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Sedentary Behaviour in the Secure Forensic Hospital Setting: A Study from Dundrum Hospital Ireland

Published online by Cambridge University Press:  01 September 2022

A. Gibbons ,
T. Hoare ,
K. Kirrane ,
H. Kennedy  and
M. Davoren
A. Gibbons*
Affiliation:
Dundrum Centre for Forensic Excellence, Central Mental Hospital And Trinity College Dublin, Dublin, Ireland
T. Hoare
Affiliation:
Dundrum Centre for Forensic Excellence, Central Mental Hospital And Trinity College Dublin, Dublin, Ireland
K. Kirrane
Affiliation:
Dundrum Centre for Forensic Excellence, Central Mental Hospital And Trinity College Dublin, Dublin, Ireland
H. Kennedy
Affiliation:
Dundrum Centre for Forensic Excellence, Central Mental Hospital And Trinity College Dublin, Dublin, Ireland Department of Psychiatry, Trinity College Dublin, Dublin, Ireland
M. Davoren
Affiliation:
Dundrum Centre for Forensic Excellence, Central Mental Hospital And Trinity College Dublin, Dublin, Ireland Department of Psychiatry, Trinity College Dublin, Dublin, Ireland
*
*Corresponding author.

Abstract

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Introduction

Secure forensic mental health services offer care and treatment to mentally disordered offenders, with high rates of schizophrenia and major mental illness in these groups. Much of the excess morbidity and mortality seen among patients with schizophrenia is due to cardiovascular disease and obesity. Sedentary behaviour is associated with negative symptoms of schizophrenia and obesity.

Objectives

The aim of this study was to ascertain the level of sedentary behaviour among inpatients in a secure forensic psychiatric hospital, Dundrum, Ireland, using a structured self-report measure of sedentary behaviours, the SIT-Q tool.

Methods

A cross sectional study of self-reported sedentary behaviour was completed amongst the secure forensic inpatient population of Dundrum Hospital (N=94). Demographic details, details pertaining to diagnoses, ward level of dependency and length of stay were collated.

Results

The majority of patients in the sample were male (89%) and the most common diagnosis was schizophrenia (71.7%). Mean age was 44.7 years (SD 11.42). 58.2% met criteria for obesity. We found high rates of self-reported sedentary behaviour across all wards of the service, with significantly high rates of sedentary behaviour being associated with screen time use in the hospital, including both personal screen time and therapeutic sessions based on screen time.

Conclusions

Sedentary behaviour among in-patients in secure forensic hospitals is a significant issue. Measuring sedentary behaviour in a systematic manner is possible and identifies a potentially modifiable target to reduce co-morbidity and pre-mature mortality independent of other risk factors in this vulnerable patient group.

Disclosure

No significant relationships.

Keywords

forensic psychiatrySedentary BehaviourSIT-Q
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S604
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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