Mental Disorders
Conditions
Brief summary
The prediction of dangerousness remains a delicate subject, relevant in current psychiatry. Scalable psychopathological elements identified in schizophrenia and mood disorders are considered as most at risk for crime committing. The French High Authority of Health (HAS) recommends to identify and prevent risk situations of violence and to develop research at this level. Some authors have worked on criminal career and became interested in risk factors for aberrant driving behaviors but also in environmental or clinical elements accompanying these phases. To our knowledge, no specific study about contextual elements before misconduct and which could lead to aberrant driving behaviors among individuals diagnosed with antisocial personality disorder has been described to date The investigators propose to follow individuals diagnosed with antisocial personality disorder in prison during 6 months in order to list their conduct disorders and contextual elements upstream of these misconducts. The investigators will also study the effect of contextual factors related to judicial steps on the appearance of aberrant driving behaviors.
Detailed description
This study aims at identifying elements that can provoke frustration and lead to aberrant driving behaviors. The question is whether there are triggers that occur more frequently for the same subject. If so, these specific contextual elements could be detected in order to prevent violent acts.
Interventions
OTHERAntisocial personality recording of behavior and contextual elements
aberrant driving behaviors and upstream contextual elements of individuals diagnosed with antisocial personality disorder will be recorded during the study
Sponsors
Groupe Hospitalier de la Rochelle Ré Aunis
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Male * Over 18 * Detention sentence in prison in Rochefort between March and August 2015 * Positive psychopathy score at PCL-R (Psychopathy Checklist-revised) test: score greater than or equal to 30
Exclusion criteria
* Chronic psychosis * Bipolar disorder * Women * Minors, * negative score at the PCL-R * Subject under protection measure (curator or guardian) * Refusal to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Number of Individuals Diagnosed With Antisocial Personality Disorder in Rochefort Prison With Aberrant Driving Behaviors. | 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Aberrant Driving Behaviors With Contextual Element Observed Before Aberrant Driving Behaviors | 6 months | Collected contextual elements were : * Disorders in the institution (with a caregiver, frustration with the rules) * Difficulty / frustration with an inmate * Difficulty / frustration with the entourage * Consumption of alcohol or other toxic substances * Steps in the judicial process (refusal of parole, reduction of sentence ...) * Psychiatric symptoms: delirious, sleep disorders, nightmares The numerator for the percentage calculated is the number of aberrant driving behaviors with contextual element. The denominator for the percentage calculated is the total number of aberrant driving behaviors (with and without contextual element) |
| Number of Observed Situations Per Type of Aberrant Driving Behavior (Auto-aggressive, Aggressive or Other Hetero Transgression) | 6 months | Auto-aggressive: attempted suicide, any gesture of mutilation (scarification, punching in a wall, etc.) Aggressive: rixes with fellow inmates or prison staff, attempted homicides, sexual assaults, etc. Other hetero transgression: Failure to comply with the rules of the institution, illegal entry of illicit objects into the establishment, consumption of toxic materials, destruction of property, etc. |
Countries
France
Participant flow
Recruitment details
March 3 2015 to May 30 2015 Rochefort prison
Pre-assignment details
Patient with a negative psychopathy score at PCL-R were excluded A patient was transfered before assignment
Participants by arm
| Arm | Count |
|---|---|
| Antisocial Personality Individuals Diagnosed with Antisocial Personality Disorder
Antisocial personality recording of behavior and contextual elements: aberrant driving behaviors and upstream contextual elements of individuals diagnosed with antisocial personality disorder will be recorded during the study | 11 |
| Total | 11 |
Baseline characteristics
| Characteristic | Antisocial Personality |
|---|---|
| Age, Continuous | 28 years |
| Region of Enrollment France | 11 participants |
| Sex: Female, Male Female | 0 Participants |
| Sex: Female, Male Male | 11 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 2 / 11 |
| serious Total, serious adverse events | 0 / 11 |
Outcome results
Primary
The Number of Individuals Diagnosed With Antisocial Personality Disorder in Rochefort Prison With Aberrant Driving Behaviors.
Time frame: 6 months
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Antisocial Personality | The Number of Individuals Diagnosed With Antisocial Personality Disorder in Rochefort Prison With Aberrant Driving Behaviors. | 9 participants |
Secondary
Number of Observed Situations Per Type of Aberrant Driving Behavior (Auto-aggressive, Aggressive or Other Hetero Transgression)
Auto-aggressive: attempted suicide, any gesture of mutilation (scarification, punching in a wall, etc.) Aggressive: rixes with fellow inmates or prison staff, attempted homicides, sexual assaults, etc. Other hetero transgression: Failure to comply with the rules of the institution, illegal entry of illicit objects into the establishment, consumption of toxic materials, destruction of property, etc.
Time frame: 6 months
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Antisocial Personality | Number of Observed Situations Per Type of Aberrant Driving Behavior (Auto-aggressive, Aggressive or Other Hetero Transgression) | aggressive | 15 number of observed situations |
| Antisocial Personality | Number of Observed Situations Per Type of Aberrant Driving Behavior (Auto-aggressive, Aggressive or Other Hetero Transgression) | other hetero transgression | 31 number of observed situations |
| Antisocial Personality | Number of Observed Situations Per Type of Aberrant Driving Behavior (Auto-aggressive, Aggressive or Other Hetero Transgression) | auto-aggressive | 0 number of observed situations |
Secondary
Percentage of Aberrant Driving Behaviors With Contextual Element Observed Before Aberrant Driving Behaviors
Collected contextual elements were : * Disorders in the institution (with a caregiver, frustration with the rules) * Difficulty / frustration with an inmate * Difficulty / frustration with the entourage * Consumption of alcohol or other toxic substances * Steps in the judicial process (refusal of parole, reduction of sentence ...) * Psychiatric symptoms: delirious, sleep disorders, nightmares The numerator for the percentage calculated is the number of aberrant driving behaviors with contextual element. The denominator for the percentage calculated is the total number of aberrant driving behaviors (with and without contextual element)
Time frame: 6 months
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Antisocial Personality | Percentage of Aberrant Driving Behaviors With Contextual Element Observed Before Aberrant Driving Behaviors | 67.4 percent of aberrant driving behaviors |