Appropriate treatment targets or products of a demanding environment? The relationship between aggression in a forensic psychiatric hospital with aggressive behaviour preceding admission and violent recidivism

2007 ◽  
Vol 13 (5) ◽  
pp. 431-441 ◽  
Author(s):  
Michael Daffern ◽  
Murray Ferguson ◽  
James Ogloff ◽  
Lindsay Thomson ◽  
Kevin Howells
Keyword(s):  
Psychiatric Hospital ◽  
Aggressive Behaviour ◽  
Treatment Targets ◽  
Appropriate Treatment ◽  
Violent Recidivism ◽  
Forensic Psychiatric ◽  
The Relationship

Predictors of Weight Gain and Metabolic Indexes among Men Admitted to Forensic Psychiatric Hospital

2021 ◽  
pp. 1-11
Author(s):  
N. Zoe Hilton ◽  
Elke Ham ◽  
Stephanie Hill ◽  
Talia Emmanuel ◽  
Barna Konkolÿ Thege
Keyword(s):  
Weight Gain ◽  
Psychiatric Hospital ◽  
Forensic Psychiatric

The Biopsychosocial Paradigm in the Assessment of Mental Health of Older Persons

2016 ◽  
Vol 33 (S1) ◽  
pp. S464-S464
Author(s):  
L. Pishchikova
Keyword(s):  
Mental Disorders ◽  
Old Age ◽  
Psychiatric Hospital ◽  
Legal Protection ◽  
Physical Assault ◽  
Dynamic Features ◽  
Criminal Proceedings ◽  
Conceptual Approach ◽  
Forensic Psychiatric ◽  
Biopsychosocial Determinants

The vulnerability of patients of late age in psychiatry increases the professional and ethical requirements to the quality of psychiatric and forensic psychiatric help. It must account for the clinical and dynamic features of mental disorders in old age, biopsychosocial determinants of their formation, be based on a conceptual approach and a comprehensive understanding of the involution processes. To identify biopsychosocial determinants of mental disorders in old age and (or) involving patients to the forensic psychiatric examination, we examined 235 late age patients in criminal and civil cases. Revealed: «non-dement» mental disorders – with 45.5%, psychosis – with 7.7%, dementia – with 46,8%. The results of biopsychosocial determinants of involution are determined as follows: biological: sensory and motor deprivation, multicomorbid somatic neurological pathology, specific syndromes and disorders if late age, dementia; socio-psychological: termination of labor activity, living alone and loneliness, problematic relationship with children because of housing disputes and alcohol; legal: conclusion and contestation of legal civil acts, participation in criminal proceedings as victims and defendants, legal illiteracy, legal controversy, lack of legal protection; victimological: physical (assault, abuse), psychological (threats of commitment into social security institutions, involuntary commitment to a psychiatric hospital and examination by a psychiatrist, hold in the psychiatric hospital), financial violence (fraud with housing for older people and deception, manipulation during conclusion of civil-legal acts), violation of rights of older person (unlawful deprivation of legal capacity).Disclosure of interestThe author has not supplied his/her declaration of competing interest.

Aircraft noise and psychiatric morbidity

1973 ◽  
Vol 3 (4) ◽  
pp. 516-520 ◽  
Author(s):  
F. Gattoni ◽  
A. Tarnopolsky
Keyword(s):  
Psychiatric Hospital ◽  
Psychiatric Morbidity ◽  
Aircraft Noise ◽  
Admission Rates ◽  
The Relationship

SynopsisAn earlier investigation which showed that admission rates to a psychiatric hospital were higher from the higher noise zones close to Heathrow Airport than from relatively quieter areas was repeated. The present paper could not confirm those results, although a trend in agreement with the original findings was found. The scope of the relationship between levels of aircraft noise and types of psychiatric morbidity is discussed.

Forensic care in Germany

2017 ◽  
Vol 41 (S1) ◽  
pp. S61-S61
Author(s):  
H. Dressing ◽  
H.J. Salize
Keyword(s):  
Psychiatric Hospital ◽  
Psychiatric Hospitals ◽  
Epidemiological Data ◽  
Mentally Ill Offenders ◽  
Legal Regulations ◽  
Forensic Patients ◽  
Penal Law ◽  
Forensic Psychiatric ◽  
Competing Interest ◽  
Legal Frameworks

Although the idea that offenders suffering from a mental disorder must primarily be considered as ill and should therefore be exempted from punishment is of considerable antiquity legal frameworks and key concepts, which are applied in this field, differ widely in European Union member States. The respective legal regulations and epidemiological data of Germany will be presented.In German penal law the question of the guilt of an offender is of central significance. Legal regulations on the placement and treatment of mentally ill offenders in a forensic psychiatric hospital are subsumed under the section “Measures on improvement and safety”. Section 63 of the German penal law provides for the temporally unlimited commitment to a forensic- psychiatric hospital.In accordance with section 64 of the German penal law addicted offenders can be committed to a detoxification center for a period of up to two years. The available epidemiological data show a clear increase in the admissions to forensic psychiatric hospitals and to detoxification centers since beginnings of the 1990s. Recently the German parliament passed a new law. The aim of the new law is to strengthen patients’ rights and to diminish the number of forensic patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Risk Assessment and Post-Release Recidivism in a Sample of Juvenile Homicide Offenders

2021 ◽  
pp. 0306624X2110492
Author(s):  
James T. Hubbell ◽  
Kathleen M. Heide ◽  
Norair Khachatryan
Keyword(s):  
Risk Scores ◽  
Future Research ◽  
Chi Square ◽  
Attempted Murder ◽  
Violent Recidivism ◽  
Two Measures ◽  
Juvenile Homicide ◽  
Supreme Court Rulings ◽  
Violent Offenses ◽  
The Relationship

Given recent U.S. Supreme Court rulings regarding the constitutionality of juveniles who received mandated life sentences, questions have arisen in the field of criminology regarding how these offenders will adjust if someday released. Risk scores were calculated for 59 male juvenile homicide offenders (JHOs) based upon the eight domains in the Youth Level of Supervision/Case Management Inventory (YLS/CMI) and used to examine recidivism among the 48 JHOs who were released. Sample subjects were charged as adults for murder and attempted murder in the 1980s, convicted, and sentenced to adult prison. Chi-square analyses were used to assess the relationship between risk score category and two measures of recidivism, which were general arrests and violent offenses. Results indicated risk scores failed to predict both general and violent recidivism. Implications of the findings and directions for future research are discussed.

SWAY: Sleep disturbance as an early warning sign of suicidality in psychiatric inpatients transitioning to the community: an ecological momentary assessment study protocol (Preprint)

2021 ◽  
Author(s):  
Lindsay Dewa ◽  
Sofia Pappa ◽  
Talya Greene ◽  
James Cooke ◽  
Lizzie Mitchell ◽  
...  
Keyword(s):  
Hospital Discharge ◽  
Psychiatric Hospital ◽  
Ecological Momentary Assessment ◽  
Psychiatric Inpatients ◽  
Poor Sleep ◽  
Inpatient Setting ◽  
Initial Hospital ◽  
Ecological Momentary ◽  
The Relationship ◽  
Momentary Assessment

BACKGROUND Patients are at high risk of suicidal behaviour and death by suicide immediately following discharge from an inpatient psychiatric hospital. Furthermore, there is a high prevalence of sleep problems in inpatient settings which is associated with worse outcomes following hospitalisation. However, it is unknown whether poor sleep is associated with suicidality following initial hospital discharge. Our study aim is to examine the relationship between sleep and suicidality in discharged patients using ecological momentary assessment (EMA). OBJECTIVE To examine the relationship between subjective and objective sleep parameters and suicidality in young psychiatric inpatients transitioning to the community, and to explore the underlying mechanisms of this relationship using an adapted Integrated Motivational-Volitional (IMV) model. METHODS Our study will be the first co-produced prospective EMA using a wearable device to examine the sleep-suicide relationship during the transition from acute inpatient care to the community. Prospectively discharged inpatients aged 18-35 with a mental disorder (n>50) will be assessed for eligibility and recruited across two sites. Data on suicidal ideation, behaviour and imagery, non-suicidal self-harm and imagery, defeat, entrapment, and hopelessness, affect and sleep will be collected on the Pro-Diary V wrist-worn electronic watch for up to 14 days. Objective sleep and daytime activity will be measured using the inbuilt MotionWare software. Questionnaires will be administered face-to-face at baseline and follow-up while data will also be collected on the acceptability and feasibility of using the Pro-Diary V watch to monitor the transition following discharge. The study has been, and will continue to be, co-produced with young people with experience of being in an inpatient setting and suicidality. RESULTS South Birmingham Research Ethics Committee (Ref: 21/WM/0128) approved the study on June 28th 2021. We expect to see a relationship between poor sleep and post-discharge suicidality. Results will be available in 2022. CONCLUSIONS This will be the first EMA study to examine the relationship between sleep and suicidality, and to apply the IMV model in young patients transitioning from psychiatric hospital to community. We expect findings will directly influence policy and clinical practice, including the introduction of digital monitoring of suicidality and/or sleep before and after initial hospital discharge.

Limitations Using Neuroimaging to Reconstruct Mental State After a Crime

2021 ◽  
Vol 30 (4) ◽  
pp. 694-701
Author(s):  
Michael J. Vitacco ◽  
Alynda M. Randolph ◽  
Rebecca J. Nelson Aguiar ◽  
Megan L. Porter Staats
Keyword(s):  
Mental State ◽  
Insanity Defense ◽  
Physical Conditions ◽  
Clinical Diagnoses ◽  
History Of ◽  
Forensic Psychiatric ◽  
Brain And Behavior ◽  
And Behavior ◽  
The Relationship ◽  
The Brain

AbstractNeuroimaging offers great potential to clinicians and researchers for a host of mental and physical conditions. The use of imaging has been trumpeted for forensic psychiatric and psychological evaluations to allow greater insight into the relationship between the brain and behavior. The results of imaging certainly can be used to inform clinical diagnoses; however, there continue to be limitations in using neuroimaging for insanity cases due to limited scientific backing for how neuroimaging can inform retrospective evaluations of mental state. In making this case, this paper reviews the history of the insanity defense and explains how the use of neuroimaging is not an effective way of improving the reliability of insanity defense evaluations.

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