Lifetime trauma and suicide attempts in older clients with severe mental illness [2018]

Research examining links between lifetime trauma and suicide attempts in older clients with severe mental illness (SMI) is scarce. We examined associations among six common forms of lifetime trauma and lifetime suicide attempts while controlling for other known correlates of suicide attempts including gender, psychiatric symptoms, thoughts of self-harm/suicide, and

Personality and mental health treatment: Traits as predictors of presentation, usage, and outcome [2018]

Self-report scores on personality inventories predict important life outcomes, including health and longevity, marital outcomes, career success, and mental health problems, but the ways they predict mental health treatment have not been widely explored. Psychotherapy is sought for diverse problems, but about half of those who begin therapy drop out,

Seclusion: the association with diagnosis, gender, length of stay and HoNOS-secure in low and medium secure inpatient mental health service [2018]

The use of seclusion is controversial. Using routinely collected data from low and medium secure service provider in the United Kingdom (n = 347) this study compared secluded and non-secluded Asperger’s syndrome, paranoid schizophrenia, organic personality disorder and emotionally unstable personality disorder patients. Analysis revealed that secluded patients were younger

Violent women: treatment approaches and psychodynamic considerations [2018]

Purpose Some psychodynamic approaches conceptualise female violence as a communication of experiences too difficult to think about. As practitioners, understanding what may be too painful to be thought about is incredibly important in assessment and treatment of forensic populations. Incorporating psychodynamic concepts such as splitting, transference, projection and counter-transference into

Our Sunshine place: A collective narrative and reflection on the experiences of a mental health crisis leading to an admission to a psychiatric inpatient unit [2018]

Acute mental health inpatient units are complex environments where tensions between clinical and personal recovery can be amplified. The focus for mental health staff is often centred on providing clinical care, whereas from the patient perspective, the admission can represent a profound existential crisis. There are very few user‐led accounts

Substance use disorders in patients with intellectual disability admitted to psychiatric hospitalisation [2018]

Background Few studies have looked at the prevalence of substance use disorders (SUD) in people with intellectual disability (ID). The results range between 1% and 6.4% and go up to 20% in people with ID and psychiatric disorders, probably underestimating real prevalence due to several limitations in these studies. ID

Exploratory study of the use of community treatment orders with clients of an Ontario ACT team [2018]

Community Treatment Orders (CTOs) have raised questions about coercion, lack of autonomy, and effectiveness in reducing hospitalizations and improving service users’ quality of life. This study examined the experiences of clients and clinicians when CTOs are used in combination with Assertive Community Treatment (ACT) in a recovery oriented approach. Eleven

Building workforce capacity in Australia and New Zealand: a profile of psychiatrists with an interest in intellectual and developmental disability mental health [2018]

Objective: To describe the characteristics of psychiatrists working in the area of intellectual and developmental disability mental health (IDDMH) across Australia and New Zealand. Methods: A secondary analysis of data collected by the Royal Australian and New Zealand College of Psychiatrists 2014 workforce survey. Characteristics of the IDDMH workforce (n=146

Health-related quality of life in prisoners with attention-deficit hyperactivity disorder and head injury [2018]

Background Attention-deficit hyperactivity disorder (ADHD) and head injury (including traumatic brain injury (TBI)) manifest in high levels across prison samples and guidance from the National Institute for Health and Care Excellence notes that people with acquired brain injury may have increased prevalence of ADHD. We aimed to examine the association

Behavioral and neurobiological mechanisms of punishment: implications for psychiatric disorders [2018]

Punishment involves learning about the relationship between behavior and its adverse consequences. Punishment is fundamental to reinforcement learning, decision-making and choice, and is disrupted in psychiatric disorders such as addiction, depression, and psychopathy. However, little is known about the brain mechanisms of punishment and much of what is known is

Service utilization and suicide among people with schizophrenia spectrum disorders [2018]

Objective To compare individuals with and without schizophrenia spectrum disorders (SSD) (schizophrenia, schizoaffective disorder, or psychotic disorder not otherwise specified) who die by suicide. Method This is a retrospective case control study which compared all individuals who died by suicide in Ontario, Canada with (cases) and without (controls) SSD between

How do ED patients with criminal justice contact compare with other ED users? A retrospective analysis of ED visits in California [2018]

Objective To assess the patterns of emergency department (ED) utilisation among those with and without criminal justice contact in California in 2014, comparing variation in ED use, visit frequency, diagnoses and insurance coverage. Design Retrospective, cross-sectional study. Setting Analyses included ED visits to all licensed hospitals in California using statewide

A Comparison of Participants in Two Community-Based Programs: Assisted Outpatient Treatment and a Mental Health Court [2018]

Objective: Mental health courts and assisted outpatient treatment (AOT) are tools to help people with serious mental illness engage in treatment and avoid or reduce institutionalization. As both programs become increasingly prevalent, questions remain about whether people with severe mental illness who receive AOT have the same characteristics, histories, and

Degree of Anger During Anger-Generating Situations Among Psychiatric Staff Nurses: Association Between Nurses’ Attitudes Toward Service Users’ Aggression and Confidence in Intervening in Aggressive Situations [2018]

Some situations require psychiatric staff nurses to respond to service users’ negativity or aggression. As a result, psychiatric staff nurses may experience anger. The current study examined how anger levels of psychiatric staff nurses triggered by anger-generating situations by service users affected nurses’ confidence and attitudes. A questionnaire survey was

Cross-Cultural Notions of Risk and Liberty: A Comparison of Involuntary Psychiatric Hospitalization and Outpatient Treatment in New York, United States and Zurich, Switzerland [2018]

Involuntary hospitalization is a frequently discussed intervention physicians must sometimes execute. Because this intervention has serious implications for the citizens’ civil liberties it is regulated by law. Every country’s health system approaches this issue differently with regard to the relevant laws and the logistical processes by which involuntary hospitalization generally

Personality Traits Differentiate Subgroups of Criminal Offenders With Distinct Cognitive, Affective, and Behavioral Profiles – 2018

Mental illness and substance use disorder are prominent among jail and prison inmates. Developing more effective mental and behavioral health treatment approaches for incarcerated criminal offenders is a critical step toward reducing rates of recidivism and relapse following release. Specifying subgroups of offenders who differ in cognitive, affective, behavioral, and