Forensic Psychiatry in the largest security ward in Portugal

  • Teresa Carvalhão Psychiatry Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Patricia Jorge Centro Hospitalar do Médio Tejo
  • Paula Batalim Centro Hospitalar e Universitário de Coimbra


Forensic Psychiatry is defined as the Psychiatry subspecialty in which the clinical and scientific knowledge is applied to legal aspects, both with regard to Civil and Criminal Law. Nowadays, the largest security ward is in Coimbra, at the University Hospital. It covers 110 patients, 90 males and 20 females. The aim of the security measure, in accordance with the penal code, is the protection of legal assets and the psychosocial rehabilitation. In our sample, the main most frequent diagnosis was schizophrenia (37.8%). Moderate intellectual disability (23.4%) and mild intellectual disability (14.4%) were the second and third most frequent diagnosis. The unlawful acts that generated the prevalent security measure were in first place domestic violence (19,8%) followed by attempted murder (16,2%) and theft (14,5%). The elaboration of a therapeutic and rehabilitation plan is essential and its aim is to diminish the person’s dangerousness. It is fundamental to think of the safety ward as a health production space and not as a place of mere disease management or “dangerous states”, thus trying to solve the patient’s problems.


Ey H, Bernard P, Brisset CH. Manuel de Psy-chiatries. 6e édition. Paris: Masson; 1989.

Ramlho E., Themudo Gilman W (transl.). The Portuguese Penal Code (general part). Verbo Juridico; 2006. (accessed on Jul 3, 2019)

Lei n.º 48/2007 de 29 de agosto 2007. Diário da República, 1.ª série, n.º 166. (accessed on Jul 3, 2019)

Antunes MJ. O internamento de imputáveis em estabelecimentos destinados a inim-putáveis:(os arts. 103., 104. e 105. do Código Penal de 1982). Coimbra: Coimbra Editora; 1993.

Rodrigues, A. Determinação da pena privativa de liberdade: os critérios da culpa e da prevenção. Coimbra: Coimbra editora; 1995.

Antunes MJ. Medida de Segurança de Inter-namento e Facto de Inimputável em Razão de Anomalia Psíquica. Coimbra: Coimbra editora; 2002.

Gellner E. Razão e Cultura. Lisboa: Editorial Teorema; 1992.

Antunes MJ, Pinto IH. Execução das Penas e Medidas Preventivas de Liberdade. 2nd Ed. Coimbra: Coimbra Editora; 2013

Saraiva CB. Cerejeira, J. Psiquiatria Funda-mental. 1st Ed. Lisboa: Lidel; 2014

Miller AL, Hall CS, Buchanan RW, Buckley PF, Chiles JA, Conley RR, et al. The Texas medication algorithm project antipsychotic algorithm for schizophrenia: 2003 update. J Clin Psychiatr. 2004;65(4):500-8.

Falkai P, Wobrock T, Lieberman J, Glenthoj B, Gattaz WF, Möller HJ, WFSBP Task Force on Treatment Guidelines for Schizophrenia. World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for biological treatment of schizophrenia, Part 1: acute treatment of schizophrenia. World J Biol Psychiatr. 2005;6(3): 132-91.

Leucht S, Corves C, Arbter D, Engel RR, Li C, Davis JM. Second-generation versus first-generation antipsychotic drugs for schizophre-nia: a meta-analysis. Lancet 2009;373(9657): 31-41.

Lei n.º 36/98 de 24 de Julho 1998. Lei de Saúde Mental. Diário da República, 1.ª série, n.º 169. (accessed on Jul 3, 2019)

How to Cite
Carvalhão, T., Jorge, P., & Batalim, P. (2019). Forensic Psychiatry in the largest security ward in Portugal. International Journal of Risk and Recovery, 2(1), 11-17.
Original Article