Purpose

This study compared the characteristics of a population of Swedish patients in forensic psychiatric care in the year 2010 and 2018, with the goal of identifying similarities and differences in sociodemographic and clinical outcomes during the study period.

Findings

Significant changes in patient characteristics and treatment aspects were found, although similarities between the years were more common. Schizophrenia, schizotypal and delusional disorders were the most predominant primary diagnoses characterizing forensic psychiatric patients. From 2010 to 2018 there was also a development in care conditions supporting a shift from inpatient to outpatient care and from first-generation antipsychotic/neuroleptic to second-generation antipsychotics/atypical antipsychotics. More liberty restrictive such as physical restraints and forcible medication diminished while less restrictive coercive measures increased. There was also a decrease in the length of stay in forensic psychiatric care among those treated 2018 compared to those treated 2010, something that emerged as particularly discernible among male patients.

Conclusion

In conclusion, the results from this study illustrate the similarities among a Swedish forensic psychiatric population between the years of 2010 and 2018, while also reflecting some changes in patient characteristics and clinical practice during the study period.

中文翻译：

---

2010 年和 2018 年瑞典法医精神病患者的登记比较研究

目的

本研究比较了 2010 年和 2018 年接受法医精神病治疗的瑞典患者群体的特征，目的是确定研究期间社会人口学和临床结果的异同。

发现

发现患者特征和治疗方面发生了显着变化，尽管年份之间的相似性更为常见。精神分裂症、精神分裂症和妄想症是法医精神病患者最主要的主要诊断特征。从 2010 年到 2018 年，护理条件也发生了变化，支持从住院护理转向门诊护理，以及从第一代抗精神病药/抗精神病药转向第二代抗精神病药/非典型抗精神病药。更多的自由限制，如身体约束和强制用药减少，而较少限制的强制措施增加。与 2010 年接受治疗的患者相比，2018 年接受治疗的患者在法医精神病治疗中的住院时间也有所减少，这在男性患者中尤为明显。

结论

总之，这项研究的结果说明了 2010 年和 2018 年之间瑞典法医精神病人群之间的相似性，同时也反映了研究期间患者特征和临床实践的一些变化。