The feasibility of screening for and treating vitamin D deficiency in forensic psychiatric inpatients

Murie, J., Messow, C.-M. and Fitzpatrick, B. (2012) The feasibility of screening for and treating vitamin D deficiency in forensic psychiatric inpatients. Journal of Forensic and Legal Medicine, 19(8), pp. 457-464. (doi: 10.1016/j.jflm.2012.04.003)

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Abstract

Neuroleptic and antiepileptic 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.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Fitzpatrick, Dr Bridie and Messow, Dr Martina
Authors: Murie, J., Messow, C.-M., and Fitzpatrick, B.
Subjects:R Medicine > R Medicine (General)
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Robertson Centre
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
Journal Name:Journal of Forensic and Legal Medicine
ISSN:1752-928X
ISSN (Online):1878-7487
Published Online:04 May 2012

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