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Delusional disorder has important implications for forensic psychiatrists, as delusions are not infrequently related to criminal behavior. Thus, we hypothesized that delusional is over-represented in correctional populations. We conducted a retrospective chart review of the electronic medical records from 2000 2012 New Jersey Department Corrections inmates who remained incarcerated March 2012. Potential cases were initially identified by using search current or past diagnoses such disorders other could be misdiagnosed cases. After an initial inmate having probable according Diagnostic and Statistical Manual Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria, diagnosis was confirmed at least one concurring independent review. estimate point prevalence 0.24 percent our population, which eight times higher than expected community.