The AIS uses a common language to describe and rate aggressive incidents Incidents are recorded each day, and a total is provided for each week and month. This results in a cumulative and graphic depiction
The HARM is a structured clinical judgment tool that guides the assessor(s) to formulate opinions regarding risk of violence. It combines both historical/static and dynamic factors to assess risk as reflected in the literature. The
BackgroundSpitefulness is the inclination to inflict harm to someone else even at one’s own expenses. The development of a self‐report measure (the Spitefulness Scale [SS]) has fostered the investigation of the relationships between spitefulness and
PurposeThis study aimed to describe the perceptions and lived experiences of former psychiatric patients of their own and/or co‐patients’ behavior that nursing staff has regarded as challenging and that has resulted in behavior management. Design
Scientific research shows that the likelihood of aggressive behaviour in people with mental disorders compared to healthy people is usually higher than among healthy people. Considering the social harmfulness of acts committed by persons suffering
BackgroundSome aggressive acts committed by individuals with psychotic spectrum disorders (PSD) are understandable in the context of interpersonal conflict or goal attainment, yet others are unpredictable, arising from delusions or hallucinations (psychotically driven aggressive acts,
Seclusion and restraint are coercive practices associated with physical and psychological harm. International bodies have called for an end to these practices. However, these practices continue to be used. Elimination programmes have had some success
When undertaking a forensic risk assessment with a young person, most evaluators complete an assessment interview to elicit autobiographical history as well as perspectives, thoughts and feelings about the individual’s offending behaviour. While forensic risk
Limited research to date has focused on strengths-based rehabilitative approaches, such as the Good Lives Model (GLM) and the additive benefits such approaches have in ameliorating mental health needs of those in contact with forensic
Older forensic psychiatric patients (defined as aged 50 or over) have complex needs and require specialized treatment to enable recovery and reduce risk. Little is known about what service provision is available for this population,
The current article aims to examine the performance of two brief, dynamic risk measures – the Brockville Risk Checklist (BRC4) and one of two versions of the Hamilton Anatomy of Risk Management [HARM‐FV and electronic
BackgroundSome forensic patients in England remain in secure care for long, possibly unnecessarily prolonged, periods, raising significant ethical and resource issues. Research focused on the patients in secure care has examined quality of life and
IntroductionPeople with mental disorders have increased risk of dying from diabetes and cardiovascular diseases, both of which can be prevented by lifestyle. AimTo review existing research, in order to investigate the characteristics of, and factors
Severe mental illness, especially psychotic disorders that are worsening, acute or complicated, normally require intensive psychiatric care and treatment that is most appropriately provided in a mental hospital. For criminal defendants, transfer to a forensic
Highlights• Impulsiveness considered a risk factor for violence in forensic populations • Systematic review of factors associated with impulsivity in forensic populations • Elevated impulsivity linked to TBI, substances or alcohol misuse, trauma and poor
The clinical characteristics of 13 patients with Gender Dysphoria (GD) admitted to a mixed gender secure psychiatric hospital for adolescents were analysed. The main finding was that all 13 patients were biologically female but identified
After being found not guilty by reason of insanity (NGRI), individuals are typically admitted to a secure forensic hospital for evaluation and treatment. This patient population can pose a challenge to clinicians in the hospital
BackgroundIncreasing physical activity in patients with severe mental illness is believed to have positive effects on physical health, psychiatric symptoms and as well quality of life. Till now, little is known about the relationship between
There is limited evidence to inform effective screening practices for identifying fetal alcohol spectrum disorder (FASD) in forensic mental health settings. This study sought to explore the potential use of four FASD screening tools in
Several studies found associations between poor sleep quality and aggression in general and (forensic) psychiatric populations. Both poor sleep and aggression have been related previously to general psychopathology, but studies rarely have addressed this possible
