Attitudes of Forensic Psychiatric Staff to Self-Harm Behaviors of Their Female Patients

2021 ◽  
pp. 1-11
Author(s):  
Daphné O’Hara ◽  
João Da Silva Guerreiro ◽  
Julie Lefebvre
Keyword(s):  
Female Patients ◽  
Self Harm ◽  
Psychiatric Staff ◽  
Forensic Psychiatric

Characteristics of female patients admitted to an adolescent secure forensic psychiatric hospital

2014 ◽  
Vol 25 (5) ◽  
pp. 503-519 ◽  
Author(s):  
Simon Alastair Hill ◽  
Paul Brodrick ◽  
Ambre Doherty ◽  
Joanne Lolley ◽  
Freya Wallington ◽  
...  
Keyword(s):  
Psychiatric Hospital ◽  
Female Patients ◽  
Forensic Psychiatric

scholarly journals Empathy and Burnout – A Cross-Sectional Study Among Mental Healthcare Providers in France

2019 ◽  
Vol 12 (1) ◽  
pp. 21-29 ◽  
Author(s):  
Livia Sturzu ◽  
◽  
◽  
◽  
Adrian Lala ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Mental Healthcare ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Compassionate Care ◽  
Cross Sectional ◽  
Psychiatric Staff ◽  
Forensic Psychiatric ◽  
Perception Of Security

Previous studies have established a correlation between empathy and burnout among healthcare providers. The aim of this study is to explore whether empathy – the ability to understand what another person is experiencing, was related to mental healthcare staffs’ burnout. We performed a descriptive, cross-sectional, observational study among medical and nursing mental healthcare staff working in the district of Moselle, France. Participants completed a survey including The French versions of the Jefferson Scale of Empathy (JSPE) and The Maslach Burnout Inventory-Human Services Survey (MBI-HSS). The sample included 241 (n=241) participants (N=420, response rate=51.7%). 187 (77.6%) respondents had low burnout, 43 (17.8%) had intermediate burnout and 11 (4.6%) had high burnout. 41 (17%) had low empathy, 156 (64.7) had moderate empathy and 44 (18.3%) scored high. Empathy scores were positively correlated with scores of personal accomplishment of the MBI-HSS (r=0.2; p<0.001), but negatively correlated with scores of depersonalization (r=-0.2; p<0.003). Highest means of depersonalization (DP) (M=8.7; SD=6.8; p<0.009) and lowest means of compassionate care (M=40.05; SD=7.9; p=0.0001) were found among forensic psychiatric security units staff. Participation in the Omega educational program was associated with lower scores of EE on the MBI-HSS survey (mean score 14.7 versus a mean score of 19.7 for nonparticipants). Empathic mental healthcare providers have lower levels of burnout. Forensic psychiatric staff showed low means of compassionate care and high depersonalization. Interventions designed to foster attributes and skills such as empathy, resilience, and perception of security may be an essential step in reducing and preventing burnout.

Deliberate Self-Harm in Female Patients With Affective Disorders

2008 ◽  
Vol 196 (10) ◽  
pp. 743-751 ◽  
Author(s):  
Heinz Boeker ◽  
Holger Himmighoffen ◽  
Miriam Straub ◽  
Christian Schopper ◽  
Jerome Endrass ◽  
...  
Keyword(s):  
Affective Disorders ◽  
Deliberate Self Harm ◽  
Female Patients ◽  
Self Harm

scholarly journals Emotion Regulation and Self-Harm Among Forensic Psychiatric Patients

2021 ◽  
Vol 12 ◽  
Author(s):  
Natalie Laporte ◽  
Stéphanie Klein Tuente ◽  
Andrejs Ozolins ◽  
Åsa Westrin ◽  
Sofie Westling ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Psychiatric Patients ◽  
Self Report ◽  
Medium Effect ◽  
Psychiatric Clinic ◽  
Self Injury ◽  
Forensic Psychiatric Patients ◽  
Significant Difference ◽  
Self Harm ◽  
Forensic Psychiatric

Emotion regulation has been specifically linked to both non-suicidal self-injury (NSSI) and attempted suicide. It is also known that self-harm is disproportionally higher (30–68.4%) in forensic samples than in the general population, yet knowledge about the association between emotion regulation and self-harm in forensic settings is scarce. The purpose of this study was to describe emotion regulation in a sample of forensic psychiatric patients, to explore dimensions and levels of emotion regulation between forensic psychiatric patients with and without self-harm, and to explore associations between forensic psychiatric patients’ self-reported emotion regulation and self-reported functions of NSSI. A cohort of forensic psychiatric inpatients (N=98) was consecutively recruited during 2016–2020 from a high-security forensic psychiatric clinic in Sweden. Data were collected through the self-report measures Difficulties in Emotion Regulation Scale (DERS) and Inventory of Statements About Self-injury (ISAS). In relation to the first aim, median total and subscales scores for DERS were reported. Results showed a statistically significant difference in emotion regulation between participants with and without self-harm (p=0.004), with a medium effect size (Cohen’s d=0.65) for the DERS total scale. The DERS subscales returned large differences for Impulse (p=0.001, d=0.86), Goals (p=0.014, d=0.58), and Strategies (p=0.012, d=0.54) between participants with and without self-harm. Finally, DERS scores were correlated with both the interpersonal (rs=0.531, p&lt;0.001, n=43) and intrapersonal factors (rs=0.503, p&lt;0.001, n=43) of NSSI as reported on the ISAS. Participants with self-harm (NSSI and/or suicide attempts) demonstrated significantly more difficulties with emotion regulation than those without self-harm. Emotion dysregulation was associated with both interpersonal and intrapersonal functions of NSSI in the participants. We suggest further studies on forensic psychiatric patients’ maladaptive behaviors that focus on substance abuse, self-harm, and aggressive behaviors in relation to the regulation and expression of emotion.

Self-harm as a risk factor for inpatient aggression among women admitted to forensic psychiatric care

2016 ◽  
Vol 70 (7) ◽  
pp. 554-560 ◽  
Author(s):  
Heidi Selenius ◽  
Sari Leppänen Östman ◽  
Susanne Strand
Keyword(s):  
Risk Factor ◽  
Psychiatric Care ◽  
Self Harm ◽  
Forensic Psychiatric

scholarly journals Emergency and liaison psychiatry

1990 ◽  
Vol 14 (9) ◽  
pp. 548-549
Author(s):  
Alison Gourdie ◽  
Vivienne Schnieden
Keyword(s):  
Psychiatric Service ◽  
Psychiatric Services ◽  
Liaison Psychiatry ◽  
College Hospital ◽  
Deliberate Self Harm ◽  
Accident And Emergency ◽  
University College ◽  
Self Harm ◽  
Psychiatric Staff

The post of Emergency and Liaison Registrar in the Bloomsbury Rotation was created in 1988 to provide a psychiatric service at University College Hospital, London, in the Accident and Emergency (A&E) Department and to the A&E Ward for assessment of deliberate self harm (DSH) cases. It incorporated existing commitments of liaison to the UCH wards and provision of urgent psychiatric assessments. The service had previously been shared among a number of psychiatric staff. The registrar can thus be seen as a ‘central pivot’ within the District Psychiatric Services.

scholarly journals Self-Harm History, Anxiety-Depression, Severity of Disease, and Insight Are Significantly Associated With Suicide Risk in Forensic Psychiatric Inpatients of China

2021 ◽  
Vol 12 ◽  
Author(s):  
Huijuan Guo ◽  
Shaoling Zhong ◽  
Yuchen Yue ◽  
Ningzhi Gou ◽  
Qiaoling Sun ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Suicide Risk ◽  
Rating Scale ◽  
Psychiatric Symptoms ◽  
Psychiatric Inpatients ◽  
Hunan Province ◽  
Cross Sectional ◽  
Self Harm ◽  
Forensic Psychiatric ◽  
Anxiety Depression

Background: Forensic psychiatric patients have higher suicide risk than the general population. This study aimed to evaluate the extent of suicide risk and to explore the associated factors in forensic psychiatric inpatients in China.Methods: We conducted a cross-sectional study from 1st November, 2018 to 30th January, 2019 in the Forensic Psychiatric Hospital of Hunan Province, China. Patient's information on socio-demographic, clinical, and criminological characteristics was collected. The suicidality subscale of the MINI-International Neuropsychiatric Interview (M.I.N.I.), the Brief Psychiatric Rating Scale (BPRS), and the Severity of Illness of Clinical Global Impressions Scale (CGI-SI) were used to measure present suicide risks, psychiatric symptoms, and the severity of the patient's disease, respectively. Binary logistic regression models were used to examine factors associated with suicide risk.Results: Twenty-one percent (84/408) of the forensic psychiatric inpatients reported suicide risk. Logistic regression analysis suggested that self-harm history (OR:3.47, 95% confidence interval CI: 1.45–8.33), symptoms of anxiety-depression (OR:1.15, 95% CI:1.04–1.27), and more severe mental disorder (OR:1.42, 95% CI:1.08–1.87) were associated with elevated suicide risk, while insight disorder (OR:0.81, 95% CI:0.65–0.99) was related to decreasing suicide risk.Conclusion: The study supplied useful clinical information to recognize high suicide risk in forensic psychiatric inpatients and may aid the development of valuable strategies for preventing and reducing suicide events.

scholarly journals Value of measuring suicidal intent in the assessment of people attending hospital following self-poisoning or self-injury

2005 ◽  
Vol 186 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Louise Harriss ◽  
Keith Hawton ◽  
Daniel Zahl
Keyword(s):  
Demographic Data ◽  
Patient Characteristics ◽  
Self Report ◽  
First Year ◽  
Suicidal Intent ◽  
Female Patients ◽  
Suicide Intent ◽  
Self Harm ◽  
Measuring Scale

BackgroundSelf-harm is associated with a high risk of suicide. It is unclear whether suicidal intent at the time of self-harm is a risk factor for future suicidal behaviour.AimsTo investigate the relationship between suicidal intent and patient characteristics, repetition of self-harm, and suicide.MethodClinical and demographic data on 4415 patients presenting to hospital following self-harm between 1993 and 2000 were analysed. Suicidal intent was measured using the Beck Suicide Intent Scale (SIS). Follow-up information on repetition of self-harm and suicide was investigated for 2489 patients presenting between 1993 and 1997.ResultsSuicidal intent at the time of self-harm was associated with risk of subsequent suicide, especially within the first year and among female patients. Suicide was more strongly associated with scores on the circumstances section of the SIS than the self-report section. The association between repetition of self-harm and SIS scores was different for male and female patients.ConclusionsThe measurement of suicidal intent in the assessment of self-harm patients is beneficial for the evaluation of future suicide risk. A shortened measuring scale might be useful in clinical practice.

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