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Objectives:   It is unknown whether evidence-based, in-hospital processes of care may influence the risk of criminal behaviour among patients with schizophrenia. Our study aimed to examine the association between guideline recommended in-hospital psychiatric care and criminal behaviour among patients with schizophrenia.Methods:   Danish patients with schizophrenia (18 years or older) discharged from a psychiatric ward between January 2004 and March 2009 were identified using a national population-based schizophrenia registry ( n = 10 757). Data for in-hospital care and patient characteristics were linked with data on criminal charges obtained from the Danish Crime Registry until November 2010.Results:   Twenty per cent ( n = 2175) of patients were charged with a crime during follow-up (median = 428 days). Violent crimes accounted for 59% ( n = 1282) of the criminal offences. The lowest risk of crime was found among patients receiving the most processes of in-hospital care (top quartile of received recommended care, compared with bottom quartiles, adjusted hazard ratio = 0.86, 95% CI 0.75 to 0.99). The individual processes of care associated with the lowest risk of criminal behaviour were antipsychotic treatment and staff contact with relatives.Conclusions:   High-quality, in-hospital psychiatric care was associated with a lower risk of criminal behaviour after discharge among patients with schizophrenia. Processus des soins psychiatriques à l'hôpital et du comportement criminel subséquent chez des patients souffrant de schizophrénie: une étude populationnelle nationale de suivi

the canadian journal of psychiatry/canadian journal of psychiatry

Processes of In-Hospital Psychiatric Care and Subsequent Criminal Behaviour among Patients with Schizophrenia: A National Population-Based, Follow-up Study