Gender differences in reoffending after discharge from medium-secure units. National cohort study in England and Wales.

Maden, Anthony; Skapinakis, Petros; Lewis, Glyn; Scott, Fiona; Jamieson, Elizabeth · Br J Psychiatry · 2006

retrospective_cohort · Level III

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Abstract

Previous research has shown that there are gender differences in reoffending after discharge from medium-secure units, but these have not been adequately explained. To investigate gender differences in reoffending after discharge from medium-secure psychiatric units. All people discharged from medium-secure units in England and Wales between April 1997 and March 1998 were followed up for 1 year (n=959; 12% women). Reoffending was estimated by collecting reconviction data from the Home Office's Offenders' Index or from files at the mental health unit up to 2 years after discharge. Women were less likely than men to be reconvicted within 2 years of discharge (9% v. 16%, OR=0.49, 95% CI 0.25-0.98). Adjustments for history of self-harm, drug or alcohol problems and previous offending substantially reduced the gender difference. In the full model the OR was 0.97 (95% CI 0.45-2.12). Some or all of the gender differences in reoffending between men and women are explained by self-harm, alcohol and drug problems and previous criminal history.

Medical subject headings