The Relationship Among Malingering, Psychopathy, and the MMPI-2 Validity Scales in Maximum Security Forensic Psychiatric Inpatients

Valid MMPI and WAIS subscale raw scores, collected from 197 psychiatric inpatients, were subjected to bivariate, multiple, and canonical correlational analyses. 25% of the bivariate correlations and 50% of the multiple correlations were significant. A canonical R of .609 obtained between the WAIS subtests and the MMPI clinical scales, and a canonical R of .394 between the WAIS subtests and the MMPI validity scales. While bivariate relationships between pairs of specific MMPI and WAIS subscales are small, a not inconsequential amount of overlapping variance between the two is observed using multivariate techniques. The relationship between the MMPI clinical scales and the MMPI subtests is accounted for by a cognitive factor. General intellectual ability is hypothesized to account for the relationship between the MMPI validity scales and the WAIS subtests.

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Presence and Persistence of Sleep-Related Symptoms and Suicidal Ideation in Psychiatric Inpatients

Crisis ◽

10.1027/0227-5910/a000279 ◽

2014 ◽

Vol 35 (6) ◽

pp. 398-405 ◽

Cited By ~ 17

Author(s):

Michael R. Nadorff ◽

Thomas E. Ellis ◽

Jon G. Allen ◽

E. Samuel Winer ◽

Steve Herrera

Keyword(s):

Risk Factor ◽

Suicidal Ideation ◽

Inpatient Treatment ◽

Improve Method ◽

Sleep Problems ◽

Psychiatric Inpatients ◽

Poor Sleep ◽

Treatment Termination ◽

Suicidal Patients ◽

The Relationship

Background: Although sleep is an important risk factor for suicidal behavior, research has yet to examine the association between sleep problems and suicidality across the course of inpatient treatment. This study examined the relationship among sleep-related symptoms and suicidal ideation across inpatient treatment. Aims: To examine whether poor sleep at admission longitudinally predicts less improvement in suicidal ideation over the course of treatment. Further, to examine whether suicidal ideation is reduced in patients whose sleep does not improve. Method: The study utilized the Beck Depression Inventory (BDI)-II, which contains items measuring depressive symptoms, sleep-related symptoms, and suicidal ideation. The study sample consisted of 1,529 adult psychiatric inpatients. Patients were assessed at admission, biweekly, and at treatment termination. Results: Admission fatigue, loss of energy, and change in sleep pattern were associated with higher levels of suicidal ideation at admission and discharge. Fatigue at admission predicted suicidal ideation at termination independent of admission depression and suicidal ideation. Individuals whose sleep did not improve over the course of treatment had significantly higher suicidal ideation scores at termination relative to those whose sleep symptoms improved, after controlling for sleep, depression, and suicidal ideation scores at admission. Conclusion: These findings suggest that persistence of sleep-related symptoms warrants clinical attention in the treatment of suicidal patients.

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Assessing change in dynamic risk factors in forensic psychiatric inpatients: relationship with psychopathy and recidivism

Journal of Forensic Psychiatry and Psychology ◽

10.1080/14789949.2017.1377277 ◽

2017 ◽

Vol 29 (2) ◽

pp. 323-336 ◽

Cited By ~ 5

Author(s):

Bianca Mastromanno ◽

Delene M. Brookstein ◽

James R. P. Ogloff ◽

Rachel Campbell ◽

Chi Meng Chu ◽

...

Keyword(s):

Risk Factors ◽

Psychiatric Inpatients ◽

Dynamic Risk Factors ◽

Dynamic Risk ◽

Forensic Psychiatric

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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

Psychology Crime and Law ◽

10.1080/10683160601060861 ◽

2007 ◽

Vol 13 (5) ◽

pp. 431-441 ◽

Cited By ~ 17

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

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A maximum Security Forensic-Psychiatric Clinic, Based on Psycho-Analytic Principles: The Dr. S. Van Mesdag-Clinic in Groningen, The Netherlands

Psychiatry ◽

10.1007/978-1-4613-2365-5_53 ◽

1985 ◽

pp. 353-357

Author(s):

R. C. Hoekstra

Keyword(s):

The Netherlands ◽

Psychiatric Clinic ◽

Maximum Security ◽

Forensic Psychiatric

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A Classic Case of Horrible Family Violence Where the Father Tried To Kill His Children – Dynamics of the Relationship between the Perpetrator and the Victim in Forensic Psychiatric Examination

10.35248/2475-319x.19.4.150 ◽

2019 ◽

Vol 04 (03) ◽

Author(s):

Siniša Franjić

Keyword(s):

Family Violence ◽

Psychiatric Examination ◽

Classic Case ◽

Forensic Psychiatric ◽

The Relationship

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

10.2196/preprints.33817 ◽

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.

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Limitations Using Neuroimaging to Reconstruct Mental State After a Crime

Cambridge Quarterly of Healthcare Ethics ◽

10.1017/s0963180121000165 ◽

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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