Aggressive behavior and severe mental disorders in Prison psychiatry

Introduction Aggressive behavior can be understood as a compelx and social phenomenon. A number of studies have shown that the risk aggressive is increased for patients with severe mental disorders such schizophrenia. Although specialized forensic institutions exist in many countries, most offenders are still found prison settings what corresponds to international literature suggesting an prevalence inmates. Still, data on specific characteristics demonstrating medical health limited, especially environments. Objectives The aim our study was identify patient potentially associated incidents psychiatric setting. Methods In routine documentation German prisons, incidents, e.g. reported through official reporting system. Analyzing these reports, we collected all concerning at Department Psychiatry Berlin hospital between 1997 2019. addition, each acting aggressively, equal who did not demonstrate this during their stay. For those more than one inpatient treatment period, only first stay included. Furthermore, were excluded based age (younger 16 or older 70) death treatment. statistical analyzed descriptively. Results total, 225 episodes included which 118 cases violent documented. items age, citizenship, previous crimes (OR = 0,40, 95 % KI: 0,35 – 1,17) antipsychotic 0,28, 0,14 0,55) antidepressant 0,35, 0,13 0,88) within six months prior admission had rather protective effect occurrence Alcohol 1,21, 0,64 2,27) drug use 2.18, 1,09 4,44) tended factors behavior. Thus, results population correspond described literature. Conclusions point direction optimising availability psychopharmacological options offering comorbid substance disorder may lead prevention schizophrenia diagnosis. Disclosure Interest None Declared