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Table 1 Summary and characteristics of included studies

From: Factors influencing the length of stay in forensic psychiatric settings: a systematic review

Study

Author (date)

Country

N

Security level

Study Design

Years studied

Duration (years)

Statistical Analysis

Length of stay: mean (SD) in years (unless specified otherwise)

Age, mean (SD)

Female sex (%)

1

Alexander 2011

United Kingdom

138

Medium

Cross-sectional

NS

6

Linear regression

2.8 (median)

30.43(9.274)

21

2

Andreasson 2014

Sweden

127

NS

Cohort

1999–2005

6

Cox regression

2.61

38 (17–79) (median)

19

3

Belfrage 2002

Sweden

150

High (maximum)

Cross-sectional

1997–2001

4

Kruskal Wallis

Mann-Whitney U

3.08(3.67)

39 (10)

0

4

Brown 2009

United Kingdom

157

Medium

Cross-sectional

2002–2006

4

Mann-Whitney U

1.97 (median)

38.9 (Restricted)

35.1 (Civil/Prison)

0

5

Chester 2018

United Kingdom

402

Medium and High

Cross-sectional

2013

NA

Mann-Whitney U

12.67(8.2) (ID)

14.95(8.78) (nID)

40 (ID)

45 (nID)

14.2

6

Colwell 2011

United States

71

High (maximum)

Cross-sectional

NS

NS

Logistic regression

0.32(0.21)

37.9 (11)

0

7

Davoren 2015

Ireland

287

Medium

Cohort

2010–2014

4

Cox regression

0.83(0.10^) (Males)

0.56(0.16^) (Females)

34.9(10.5)

16.7

8

Dell 1987

United Kingdom

187

High

Cross-sectional

1972–1984

12

Chi-squared

NS

NS

0

9

Duke 2018

United Kingdom

2287

Medium and High

Cross-sectional

2013

NA

Logistic regression

11.75(5.75,16)* (HS/LS)

3.67(1.75,5.92)* (HS/nLS)

4.25(1.67,6.5)* (MS/LS)

1.17(0.5,2.33)* (MS/nLS)

45.43(9.67) (HS/LS)

36.15(9.72) (HS/nLS)

43.87(11.74) (MS/LS)

34.68(11.21) (MS/nLS)

14.3

10

Eckert 2017

Netherlands

139

High

Cross-sectional

2006–2013

7

Logistic regression

10.58(4.91) (LFPC)

8.32(4.69) (RFPC)

52.97(8.09) (LFPC)

44.01(10.97) (RFPC)

0

11

Edwards 2002

United Kingdom

225

Medium

Cohort

1983–1996

13

Linear regression

Chi-squared

2.17

NS

14.7

12

Esan 2015

United Kingdom

138

NS

Cross-sectional

NS

6

Mann-Whitney U

3.62(3.02) (D/ASD)

3.76(2.69) (D/nASD)

4.18(4.30) (nD/ASD)

4.88(4.12) (nD/nASD)

30.14(9.14) (ASD)

30.56(9.38) (No ASD)

21

13

Gosek 2020

Poland

150

Medium

Cross-sectional

2014–2018

4

Mann-Whitney U

Kruskal-Wallis

Linear regression

3.26(3.54)

40.07(12.99)

18

14

Green 1998

Australia

586

NS

Cross-sectional

1989–1995

6

Cox regression

0.40(0.75) (Males)

0.41(0.49) (Females)

30.6(10.2)

11.7

15

Griffiths 2018

United Kingdom

347

Low and Medium

Cross-sectional

2007–2015

8

t-test

2.56(1.65) (Non-secluded)

2.79(1.90) (Secluded)

35.2(12.8) (Non-secluded)

30.8(10.7) (Secluded)

35

16

Hillbrand 1996

United States

53

High (maximum)

Cross-sectional

1989–1990

1

t-test

0.93(1.44) (ISIB)

2.34(1.23) (RSIB)

30.0 (ISIB)

37.4 (RSIB)

0

17

Long 2012

United Kingdom

70

Medium

Cross-sectional

2002–2010

8

Chi-squared

Log-linear analysis

1.63(0.69)

30.4(7.6)

100

18

McKenna 2019

United Kingdom

194

High

Cross-sectional

2017

NA

Mann-Whitney U

5.54

37.35

0

19

Messina 2011

United States

1915

High (maximum)

Cross-sectional

2003–2010

7

Cox regression

0.53

40

NS

20

Moran 1999

United States

101

High (maximum)

Cross-sectional

NS

5

Linear regression

NS

32.42(9.8) (Males)

36.14(9.4) (Females)

13.9

21

Moulden 2020

Canada

14

NS

Cross-sectional

2009–2011

2

NS

3.24

36.36(12.47)

35.7

22

Pàv 2022

Czechia

260

NS

Cross-sectional

2015–2020

5

Linear regression

1.36(1.91)

42.26(12.79)**

12.7

23

Rodenhauser 1988

United States

376

High (maximum)

Cross-sectional

1980–1984

4

ANOVA

0.42(0.45)

NS

NS

24

Ross 2012

Germany

899

NS

Cross-sectional

NS

NS

t-test

Chi-squared

Mann-Whitney U

5.77(5.61)

NS

26.6

25

Shah 2011

United Kingdom

259

Medium

Cross-sectional

1999–2008

10

Logistic regression

2.05(2.94)

30.9(8.6)

9.7

26

Smith 2004

United Kingdom

34

Low

Cohort

1991–2003

12

Linear regression

5.5(5.8)

40.5 (Special)

36.8 (Control)

0

27

Verstegen 2017

Netherlands

503

NS

Cross-sectional

2008–2014

6 years

t-test

1.42(1.40) (Violent group)

0.67(0.88) (Non-violent group)

37.2(10.2)

19.3

28

Wint 1994

United Kingdom

43

High

Case-control

NS

NS

Chi-squared

NS

29.9(8.73) (long stay group)

30.26(6.98) (short stay)

0

  1. NS = Not specified
  2. NA = Not applicable
  3. ID/nID = Intellectual disability/No intellectual disability
  4. HS = High security
  5. ASD = Autism Spectrum Disorder
  6. MS = Medium security
  7. LS/nLS = Long-stayers/Non-long-stayers
  8. LFPC = Long-term Forensic Psychiatric Centre
  9. RFPC = Regular Forensic Psychiatric Centre
  10. ^ Standard Error
  11. *Median (P25, P75)
  12. **At discharge