Abstract

AbstractObjective: This study aimed to estimate the prevalence of traumatic brain injury (TBI) in a French prison population of young offenders and to study variables known to be associated with TBI. It also aimed to study whether TBI was associated with younger age at entry into prison; longer period of custody and re-offending. Participants: All young offenders (from 13 to 21) consecutively admitted to Fleury-Merogis prison over a period of 3 months were included. Method: During the admission procedure, young offenders were interviewed by healthcare staff using a self-reported questionnaire. Comparisons between cases (TBI+) and controls (TBI−) were performed. Results: Three hundred thirty two young offenders were included. The prevalence of self-reported TBI was 24.5%. The first cause of TBI was violence-related outcomes (25%). No differences were found regarding the number of times in custody and the total time spent in prison during the preceding five years. Cases accumulated multiple health problems ...

Highlights

  • Traumatic Brain Injury (TBI) which is one of the major causes of death and disability among children and working age adults (Fleminger & Ponsford, 2005) continues to be a serious public health concern (Centers for Disease Control and Prevention [CDC], 2003; Langlois, Rutland-Brown, & Wald, 2006; Thurman, Alverson, Dunn, Guerrero, & Sniezek, 1999)

  • The findings of this study indicate that the leading cause of TBI in prison is violence-related mechanisms (25%)

  • This study confirms the high prevalence of TBI among young offenders in prison

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Summary

Introduction

Traumatic Brain Injury (TBI) which is one of the major causes of death and disability among children and working age adults (Fleminger & Ponsford, 2005) continues to be a serious public health concern (Centers for Disease Control and Prevention [CDC], 2003; Langlois, Rutland-Brown, & Wald, 2006; Thurman, Alverson, Dunn, Guerrero, & Sniezek, 1999). Authors studying executive functions after TBI in children report disorders of the basic processes of working memory and inhibition, and impairments of more complex processes such as decision-making. Other domains such as motivation, self-regulation and social cognition can be affected (Levin & Hanten, 2005 for a review)

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