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Detainees arrested for the first time in French police stations
Affiliation:1. Department of Forensic Medicine, hôpital Jean-Verdier (AP-HP), F-93140 Bondy, France;2. Institut de recherche interdisciplinaire sur les enjeux sociaux (IRIS), UMR 8156-997, UFR SMBH, Sorbonne Paris Cité, Université Paris 13, France;1. Division of Adolescent Medicine, Department of Pediatrics, Stanford University, Stanford, California;2. Primary Care Outcomes Research, Stanford University, Stanford, California;3. Division of General Pediatrics, Department of Pediatrics, Stanford University, Stanford, California;4. Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina;5. Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University, Stanford, California;6. Department of Emergency Medicine, Stanford University, Stanford, California;1. Department of Medicine, Brown University, Providence, RI, USA;2. Department of Social Medicine and Center for Health Equity Research, University of North Carolina, Chapel Hill, NC, USA;3. The Center for Prisoner Health and Human Rights, The Miriam Hospital, Providence, RI, USA;4. Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA;5. Health and Human Rights Division, Human Rights Watch, New York City, NY, USA;6. Department of Medicine, University of British Columbia, Vancouver, Canada;7. Centro de Investigaciones Tecnológicas, Biomédicas y Medioambientales, Lima, Peru;8. Department of Global Health, University of Washington, Seattle, WA, USA;9. Moi University School of Medicine, Eldoret, Kenya;10. Section of Infectious Diseases, Yale School of Medicine, New Haven, CT, USA;11. Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA;1. Department of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of Sao Paulo, Sao Paulo, Brazil;2. Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil;3. Department of Legal Medicine, Ethics and Occupational Health, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil;4. Technical-Scientific Police Superintendency of the State of Sao Paulo, Sao Paulo, Brazil;1. Royal Holloway, University of London, Egham Hill, Egham, Surrey TW20 0EX, UK;2. Worcester SARCs – The Glade, Bransford, Worcester WR6 5JD, UK;1. Health Promotion Research Institute, Korea Association of Health Promotion, Seoul, Korea;2. Department of Health Education and Management, Ewha Womans University, Seoul, Korea;3. Juvenile Division, Ministry of Justice, Seoul, Korea;4. Korea Association of Health Promotion, College of Medicine, Seoul National University, Seoul, Korea
Abstract:The psychological impact of incarceration vary from individual to individual and most people first entering prison experience severe stress. Our objective was to describe the characteristics of detainees arrested for the first time and who had medical examination during custody. The study sample included 200 detainees arrested for the first time in 2012 and examined for the second time before May 31, 2013, 200 detainees arrested for the first time in 2012 and who had not a second examination by May 31, 2013, and a control group of 200 individuals who had been arrested before. Collected data related to persons' characteristics, the course of detention, alleged assaults and traumatic injuries. In our sample, victimization was the most frequent motivation for requesting a medical examination and affected 31–46% of patients who requested the examination. The medical examination was less frequently requested by the detainee at the first detention than at subsequent detentions (35% and 31% vs. 51%, P < 0.001). Unremarkable psychic states were found in most cases in all groups. Detainees expressed a good or very good opinion on custody in 40–51% of cases. In 75–89% of cases, detainees were considered to be unconditionally fit for detention. The present findings suggest only minor differences between clinical features of individuals arrested for the first time and their clinical status when they were arrested for the second time. The systematic collection of more detailed description of the detainees’ psychic state could be relevant at the time of medical examinations in police cells.
Keywords:Police custody  Medical examination  Perceived health  Detention  Police cells  Forensic medicine
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