BACKGROUND Mental health services are available for young people involved with the criminal justice system. However, they have unmet mental health needs after the expiration of criminal justice supervision. OBJECTIVE To determine the incidence rate and identify predictors of psychiatric hospitalisations within 24 months after the expiration of criminal justice supervision among young people involved with the New South Wales (NSW) criminal justice system. METHODS Retrospective data from 1556 individuals aged 14-22 years who participated in four surveys of justice-involved young people in NSW were harmonised and linked to four NSW data collections. We calculated the incidence rates of psychiatric hospitalisations within 24 months postsupervision and identified predictors of these hospitalisations using a competing risks regression analysis. RESULTS Within 24 months postsupervision, 11.4% had a psychiatric hospitalisation compared with 3.5% during supervision. 20.7% of those admitted had a known history of mental illness and engaged with community-based and outpatient mental health services postsupervision. Predictors of psychiatric hospitalisations were: female sex (adjusted subdistribution HR (asHR) 1.84, 95% CI 1.24 to 2.73); previous incarceration (highest asHR for ≥4 episodes 1.67, 95% CI 1.01 to 2.78); head injury (asHR 1.63, 95% CI 1.20 to 2.21); personality disorder (asHR 3.66, 95% CI 2.06 to 6.48) and alcohol and substance use disorder (asHR 1.89, 95% CI 1.29 to 2.77). CONCLUSION Justice-involved youth have higher rates of psychiatric admissions after criminal justice supervision. Engagement with mental health services postsupervision is important in addressing emerging or persisting mental health needs.

中文翻译：

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澳大利亚刑事司法监督期满后年轻人的精神病入院：一项回顾性数据关联研究。


背景 参与刑事司法系统的年轻人可以获得心理健康服务。然而，刑事司法监管期满后，他们的心理健康需求却未得到满足。目的 确定新南威尔士州 (NSW) 刑事司法系统中青少年刑事司法监督期满后 24 个月内的发病率并确定精神病住院的预测因素。方法 对参与新南威尔士州参与司法的年轻人的四项调查的 1556 名 14-22 岁个体的回顾性数据进行协调并与新南威尔士州的四个数据收集相联系。我们计算了监督后 24 个月内精神科住院的发生率，并使用竞争风险回归分析确定了这些住院的预测因素。结果 监督后 24 个月内，11.4% 的人因精神科住院，而监督期间这一比例为 3.5%。 20.7% 的入院患者有已知的精神疾病史，并在监督后接受社区和门诊精神卫生服务。精神科住院的预测因素为： 女性（调整后的子分布 HR (asHR) 1.84，95% CI 1.24 至 2.73）；既往监禁（≥4 次发作的最高 asHR 1.67，95% CI 1.01 至 2.78）；头部受伤（asHR 1.63，95% CI 1.20 至 2.21）；人格障碍（asHR 3.66，95% CI 2.06 至 6.48）以及酒精和药物滥用障碍（asHR 1.89，95% CI 1.29 至 2.77）。结论 参与司法的青少年在接受刑事司法监督后接受精神病治疗的比例较高。参与监督后的心理健康服务对于解决新出现或持续的心理健康需求非常重要。