Female vs Males inmates: Authors' reply and sample size calculation

Bruno and colleagues highlighted the relatively low absolute-percentage of psychiatric morbidity that we found in our sample, as compared to their male sample. They invited to the use of diagnostic tools, specific for personality disorders and suicidal risk factors, to better investigate these critical issues. In summary, our results showed high percentages of psychiatric morbidity (44%), especially anxiety and depression. Female inmates declared to be most stressed by the distance from family and loved ones, and they did not present any antisocial personality diagnosis. They also showed a resilient reaction to their situation, because more than a half of women requested a supportive psychological therapy during their detention (14/25= 56%), and 10 of them were those with a psychiatric disorder (10/11= 90.9%), thus a higher proportion than those reported in male detainees at the Messina jail (56%), by Zoccali and colleagues (Zoccali et al., 2008). As we have acknowledged, we could further explore other personality disorders and not merely the antisocial personality pathological traits, as we did in our study. In conclusion, we agree with them about the need to repeat the screening for mental health and a deeper ascertainment of specific suicidal risk factors, with an adequate sample. Nonetheless, we believe that our data were not biased, and likely represented the psychological asset of the ladies’ detainee with a final sentence at the Pagliarelli jail of Palermo.