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Criminal conviction after discharge from special (high security) hospital

Incidence in the first 10 years

Published online by Cambridge University Press:  03 January 2018

Alec Buchanan
Alec Buchanan*
Affiliation:
Department of Forensic Psychiatry, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
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Abstract

Background

The aim was to measure the criminal convictions received by people who leave special hospital and to test previously identified correlates of conviction.

Method

A cohort study design was used and the subjects were all 425 patients discharged from the special hospitals in 1982 and 1983. The outcome measure was a criminal conviction received within 10.5 years of discharge.

Results

Five and a half years after discharge 26% of ex-patients had been convicted of any offence, 9% of a violent offence, 5% of a sex offence and 10% of any serious offence. Ten and a half years after discharge 34% of patients had been convicted of any offence, 15% of a violent offence, 7.5% of a sex offence and 15% of any serious offence. When other variables are controlled for, gender and destination on discharge do not predict conviction. Age, a legal category of psychopathic disorder and prior criminal record do predict, but the effect is small.

Conclusion

The rate of conviction of patients leaving special hospital has fallen over the past 20 years; this is the case for crime in general and for serious crimes in particular. The change in rates of conviction over time for patients of different legal categories, previously thought to be different, is the same. The low predictive power of the variables examined here suggests that actuarial methods are of limited value in predicting offending in this group.

Type
Papers
Information
The British Journal of Psychiatry , Volume 172 , Issue 6 , June 1998 , pp. 472 - 476
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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References

Acres, D. (1975) The after-care of special hospital patients. In Report of the Committee on Mentally Abnormal Offenders (Butler Committee) Cmnd 6244, pp. 291–302, London: HMSO.Google Scholar
Bailey, J. & Macculloch, M. (1992) Patterns of reconviction in patients discharged directly to the community from a special hospital: implications for aftercare. Journal of Forensic Psychiatry, 3, 445–461.Google Scholar
Black, D. (1982) A 5-year follow-up study of male patients discharged from Broadmoor Hospital. In Abnormal Offenders. Delinquency, and the Criminal Justice System (eds J. Gunn & D. Farrington), pp. 307–323, Chichester: Wiley.Google Scholar
Cope, R. & Ward, M. (1993) What happens to special hospital patients admitted to medium security? Journal of Forensic Psychiatry, 4, 13–24.Google Scholar
Gathercole, C. Craft, M. McDougall, J. et al (1968) A review of 100 discharges from a special hospital. British Journal of Criminology, 8, 419–424.Google Scholar
Murray, D. (1989) Review of Research on Re-Offending of Mentally Disordered Offenders Research and Planning Unit Paper 55. London: Home Office.Google Scholar
Norris, M. (1984) Integration of Special Hospital Patients into the Community. Aidershot: Gower.Google Scholar
Norussis, M. (1988) SPSS/PC. Chicago: SPSS Inc.Google Scholar
Robertson, G. (1989) Treatment for offender patients: how should success be measured? Medicine, Science and the Law, 29, 303–307.Google Scholar
Tennent, G. & Way, C. (1984) The English special hospital – a 12–17 year follow-up study: a comparison of violent and non-violent re-offenders and non-offenders. Medicine, Science and the Law, 24, 81–91.Google Scholar
Tong, J. & Mackay, G. (1959) A statistical follow-up of mental defectives of dangerous or violent propensities. British Journal of Delinquency, 9, 276–284.Google Scholar
Walker, N. Hammond, W. & Steer, D. (1967) Repeated violence. Criminal Law Review, 465–472.Google Scholar
Wendy, S. Castle, D. Douglas, A. et al (1994) The criminal careers of incident cases of schizophrenia. Psychological Medicine, 24, 483–502.Google Scholar
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