Key result
Longer forensic psychiatry stays linked to increased depressive symptoms, peaking at 5 to 9 years.
Why the study?
Forensic psychiatric patients experience isolation, limited autonomy, and legal stress that can impact mood, making subjective mood assessment crucial in this specific population.
Cross-Sectional (n=112)
No
p-value: p=0.00001
While overall depressive symptoms are relatively low in forensic psychiatric patients, their severity increases significantly with longer durations of hospitalization.
May support closer depression monitoring in long-stay forensic patients; leaves open causality and requires prospective confirmation.
Objective: Subjective mood assessment is a crucial element in the diagnostic and therapeutic process in psychiatry. Assessment of subjective mood is particularly important among forensic psychiatric patients. This population is characterized by specific environmental factors-isolation, limited autonomy, and stress related to legal proceedings. This situation can significantly impact patients' well-being and mood. The aim of this study is to discuss the specificity of subjective mood assessment in the forensic psychiatric patient population and the importance of this tool in everyday clinical practice. Material and methods: The study was conducted in forensic psychiatry departments under basic security conditions using a survey method among 112 patients. The research tool included a research questionnaire with a demographic and clinical survey and the Beck Depression Inventory. Results: The overall level of depressive symptoms among patients was relatively low. The highest symptom severity was associated with feelings of guilt, loss of interest, and pessimism. The analysis revealed a significant correlation between the length of hospitalization and the level of depression - the longer the stay, the higher the mean scores on the Beck Depression Inventory (p = 0.00001). The highest values were observed among patients hospitalized for 5 to 9 years. Conclusions: The analysis shows that patients in forensic psychiatry wards have a low level of depressive symptoms, but their severity increases with the length of stay.
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Fojcik et al. (2025) conducted a cross-sectional in Forensic psychiatric hospitalization (n=112). Length of hospitalization vs. Shorter length of stay was evaluated on Severity of depressive symptoms (Beck Depression Inventory score) (p=0.00001). Longer length of stay in forensic psychiatry wards was significantly associated with increased severity of depressive symptoms, peaking in patients hospitalized for 5 to 9 years (p=0.00001).
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