Purpose Patients with autism spectrum disorder (ASD) present with specific assessment, specific difficulties, needs and therapeutic issues and therefore are a challenging group for forensic services. Given the challenge that individuals with ASD present to forensic services, the suggested increase in the number of this group within this setting and the relatively little amount of research which suggests they face a number of difficulties within the prison environment, the purpose of this paper is to identify and review all the studies which have been carried out investigating any aspect of ASD in relation to secure hospital settings. Design/methodology/approach Seven internet-based bibliographic databases were used for the present review. The review followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Findings A total of 12 studies were included in this review; 3 looked at the prevalence of ASD in secure psychiatric hospitals. One study evaluated the clinical utility of the AQ screening tool to assess self-reported autistic traits in secure psychiatric settings. Three explored any type of characteristics of patients with ASD detained in secure psychiatric hospitals. One study investigated the experiences or quality of life of patients with an ASD detained in secure psychiatric care. Two studies investigated awareness, knowledge and/or views regarding patients with ASD held by staff working within secure psychiatric hospitals. Lastly, three studies (one of which was also included in the prevalence category above) looked at the effectiveness of interventions or treatment of patients with ASD in secure psychiatric hospitals. Clinical recommendations and future research directions are discussed. Originality/value To the author’s knowledge, this is the first review to explore what research has been carried out looking specifically at patients with ASD in relation to secure forensic settings.

中文翻译：

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在安全的精神病治疗中对自闭症谱系障碍患者进行系统的PRISMA审查：患病率，治疗，风险评估和其他临床考虑

目的自闭症谱系障碍（ASD）患者表现出特定的评估，特定的困难，需求和治疗问题，因此是法医服务的挑战性群体。鉴于患有ASD的人员面临法医服务的挑战，在这种情况下建议增加这一类人群的数量以及相对较少的研究表明他们在监狱环境中面临许多困难，因此本文的目的是识别并审查针对与安全医院环境有关的ASD的任何方面进行调查的所有研究。设计/方法/方法七个基于互联网的书目数据库用于本次审查。该审核遵循系统审核的首选报告项目和Meta分析指南。研究结果本评价共纳入12项研究。3研究了安全精神病医院中ASD的患病率。一项研究评估了AQ筛查工具在安全的精神病学环境中评估自我报告的自闭症特征的临床效用。三人探讨了被安全精神病院拘留的ASD患者的任何类型的特征。一项研究调查了在安全的精神病治疗中被拘留的ASD患者的经历或生活质量。两项研究调查了在安全的精神病医院工作的工作人员对ASD患者的认识，知识和/或观点。最后，三项研究（其中一项也包括在上述患病率中）探讨了在安全的精神病医院中对ASD患者进行干预或治疗的有效性。临床建议和未来的研究方向进行了讨论。独创性/价值据作者所知，这是第一篇综述，探讨了针对安全法医环境专门针对ASD患者进行的研究。