What do we know about neurodevelopmental disorders in people deprived of liberty?

Authors

  • Rafael Kanji Nakamura Residente, Psiquiatra Forense, Hospital de Clínicas de Porto Alegre, HCPA, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil https://orcid.org/0009-0002-0278-6492
  • Lisieux Elaine de Borba Telles Professora, Departamento de Psiquiatria e Medicina Legal, Coordenadora e Supervisora da Residência Médica em Psiquiatria Forense, HCPA, Universidade Federal do Rio Grande do Sul, UFRGS, Porto Alegre, RS, Brasil https://orcid.org/0000-0003-4105-5924

DOI:

https://doi.org/10.25118/2763-9037.2025.v15.1408

Keywords:

prevalence, prisons, violence, neurodevelopmental disorders

Abstract

Introduction: Neurodevelopmental disorders include attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), intellectual disability (ID), global developmental delay, communication disorders, learning disorders, and motor disorders. The failure to identify these neuropsychiatric conditions in childhood leads to detrimental consequences in adulthood, such as an interface with criminality and a high prevalence of these disorders in prisons. Objective: To discuss the intersection between neurodevelopmental disorders and the prison system. Method: A narrative review was conducted, selecting cross-sectional and cohort studies, as well as non-mandatory systematic reviews, with or without meta-analysis. The selected databases were PubMed, SciElo, LILACS and Google Scholar, with no time restrictions. Discussion and Results: The review identified a prevalence of ADHD up to 10 times higher among incarcerated individuals compared to the general population. For ASD, studies indicate a rate of up to 15% among adolescents in juvenile custody. Intellectual disability also showed a significant presence, with some studies reporting a prevalence of up to 32% in the prison population. Furthermore, ADHD was frequently associated with criminal recidivism due to impulsivity, whereas ASD showed a lower correlation with premeditated behaviors. Individuals with intellectual disabilities, in turn, demonstrated a higher propensity for episodes of aggression toward others. Conclusion: The high prevalence of these disorders in the prison system reinforces the need for early identification and effective interventions for rehabilitation and violence prevention.

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Author Biographies

Rafael Kanji Nakamura, Residente, Psiquiatra Forense, Hospital de Clínicas de Porto Alegre, HCPA, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil

Psychiatrist

Resident Doctor in Forensic Psychiatry at HCPA/UFRGS

Lisieux Elaine de Borba Telles, Professora, Departamento de Psiquiatria e Medicina Legal, Coordenadora e Supervisora da Residência Médica em Psiquiatria Forense, HCPA, Universidade Federal do Rio Grande do Sul, UFRGS, Porto Alegre, RS, Brasil

Psychiatrist and Forensic Psychiatrist

Coordinator of the medical residency in forensic psychiatry at HCPA/UFRGS

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Published

2025-05-19

How to Cite

1.
Nakamura RK, Telles LE de B. What do we know about neurodevelopmental disorders in people deprived of liberty?. Debates em Psiquiatria [Internet]. 2025 May 19 [cited 2025 Sep. 25];15:1-20. Available from: https://revistardp.org.br/revista/article/view/1408

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Review Articles

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