Attention Deficit Hyperactivity Disorder in Men and Women Newly Committed to Prison: Clinical Characteristics, Psychiatric Comorbidity, and Quality of Life
Abstract
Attention deficit hyperactivity disorder (ADHD) is associated with comorbid psychiatric diagnoses and antisocial behaviors that contribute to criminality, yet studies of ADHD in offenders are few. The authors evaluate a random sample of 319 offenders using a version of the Mini International Neuropsychiatric Interview and Medical Outcome Survey Health Survey. ADHD was present in 68 subjects (21.3%). Offenders with ADHD were more likely to report problems with emotional and social functioning and to have higher suicide risk scores ( p < .001). They also had higher rates of mood, anxiety, psychotic, and somatoform disorders. Antisocial and borderline personality disorders were also more common among offenders with ADHD. The authors conclude that ADHD is common in offenders and is associated with comorbid disorders, worse quality of life, and higher risk for suicidal behaviors. Its presence should alert prison staff that the offender is likely to require more intensive mental health services.
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ADHD prevalence is higher in custodial settings than in the general population, estimated to be 5 times higher among youth prisoners and 10 times higher among adult prisoners.
“ADHD prevalence is higher in custodial settings than in the general population, estimated to be 5 times higher among youth prisoners and 10 times higher among adult prisoners (Konstenius et al., 2015; Moore et al., 2016; Westmoreland et al., 2010; Young et al., 2015; Young and Thome, 2011).”
From The Australian evidence-based clinical practice guideline for attention deficit hyperactivity disorder (2023) · cites this paper as Westmoreland et al., 2010
Cites
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Long-term criminal outcome of children with attention deficit hyperactivity disorder
Dalsgaard, S., Mortensen, P. B., Frydenberg, M., & Thomsen, P. H. (2013) · Criminal Behaviour and Mental Health · doi:10.1002/cbm.1860 · Cited by 141 · see citing works
May, T., Birch, E., Chaves, K., Cranswick, N., Culnane, E., Delaney, J., Derrick, M., Eapen, V., Edlington, C., Efron, D., et al. (2023) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674231166329 · Cited by 87 · see citing works
- Authors
- Westmoreland, P., Gunter, T., Loveless, P., Allen, J., Sieleni, B., & Black, D. W.
- Affiliations
- Iowa Department of Corrections, Oakdale
- University of Iowa, Iowa City
- University of Iowa, Iowa City,
- Venue
- International Journal of Offender Therapy and Comparative Criminology
- Publisher
- SAGE Publications
- Published
- 2009-03-06
- Volume
- 54
- Issue
- 3
- Pages
- 361-377
- ISSN
- 0306-624X
- 1552-6933
- Cited by
- 49
- References
- 14
- Language
- en
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