The addition of PSMA PET in selecting candidates for prostate cancer focal therapy.

Mortality rates among forensic psychiatric patients in Sweden are high, with 9.4% of all discharged individuals deceased within an average follow-up period of 4.6 years (). Internationally, mortality rates among discharged forensic psychiatric patients have been found to be high in both absolute and relative terms (). These findings underscore the need for further investigation, particularly to identify which patients are at the greatest risk of mortality, enabling more targeted and effective preventive interventions. To contextualize the current study, it is important to understand how forensic psychiatric care is structured. In Sweden, forensic psychiatric patients constitute a legally rather than purely medically defined group. Individuals convicted of crimes that warrant more than a fine, and who are found to have a severe mental disorder meeting specific medico-legal criteria, are sentenced to compulsory forensic psychiatric care under the Forensic Mental Care Act (SFS 1991:1129). The most common primary psychiatric diagnosis in the group is schizophrenia and other psychotic disorders (), although other types of diagnoses such as severe mood disorders, neuropsychiatric disorders and certain personality disorders can also meet these legal requirements. All forensic psychiatric patients initially receive inpatient treatment. In most cases, this care is later transitioned to an outpatient format before definite discharge from all forensic psychiatric services. Discharge decisions are in most cases made by the court. They must take into account the risk of reoffending—specifically, whether the individual is likely to relapse into serious criminal behavior due to their mental disorder. They must also consider whether continued forensic psychiatric care is necessary given the patient’s current mental condition and the patient’s personal circumstances (SFS 1991:1129).