Clinical features and mortality outcomes of people transferred from prison to forensic mental health units: a nationwide 14-year retrospective cohort study

Abstract

Purpose: To describe a cohort of people transferred from prison to psychiatric hospital care and their mortality outcomes. Methods: Retrospective nationwide cohort of people (n = 1320) transferred from prison to a psychiatric hospital in New Zealand from 2009 to 2022. Follow up commenced at the first transfer and ended on 30 June 2023 or death if earlier. Ministry of Health records were used to describe the cohort and their service utilization profile. Records were linked to official mortality data, and mortality ratios were calculated using publicly available life tables. Results: The cohort was 85% male and 55% Māori, with a median age of 31.2 years. Most had a psychotic disorder (74%) or ..