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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV0349

Metabolic syndrome among individuals undergoing forensic psychiatric investigation in Sweden

METABOLIC SYNDROME IN INDIVIDUALS UNDERGOING FORENSIC PSYCHIATRIC INVESTIGATION IN SWEDEN

Metabolic syndrome is common among individuals undergoing forensic psychiatric investigation (44.3%), but is substantially underdiagnosed and undertreated.

The aim of the study was to describe the prevalence of metabolic syndrome and its components in a cohort undergoing forensic psychiatric investigation (FPI) in Sweden. As a substudy of a larger study of individuals who had committed violent crimes in Sweden, 106 participants undergoing forensic psychiatric investigation at the National Board of Forensic Medicine in Gothenburg were consecutively recruited; clinical characteristics were collected by forensic professionals from psychiatry, psychology, sociology, and nursing, while study-specific measurements (waist circumference and blood samples) were obtained by a research nurse. Metabolic syndrome criteria were assessed according to a joint scientific statement issued by several international health organizations. Of the cohort, 81% were male, the mean age was 38 years, and 32% of participants were assessed as meeting the criteria for a severe mental disorder. Overall, 44.3% of participants met the criteria for metabolic syndrome; among its components, central obesity had the highest prevalence, at 66%. In contrast, only 9.4% of participants had a diagnosis of metabolic syndrome or any of its components, and 7.5% had been prescribed medication for the condition. The poster also provides contextual data indicating that, in Sweden, 0.5% of 119,227 prosecution decisions led to forensic psychiatric investigation (576 investigations), and 64% of these led to forensic psychiatric care (394 individuals). In conclusion, the study emphasizes that metabolic health is poor at the forensic psychiatric investigation stage, while adequate treatment is uncommon; identifying the reasons underlying this treatment gap is important for reducing morbidity and mortality due to cardiovascular disease.

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