Gerg? Baranyi|Carolin Scholl|Seena Fazel|Vikram Patel|Stefan Priebe|Adrian P. Mundt
Severe mental illness and substance use disorders in prisoners in low-income and middle-income countries: a systematic review and meta-analysis of prevalence studies
University of Edinburgh|University of Edinburgh|University of Oxford|Harvard Global Health Institute|Harvard University|Queen Mary University of London|Centre for Mental Health|Diego Portales University|San Sebastián University
although two thirds worlds incarcerated individuals based lowincome middleincome countries lmics burden psychiatric disorders population known review provides estimates prevalence severe mental illness substance use disorders incarcerated individuals lmicsfor systematic review metaanalysis searched 17 electronic databases identify prevalence studies psychiatric disorders prison populations lmics published january 1987 may 2018 included representative studies general prison samples providing information four major psychiatric diagnoses psychosis major depression alcohol use disorders drug use disorders pooled data studies using randomeffects metaanalyses assessed sources heterogeneity metaregression extracted general population estimates global burden diseases 2016 database calculate comparative prevalence ratios study registered prospero number crd42015020905we identified 23 publications reporting prevalence estimates severe mental illness substance use disorders 14 527 prisoners 13 lmics population estimated pooled 1 year prevalence rates psychosis 62 95 ci 4086 160 117208 major depression 38 1276 alcohol use disorders 51 2978 drug use disorders noted increased prevalence prison intake geographic variations substance use disorders alcohol use disorders prevalence higher southeast asian region eastern mediterranean region drug use disorders prevalent eastern mediterranean region europe prevalence ratios indicated substantially higher rates severe mental illness substance use disorders among prisoners general population prevalence nonaffective psychosis average 16 times higher major depression illicit drug use disorder prevalence six times higher prevalence alcohol use disorders double general populationthe prevalence major psychiatric disorders high prisoners lmic compared general populations findings likely reflect unmet needs development scalable interventions public health priority resourcepoor settingsconicyt chilean government wellcome trust