Association between the discontinuation of substance use inpatient treatment and the risk of committing a crime leading to imprisonment: A Finnish registry‐based 5‐year follow‐up

Autor:	Teemu Kaskela, Tuuli Pitkänen
Rok vydání:	2021
Předmět:	medicine.medical_specialty Substance-Related Disorders media_common.quotation_subject Pathology and Forensic Medicine medicine Humans 0501 psychology and cognitive sciences Registries Imprisonment Psychiatry Association (psychology) Finland 0505 law media_common Inpatients Proportional hazards model business.industry Addiction 05 social sciences General Medicine 16. Peace & justice Mental health 3. Good health Discontinuation Psychiatry and Mental health Harm 050501 criminology Crime Psychology (miscellaneous) Substance use business Follow-Up Studies 050104 developmental & child psychology
Zdroj:	Criminal Behaviour and Mental Health. 31:171-182
ISSN:	1471-2857 0957-9664
DOI:	10.1002/cbm.2198
Popis:	BACKGROUND Discontinuation of substance use inpatient treatment is common, generally due to dropout and rule breaking. In turn, this is associated with worse long-term substance use outcomes. AIM To investigate whether people who discontinued voluntary inpatient substance use treatment have a higher risk of imprisonment for a crime within 5 years of discontinuance than those who completed treatment. METHODS This registry-based follow-up study focused on all inpatient treatment episodes between 2002 and 2009 (N = 2893) in a Finnish hospital for treating addictions. Data from national registers on criminality, hospitalisations and education were linked. Cox regression analysis was used. RESULTS Discontinued treatment episodes were 1.4 times more likely to be followed by criminality leading to imprisonment during the 5-year follow-up period compared with completed treatment periods, after adjusting for age, gender, education, substance use diagnoses, earlier mental health disorders and prior imprisonments. CONCLUSIONS Our findings strengthen the argument for ensuring completion of substance use treatment episodes; better completion rates could decrease the harm caused by serious criminality. Indeed, we recommend that crime reduction should be included to the long-term goals of substance use treatment.
Databáze:	OpenAIRE
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