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Dr. Gunter is Assistant Professor, Dr. Arndt is Professor, Ms. Wenman is Research Assistant, Drs. Loveless and Allen are statistical consultants, Dr. Sieleni is Adjunct Clinical Associate Professor, and Dr. Black is Professor, Department of Psychiatry, University of Iowa, Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA. Dr. Arndt is Director, The Iowa Consortium for Substance Abuse Research and Evaluation, Iowa City, IA. Dr. Sieleni is also Director of Mental Health Services, Department of Corrections, Iowa Medical and Classification Center, Oakdale, IA. Address correspondence to Donald W. Black, MD, University of Iowa Carver College of Medicine, Psychiatry Research, 2-126b MEB, Iowa City, IA 52242. E-mail: donald-black{at}uiowa.edu
The Mini-International Neuropsychiatric Interview-Plus (MINI-Plus) was used to assess the frequency of mental and addictive disorders among 320 randomly selected men and women newly committed to the general population of the Iowa prison system. More than 90 percent of offenders met criteria for a current or lifetime psychiatric disorder. The most frequent were substance use disorders (90%), mood disorders (54%), psychotic disorders (35%), antisocial personality disorder (35%), and attention deficit hyperactivity disorder (22%). Offenders had a mean of 4.2 MINI-Plus disorders, and two-thirds had 3 or more disorders. Contrary to expectation, there were few gender-based differences. Thirty percent of the offenders were rated at risk for suicide. We conclude that mental and addictive disorders are common among incarcerated offenders and that these individuals are at risk for suicidal behavior.
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