disorders in forensic psychiatric populations.