Psychiatric hospitalization among offenders: a retrospective study in the acute psychiatric ward in Monza, Italy

Introduction The closure of forensic psychiatric hospitals and the conversion to a residential model care based on secure units in community (REMS) has made Italy first only country world have followed principles deinstitutionalization movement. Following reform, several management issues emerged, such as creation long waiting lists for admission REMS. Improper hospitalization Acute Psychiatric Units (SPDC) often been used address this issue. In addition, handover inmates’ Mental Health Departments (DSMD’s) posed further challenges. To date, field received little attention from international literature. Objectives Description analysis sample offender inpatients hospitalized an acute unit. Methods We conducted retrospective study including male offenders admitted SPDC San Gerardo Hospital (ASST Monza), between January 2007 September 2022. Data was performed by using SPSS. Results 120 were included total 204 admissions. 98 (81.7%) once. observed absolute (N=1; N=30) percentage (0.2%;12%) increase number per year during time period under study. Jail main provenance (46.6%), facilities (27%) observation unit (ROP) Monza’s jail (10.8%). two most prevalent diagnoses personality disorders (37.5%) psychosis (39.2%). 66 subjects (55%) had history substance abuse. average duration 19.45 days; it increased 77 days be transferred Hetero-aggressive behavior reason associated with longer (p=0.031), while attempted suicide correlated shorter hospital stay (p=0.032). Out 55 who suicide, 41 came (74.5%). Finally, hospitalizations adverse events (p=0.001). Conclusions over last years. This population tends require stays (regional Lombardy: 14 days), which are even lengthier destined Longer exert large burden DSMD’s impact general health patients, exposing them higher risk events. Further studies needed confirm our findings develop better strategies patients. Disclosure Interest None Declared