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Neuropsychiatric correlates of traumatic brain injury (TBI) among Australian prison entrants 1  

Authors: Peter W. Schofield ab;  Tony G. Butler cd;  Stephanie J. Hollis ac;  Nadine E. Smith c;  Stephen J. Lee a; Wendy M. Kelso a
Affiliations:   a Neuropsychiatry Service, Hunter New England Health, NSW, Australia
b Centre for Mental Health Studies, University of Newcastle, NSW, Australia
c Centre for Health Research in Criminal Justice, NSW, Australia
d School of Public Health and Community Medicine, University of New South Wales, NSW, Australia
DOI: 10.1080/02699050601130443
Publication Frequency: 14 issues per year
Published in: journal Brain Injury, Volume 20, Issue 13 & 14 December 2006 , pages 1409 - 1418
Formats available: HTML (English) : PDF (English)
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Abstract

Primary objective: To investigate the association between reported past traumatic brain injury (TBI) and demographic, neuropsychiatric and criminographic parameters among individuals recently received into custody.

Research design: A random sample of men recently received into the New South Wales (Australia) criminal justice system were screened for a history of TBI and the details of up to five separate TBI episodes were obtained. We also screened for depression, psychosis, personality disorder, drug and alcohol use, and 'social connectedness'.

Main outcome and results: Among the 200 study participants, 82% reported past TBI. TBI was associated with a history of engagement in contact sports, school expulsion, daily illicit drug use, depression and psychosis.

Conclusions: Past TBI is common among prisoners entering the criminal justice system and, amongst other correlates, appears to be highly associated with increased rates of major mental illness.
1 †Work was done from Neuropsychiatry Services, James Fletcher Hospital, Hunter New England Health, Newcastle, in conjunction with Centre for Health Research in Criminal Justice, Eastgardens, New South Wales, Australia.
Keywords: Neuropsychiatric; psychiatric; symptoms; prisoners; traumatic brain injury; inmates; criminal; head injury; and brain injury
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