Purpose

Despite ranking among the most prevalent mental health conditions and their likely contributions to violent offending, post-traumatic stress disorder (PTSD), panic disorder (PD) and alcohol use disorder (AUD) have not been examined closely among adult males detained in rural jails. The purpose of this paper is to assess the prevalence of co-occurring PTSD, PD and AUD within this population and identify their associations with violent offenses.

Design/methodology/approach

The sample consists of 349 males recently booked into local jails. The Comprehensive Addictions and Psychological Evaluation – 5 was administered to assess mental health conditions. Bivariate statistics and multivariate logistic regression were used to examine associations between PTSD, PD, AUD and violent offenses.

Findings

A disproportionate number of participants met criteria for PTSD, PD and AUD. Co-occurrence was prevalent among detainees booked for violent offenses with 25% reporting symptoms of all three disorders. PD emerged as the strongest single condition associated with violence, while the combination of PTSD, PD and AUD significantly increased the likelihood of violent offenses.

Practical implications

A better understanding of the relationship between mental health conditions and violent offenses is essential for efficacious assessment and treatment. Appropriately informed mental health care for jail detainees can increase public safety and guide practices for addressing these conditions within criminal justice populations.

Originality/value

There is limited research on mental health within the rural jail detainee population. To the authors’ knowledge, this is the first study to examine the association between PTSD, PD, AUD and violent offenses drawn from local detention centers.

中文翻译：

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PTSD，恐慌症和酗酒症是男性监狱被拘留者暴力的三重威胁

目的

尽管在最普遍的心理健康状况中排名第一，并且它们可能对暴力犯罪做出了贡献，但尚未对在农村监狱关押的成年男性中的创伤后应激障碍（PTSD），恐慌症（PD）和饮酒障碍（AUD）进行仔细检查。 。本文的目的是评估在该人群中同时发生的PTSD，PD和AUD的患病率，并确定他们与暴力犯罪的关联。

设计/方法/方法

该样本包括349位最近被预定到当地监狱的男性。综合成瘾和心理评估-5被用来评估心理健康状况。使用双变量统计和多元逻辑回归来检验PTSD，PD，AUD和暴力犯罪之间的关联。

发现

参加PTSD，PD和AUD的标准的参与者不成比例。在因暴力犯罪而被定罪的被拘留者中，共现现象普遍存在，有25％的人报告了所有这三种疾病的症状。PD成为与暴力相关的最强单一条件，而PTSD，PD和AUD的组合显着增加了暴力犯罪的可能性。

实际影响

更好地了解心理健康状况和暴力犯罪之间的关系对于有效评估和治疗至关重要。为监狱被拘留者提供适当的知情精神保健可以增加公共安全，并指导在刑事司法人群中应对这些状况的做法。

创意/价值

农村监狱在押人员中关于心理健康的研究有限。据作者所知，这是第一个研究PTSD，PD，AUD和来自当地拘留中心的暴力犯罪之间的关联的研究。