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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 7/2005

01-07-2005 | Original Paper

Deprivation: different implications for forensic psychiatric need in urban and rural areas

Authors: Conor O’Neill, MRCPsych, Alan Kelly, PhD, Hamish Sinclai, PhD, Harry Kennedy, FRCPsych

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 7/2005

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Abstract

Background

Ecological relationships between deprivation and forensic psychiatric admission rates may differ in urban and rural areas.

Aims

The aim of the study was to compare the relationship between material deprivation and forensic admission rates in rural and urban areas for a whole-national service in Ireland over a 3-year period.

Method

All Irish forensic admissions from 1997 to 1999 were allocated to the appropriate small area. Material deprivation scores were calculated from census data. Mean annual admission rates and Bayesian standardised forensic admission ratios for small areas were aggregated by material deprivation score and population density.

Results

At small area level, there were significant non-linear increases in forensic admissions with increasing deprivation. The increases in urban areas (population density >10/ hectare) were absent in less densely populated areas.

Conclusions

Deprivation alone may not be the key factor in predicting forensic service utilisation. Factors associated with specifically urban deprived areas may be of greater relevance in planning services.
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Metadata
Title
Deprivation: different implications for forensic psychiatric need in urban and rural areas
Authors
Conor O’Neill, MRCPsych
Alan Kelly, PhD
Hamish Sinclai, PhD
Harry Kennedy, FRCPsych
Publication date
01-07-2005
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 7/2005
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-005-0919-9

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