Feasibility of screening for and treating vitamin D deficiency in forensic psychiatric inpatients
Journal of Forensic and Legal Medicine, Volume 19, Issue 8 , Pages 457-464, November 2012
Jill Murie, MPH FRCGP MFFLM, GP (Forensic Physician and Primary Care Researcher), Claudia-Martina Messow, PhD (Consultant Statistician), Bridie Fitzpatrick, PhD, MSc (University Lecturer)
Received 8 June 2011; received in revised form 14 February 2012; accepted 8 April 2012.
Neuroleptic and anti-epileptic medication, inadequate vitamin D intake and limited solar exposure increase the risk of vitamin D deficiency in high security psychiatric environments. Of the 33 inpatients (40% selected; 21% of hospital population) completing this cross-sectional study, 36% had insufficient and 58% deficient vitamin D. Five patients with vitamin D deficiency had secondary hyperparathyroidism, two of whom had osteopenia on dual-emission X-ray absorptiometry. At 1-year follow up, of the 31 patients eligible, 15 had accepted and continued supplements. Systematic screening is therefore necessary due to mental health and consent issues. Implications of supplementation and grounds access are discussed.
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Summary by Vitamin D Life
- Neuroleptic and anti-epileptic medication reduced vitamin D
- Limited outdoor time – like most prisoners
See also Vitamin D Life
- Learning Disabilities, anti-epileptic drugs, and subsequent vitamin D deficiency - Oct 2014
- Prisoners have very low vitamin D and get TB, influenza, and depression
This includes the story of how Dr. Cannell of Vitamin D Council first got interested in Vitamin D - First and 2nd generation migrants 2X more likely to have psychotic disorders – Jan 2013
- Psychiatric disorders in a few elderly associated with insufficient vitamin D – Sept 2012
- Hypothesis: Some Mental Illness could be treated or prevented with vitamin D
- Psychosis in dark skinned people 3.5 X higher if low level of vitamin D – May 2012
- Overview Schizophrenia and Vitamin D
- Hypothesis: Some Mental Illness could be treated or prevented with vitamin D
- 99 percent of psychiatric population had less than 30 ng of vitamin D – June 2013
- Prison doctor on lack of vitamin D in solitary confinement – July 2013