The prevalence of self-reported mental illness among those imprisoned in New South Wales across three health surveys, from 2001 to 2015
Abstract
Objective:
The prevalence of mental illness among those in prison is much higher than in the community; however, very few studies have examined whether rates have changed over time, in line with increasing self-reported rates in the community.
Methods:
This study compares the prevalence of self-reported mental illness, self-harm and suicidal thoughts/behaviours, and drug and alcohol use across three waves (2001, 2009 and 2015) of health surveys involving men and women in New South Wales prisons and compared these rates with published community-level findings.
Results:
The prevalence of those reporting any mental health diagnosis increased significantly across the three surveys, even after adjustment for socio-demographic and criminal justice variables that also changed over time. Individuals surveyed in 2015 were more likely to report a mental health diagnosis than those surveyed in 2001 (adjusted odds ratio = 2.66, 95% confidence interval = [2.16, 3.27]). The prevalence of self-harm and suicidal thoughts and behaviours remained stable across the three surveys, while self-reported regular drug use decreased over the period. Women experienced a far greater burden of mental illness than men across all three surveys and experienced more growth in the prevalence of most psychiatric disorders.
Conclusion:
These findings have important implications for public and prison health systems given the poor social, health and criminal justice outcomes of those imprisoned with mental illness, both in custody and post-release.
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References
Albalawi O, Chowdhury NZ, Wand H, et al. (2019) Court diversion for those with psychosis and its impact on re-offending rates: Results from a longitudinal data-linkage study. BJPsych Open 5: e9.
Australian Bureau of Statistics (ABS) (2001) National health survey: Mental health, Australia. Cat. no. 4811.0. Canberra, ACT, Australia: ABS.
Australian Bureau of Statistics (ABS) (2008) National survey of mental health and wellbeing: summary of results, 2007. Cat. no. 4326.0. Canberra, ACT, Australia: ABS.
Australian Bureau of Statistics (ABS) (2015) National health survey: First results, Australia, 2014–15. Cat. no. 4364.0.55.001. Canberra, ACT, Australia: ABS.
Australian Bureau of Statistics (ABS) (2016) 2016 census QuickStats. Available at: https://quickstats.censusdata.abs.gov.au/census_services/getproduct/census/2016/quickstat/036 (accessed 10 December 2021).
Australian Bureau of Statistics (ABS) (2018) National health survey: First results, 2017–18. Cat. no. 4364.0.55.001. Canberra, ACT, Australia: ABS.
Australian Institute of Health and Welfare (AIHW) (2002) 001 National drug strategy household survey: Detailed findings. Drug statistics series no. 11. Cat. no. PHE 41. Canberra, ACT, Australia: AIHW.
Australian Institute of Health and Welfare (AIHW) (2010) The health of Australia’s prisoners 2009. Cat. no. PHE 123. Canberra, ACT, Australia: AIHW.
Australian Institute of Health and Welfare (AIHW) (2011) 010 National drug strategy household survey report. Drug statistics series no. 25. Cat. no. PHE 145. Canberra, ACT, Australia: AIHW.
Australian Institute of Health and Welfare (AIHW) (2017) National drug strategy household survey 2016: Detailed findings. Drug Statistics series no. 31. Cat. no. PHE 214. Canberra, ACT, Australia: AIHW.
Australian Institute of Health and Welfare (AIHW) (2019) The health of Australia’s prisoners 2018. Cat. no. PHE 246. Canberra, ACT, Australia: AIHW.
Australian Institute of Health and Welfare (AIHW) (2020a) Australia’s health 2020: In brief. Australia’s health series no. 17 Cat. no. AUS 232. Canberra, ACT, Australia: AIHW.
Australian Institute of Health and Welfare (AIHW) (2020b) National drug strategy household survey 2019. Drug Statistics Series no. 32. PHE 270. Canberra: AIHW.
Australian Institute of Health and Welfare (AIHW) (2021) Mental health services in Australia. Available at: www.aihw.gov.au/reports/mental-health-services/mental-health-services-in-australia/report-contents/medicare-services (accessed 7 September 2021).
Baillargeon J, Binswanger IA, Penn JV, et al. (2009) Psychiatric disorders and repeat incarcerations: The revolving prison door. The American Journal of Psychiatry 166: 103–109.
Baldry E, Russell S (2017) The booming industry continued: Australian prisons, a 2017 update. Available at: www.disabilityjustice.edu.au/wpcontent/uploads/2015/10/The-Booming-Industry-continued-Australian-Prisons-2017-.pdf (accessed 7 September 2021).
Bradley-Engen MS, Cuddeback GS, Gayman MD, et al. (2010) Trends in state prison admission of offenders with serious mental illness. Psychiatric Services 61: 1263–1265.
Butler T, Milner L (2003) The 2001 New South Wales Inmate Health Survey. Sydney, NSW, Australia: Corrections Health Service.
Butler T, Andrews G, Allnutt S, et al. (2006) Mental disorders in Australian prisoners: A comparison with a community sample. Australian and New Zealand Journal of Psychiatry 40: 272–276.
Chowdhury NZ, Albalawi O, Wand H, et al. (2021) Psychosis and criminal offending: A population-based data-linkage study. Criminal Justice and Behavior 48: 157–174.
Cloyes KG, Wong B, Latimer S, et al. (2010) Time to prison return for offenders with serious mental illness released from prison: A survival analysis. Criminal Justice and Behavior 37: 175–187.
Coid JW, Ullrich S, Bebbington P, et al. (2016) Paranoid ideation and violence: Meta-analysis of individual subject data of 7 population surveys. Schizophrenia Bulletin 42: 907–915.
Coid JW, Ullrich S, Kallis C, et al. (2013). The relationship between delusions and violence: Findings from the East London first episode psychosis study. JAMA Psychiatry 70: 465–471.
Collishaw S, Maughan B, Goodman R, et al. (2004) Time trends in adolescent mental health. Journal of Child Psychology and Psychiatry, and Allied Disciplines 45: 1350–1362.
Cutcher Z, Degenhardt L, Alati R, et al. (2014) Poor health and social outcomes for ex-prisoners with a history of mental disorder: A longitudinal study. Australian and New Zealand Journal of Public Health 38: 424–429.
Dirkzwager AJE, Nieuwbeerta P (2018) Mental health symptoms during imprisonment: A longitudinal study. Acta Psychiatrica Scandinavica 138: 300–311.
Fazel S, Seewald K (2012) Severe mental illness in 33 588 prisoners worldwide: Systematic review and meta-regression analysis. The British Journal of Psychiatry: The Journal of Mental Science 200: 364–373.
Fazel S, Hayes AJ, Bartellas K, et al. (2016) Mental health of prisoners: Prevalence adverse outcomes and interventions. The Lancet Psychiatry 3: 871–881.
Harris MG, Diminic S, Reavley N, et al. (2015) Males’ mental health disadvantage: An estimation of gender-specific changes in service utilisation for mental and substance use disorders in Australia. Australian and New Zealand Journal of Psychiatry 49: 821–832.
Hawthorne WB, Folsom DP, Sommerfeld DH, et al. (2012) Incarceration among adults who are in the public mental health system: Rates, risk factors, and short-term outcomes. Psychiatric Services 63: 26–32.
Hopkin G, Evans-Lacko S, Forrester A, et al. (2018) Interventions at the transition from prison to the community for prisoners with mental illness: A systematic review. Administration and Policy in Mental Health 45: 623–634.
Indig D, Gear C, Wilhelm K (2016) Comorbid Substance Use Disorders and Mental Health Disorders among New Zealand Prisoners. Wellington, New Zealand: New Zealand Department of Corrections.
Indig D, Topp L, Ross B, et al. (2010) 009 NSW inmate health survey: Key findings report. Justice Health, Sydney, NSW, Australia.
Jüriloo A, Pesonen L, Lauerma H (2017) Knocking on prison’s door: A 10-fold rise in the number of psychotic prisoners in Finland during the years 2005–2016. Nordic Journal of Psychiatry 71: 543–548.
Justice Health and Forensic Mental Health Network (2017) 015 Network Patient Health Survey Report. Sydney, NSW, Australia: Justice Health and Forensic Mental Health Network.
Kirkbride JB, Errazuriz A, Croudace TJ, et al. (2012) Incidence of schizophrenia and other psychoses in England 1950–2009: A systematic review and meta-analyses. PLoS ONE 7: e31660.
Kopak A (2021) Substance use, mental health, chronic medical conditions and criminal justice contact in a nationally representative sample. Journal of Criminological Research, Policy and Practice 7: 285–295.
Meadows GN, Enticott JC, Inder B, et al. (2015) Better access to mental health care and the failure of the Medicare principle of universality. Medical Journal of Australia 202: 190–194.
Richter D, Wall A, Bruen A, et al. (2019) Is the global prevalence rate of adult mental illness increasing? Systematic review and meta-analysis. Acta Psychiatrica Scandinavica 140: 393–407.
Saunders JB, Aasland OG, Babor TF, et al. (1993) Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction 88: 791–804.
Sirdifield C, Gojkovic D, Brooker C, et al. (2009) A systematic review of research on the epidemiology of mental health disorders in prison populations: A summary of findings. The Journal of Forensic Psychiatry and Psychology 20: S78–S101.
Slade T, Johnston A, Teesson M, et al. (2009) The Mental Health of Australians 2: Report on the 2007 National Survey of Mental Health and Wellbeing. Canberra, ACT, Australia: Department of Health and Ageing.
Soon YL, Rae N, Korobanova D, et al. (2018) Mentally ill offenders eligible for diversion at local court in New South Wales (NSW) Australia: Factors associated with initially successful diversion. The Journal of Forensic Psychiatry and Psychology 29: 705–716.
Stevens H, Laursen TM, Mortensen PB, et al. (2015) Post-illness-onset risk of offending across the full spectrum of psychiatric disorders. Psychological Medicine 45: 2447–2457.
Stewart A, Ogilvie JM, Thompson C, et al. (2020) Lifetime prevalence of mental illness and incarceration: An analysis by gender and Indigenous status. Australian Journal of Social Issues 56: 244–268.
Stewart LA, Wilton G (2014) Correctional outcomes of offenders with mental disorders. Criminal Justice Studies 27: 63–81.
Sutterland AL, Dieleman J, Storosum JG, et al. (2013) Annual incidence rate of schizophrenia and schizophrenia spectrum disorders in a longitudinal population-based cohort study. Social Psychiatry and Psychiatric Epidemiology 48: 1357–1365.
Tyler N, Miles HL, Karadag B, et al. (2019) An updated picture of the mental health needs of male and female prisoners in the UK: Prevalence comorbidity and gender differences. Social Psychiatry and Psychiatric Epidemiology 54: 1143–1152.
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Article first published online: June 11, 2022
Issue published: April 2023
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PubMed: 35694738
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