Forensic psychiatric inpatients and aggression: An exploration of incidence,prevalence, severity,and interventions by gender |
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| Authors: | Tonia L. Nicholls Johann Brink Caroline Greaves Patrick Lussier Simon Verdun-Jones |
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| Affiliation: | 1. Forensic Psychiatry, Department of Clinical Sciences, Malmö, Lund University, Sweden;2. Institute of Neuroscience and Physiology, Centre of Ethics, Law and Mental Health (CELAM), University of Gothenburg, Sweden;3. Department of Psychiatry, Autism Research Centre, Cambridge University, UK;1. Niuvanniemi Hospital, Department of Forensic Psychiatry, University of Eastern Finland, Niuvankuja 65, FI-70240 Kuopio, Finland;2. Department of Nursing Sciences, University of Eastern Finland, Yliopistonranta 1 C, FI-70200 Kuopio, Finland;3. Karolinska Institutet, Department of Clinical Neuroscience, Byggnad R5, SE-17176 Stockholm, Sweden;1. School of Medicine Division of Psychiatry and Applied Psychology, Section of Forensic Mental Health, Institute of Mental Health, University of Nottingham Innovation Park, Triumph Road, Nottingham NG7 2TU, United Kingdom;2. Institute of Mental Health, University of Nottingham Innovation Park, Triumph Road, Nottingham NG7 2TU, United Kingdom;3. Head of Section Forensic Mental Health, School of Medicine Division of Psychiatry and Applied Psychology, Institute of Mental Health, University of Nottingham Innovation Park, Triumph Road, Nottingham NG7 2TU, United Kingdom;1. School of Psychology, University of Central Lancashire, Darwin Building, Preston PR1 2HE, UK;2. Ashworth Research Centre, Mersey Care NHS Trust, OER Building, Parkbourn, Maghull L31 1HW, UK;1. Psychiatric Epidemiology and Evaluation Unit, Saint John of God Clinical Research Center, Brescia, Italy;2. Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy;3. Service of Statistics, Saint John of God Clinical Research Center, Brescia, Italy;4. Department of Psychology, Harvard University, Cambridge, MA, USA |
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| Abstract: | BackgroundPrevious investigations suggest that women judged to be not criminally responsible on account of mental disorder (NCR-MD) differ markedly from their male counterparts in important ways, underscoring the necessity of subsequent study.ObjectiveThe goal of the present study was to inform our understanding of the presenting profile of female forensic psychiatric patients and contrast their risk of inpatient aggression with their male counterparts.MethodThe population of patients assessed and/or treated at a secure Canadian forensic psychiatric hospital were available for study. In total, 527 patients had complete data and were part of intensive retrospective file reviews; inpatient aggression was evaluated using the Overt Aggression Scale.ResultsWomen were no less likely than men to have a violent index offence and to perpetrate inpatient aggression. Examining the range of aggressive behaviours and severity levels did little to increase the relevance of gender to inpatient risk.DiscussionFemale forensic patients represent a highly selected subgroup of women with exceptional clinical and behavioural challenges and associated treatment needs. |
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