Surveys confirm risk factors for the incarceration of patients with psychosis including homelessness and comorbidity. There is also agreement that severe psychosis can lead to violence. Data describing prisoners with psychosis in Germany are scarce. We aimed to compare patients with psychosis in a prison hospital and patients with psychosis in a community hospital. Demographic data were collected, as well as comorbidity in the form of substance dependence and a psychiatric assessment using the German version of the 18‐item Brief Psychiatric Rating Scale (BPRS) and the Positive and Negative Syndrome Scale (PANSS). In the prison hospital group more patients were homeless (17 versus 2%) and non‐German (36 versus 4%). There were also more patients with substance dependence or abuse in the prison hospital group. The total scores of BPRS and PANSS were lower in the prison hospital group (BPRS, 43.8 versus 51.2; PANSS, 71.5 versus 83.7). We assume that social disintegration for mentally disturbed offenders prior to incarceration hindered effective treatment. To avoid further social disintegration and possible further deterioration of mental health status of released offenders, which may lead to reoffending after imprisonment, discharge management after release from prison should be improved.

中文翻译：

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德国囚犯的精神病：比较未拘留社区群体的被监禁人群精神病的临床表现。

调查确定了精神病患者被监禁的危险因素，包括无家可归和合并症。人们还同意，严重的精神病会导致暴力。缺乏描述德国精神病囚犯的数据。我们旨在比较监狱医院的精神病患者和社区医院的精神病患者。使用德文版的18项简要精神病评定量表（BPRS）和阳性和阴性综合征量表（PANSS）收集人口统计学数据，以及以药物依赖性和精神病学评估形式的合并症。在监狱医院中，无家可归者（17％vs. 2％）和非德语患者（36％vs. 4％）更多。监狱医院中也有更多患者患有药物依赖或滥用。监狱医院组的BPRS和PAN​​SS总分较低（BPRS分别为43.8和51.2； PANSS为71.5和83.7）。我们认为，在监禁之前，精神错乱者的社会解体阻碍了有效治疗。为避免进一步的社会解体和释放罪犯的心理健康状况可能进一步恶化（可能导致入狱后再犯），应改善出狱后的出院管理。