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Completed

NCT Number: NCT02493088

Conduct Disorder in Prison: Search for Prospective and Retrospective Recurring and Contextual Elements

The prediction of dangerousness remains a delicate subject, relevant in current psychiatry. Scalable psychopathological elements identified in schizophrenia and mood disorders are considered as most at risk for crime committing. The French High Authority of Health (HAS) recommends to identify and prevent risk situations of violence and to develop research at this level. Some authors have worked on criminal career and became interested in risk factors for aberrant driving behaviors but also in environmental or clinical elements accompanying these phases. To our knowledge, no specific study about contextual elements before misconduct and which could lead to aberrant driving behaviors among individuals diagnosed with antisocial personality disorder has been described to date The investigators propose to follow individuals diagnosed with antisocial personality disorder in prison during 6 months in order to list their conduct disorders and contextual elements upstream of these misconducts. The investigators will also study the effect of contextual factors related to judicial steps on the appearance of aberrant driving behaviors.

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Key information

Conditions

Mental Disorders

Age range

18 year and older

Sex eligibility

Male

Study type

Observational

Primary location

Maison d'arrêt de Rochefort

Rochefort, 17306, France

About this study

This study aims at identifying elements that can provoke frustration and lead to aberrant driving behaviors. The question is whether there are triggers that occur more frequently for the same subject. If so, these specific contextual elements could be detected in order to prevent violent acts.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male
  • Over 18
  • Detention sentence in prison in Rochefort between March and August 2015
  • Positive psychopathy score at PCL-R (Psychopathy Checklist-revised) test: score greater than or equal to 30

Exclusion criteria

  • Chronic psychosis
  • Bipolar disorder
  • Women
  • Minors,
  • negative score at the PCL-R
  • Subject under protection measure (curator or guardian)
  • Refusal to participate

Treatment and study plan

Antisocial personality recording of behavior and contextual elements

Other

aberrant driving behaviors and upstream contextual elements of individuals diagnosed with antisocial personality disorder will be recorded during the study

Primary outcomes

  1. The Number of Individuals Diagnosed With Antisocial Personality Disorder in Rochefort Prison With Aberrant Driving Behaviors.

    Time frame: 6 months

Secondary outcomes

  1. Percentage of Aberrant Driving Behaviors With Contextual Element Observed Before Aberrant Driving Behaviors

    Time frame: 6 months

    Collected contextual elements were :

    • Disorders in the institution (with a caregiver, frustration with the rules)
    • Difficulty / frustration with an inmate
    • Difficulty / frustration with the entourage
    • Consumption of alcohol or other toxic substances
    • Steps in the judicial process (refusal of parole, reduction of sentence ...)
    • Psychiatric symptoms: delirious, sleep disorders, nightmares The numerator for the percentage calculated is the number of aberrant driving behaviors with contextual element.

    The denominator for the percentage calculated is the total number of aberrant driving behaviors (with and without contextual element)

  2. Number of Observed Situations Per Type of Aberrant Driving Behavior (Auto-aggressive, Aggressive or Other Hetero Transgression)

    Time frame: 6 months

    Auto-aggressive: attempted suicide, any gesture of mutilation (scarification, punching in a wall, etc.) Aggressive: rixes with fellow inmates or prison staff, attempted homicides, sexual assaults, etc.

    Other hetero transgression: Failure to comply with the rules of the institution, illegal entry of illicit objects into the establishment, consumption of toxic materials, destruction of property, etc.

Sponsors and collaborators

Lead sponsor

Groupe Hospitalier de la Rochelle Ré Aunis

Other

Registry information

Official study title

Passage à l'Acte en Maison d'arrêt : Recherche d'éléments Contextuels récurrents Prospectifs et rétrospectifs

Acronym: CoDiRCE

Important dates

Study start
2015
Primary completion
2015
Study completion
2015
First posted
Jul 9, 2015
Registry last updated
Apr 14, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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