The State Hospital survey: A description of psychiatric patients in conditions of special security in Scotland

Thomson, Lindsay; Bogue, John; Humphreys, Martin; Owens, David C.; Johnstone, Eve C.

doi:10.1080/09585189708412010

Cited by 61 publications

(73 citation statements)

References 9 publications

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“…There is evidence of considerable variation amongst patients from different parts of the country: Murray et al (1994) report that 37% of patients from the NorthWest Thames region are non-white. At Carstairs, only 1% are non-white (Thomson et al, 1997).…”

Section: Ethnicitymentioning

confidence: 98%

“…There is evidence of regional variation in that proportion (Table 1). Taylor et al (1998) All 1740 patients in the English special hospitals in 1993 83 Huws and Shubsachs (1993) 4571 patients resident in the English special hospitals between 1976and 198880 O'Grady et al (1992 21 patients in the English special hospitals from the city of Leeds 62 Murray et al (1994) 111 patients from the North-West Thames region 91 Thomson et al (1997) Carstairs State Hospital in Scotland 88…”

Section: Sexmentioning

confidence: 99%

See 1 more Smart Citation

A review of recent academic literature on the characteristics of patients in British special hospitals

Williams

Badger

Nursten

et al. 1999

Criminal Behav Ment Health

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Section: Ethnicitymentioning

confidence: 98%

Section: Sexmentioning

confidence: 99%

A review of recent academic literature on the characteristics of patients in British special hospitals

Williams

Badger

Nursten

et al. 1999

Criminal Behav Ment Health

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“…The cases represented only 2% of the forensic psychiatric evaluations, underlining the difficulty of finding a sample with a primary diagnosis of personality disorder. This low percentage is partly because we excluded any Axis I comorbidity in the selection of cases, as they are themselves associated with perinatal complications (Preti et al, 2000; but is consistent with other samples of patients in secure hospitals (Thomson et al, 1997). Finally, the personal identification number system in Sweden allowed merging across two databases with no loss of information on cases or controls, avoiding problems in countries such as the US and UK with aliases in offender populations (Harry 1986;Martin et al, 2005).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Perinatal Risk Factors in Offenders with Severe Personality Disorder: A Population-based Investigation

Fazel¹,

Bakiyeva²,

Cnattingius³

et al. 2012

Journal of Personality Disorders

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Although perinatal factors are associated with the development of several psychiatric disorders, it is unknown whether these factors are linked with personality disorder. Cases of personality disorder were drawn from a national registry of all forensic psychiatric evaluations (n=150). Two control groups were used: 1. A sample of forensic evaluations without any psychiatric disorder (n=97) allowing for a nested case-control investigation; 2: A population-based sample matched by age and gender with no history of psychiatric hospitalization (n=1498). Prematurity (<37 weeks of completed gestation) was significantly associated with a diagnosis of personality disorder, both in the nested and the population-based case-control comparisons with adjusted odds ratios (OR) for this risk factors ranging from 2 to 4. Asphyxia (adjusted OR=2.4, 95% CI: 1.4-4.1) and complicated delivery (adjusted OR=1.5, 1.0-2.1) were associated with personality disorder in the population-based study, and the former remained significant in multivariate models. Overall, perinatal complications were found to be associated with a later diagnosis of personality disorder in this selected sample. As with other psychiatric disorders where such associations have been demonstrated, changes during the perinatal period may lead to abnormal brain development and function.

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“…In the high-security hospitals it was found that 54-75% of disturbed or offending behaviour leading to admission was psychotically motivated (Thomson et al, 1997;Taylor et al, 1998). Wessely et al (1993) in a study of 83 patients admitted to an acute psychiatric hospital with psychotic illness, mainly schizophrenia, found that 60% of participants reported at least one action based on a delusional belief and 20% reported three or more.…”

Section: Symptomsmentioning

confidence: 99%

“…Carstairs is administered by the State Hospital Board for Scotland which has the status of a special health board. The population of the high-security hospitals has been extensively described (Maden et al, 1993;Thomson et al, 1997;Taylor et al, 1998). Both north and south of the border 30-50% of their patients have been said not to require high-security psychiatric care.…”

Section: High-security Psychiatric Care In the Ukmentioning

confidence: 99%

Management of schizophrenia in conditions of high security

Thomson¹

2000

Adv. psychiatr. treat

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There are four high-security hospitals in the UK: Broadmoor Hospital in Berkshire (founded in 1863), Rampton Hospital in Nottinghamshire (1914), Ashworth Hospital in Merseyside (1990), which opened following the amalgamation of Park Lane (1974) and Mosside Hospitals (1913), and the State Hospital at Carstairs in Lanarkshire (1948). The first three are known as the special hospitals and serve England and Wales. The latter offers a special security service, combining high and medium secure care, for the whole of Scotland and Northern Ireland – there is no form of medium secure psychiatric provision in these countries. All four hospitals provide care for patients with mental disorders and dangerous, violent or criminal propensities. There are approximately 1550 beds in these facilities and all patients are formally detained under mental health or criminal legislation. The special hospitals are currently administered by the high-security psychiatric services commissioning team, managed locally as individual authorities, although in the future it is intended to integrate them more fully into the National Health Service (NHS) and to organise both high and medium secure services at a regional level. Carstairs is administered by the State Hospital Board for Scotland which has the status of a special health board.

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The State Hospital survey: A description of psychiatric patients in conditions of special security in Scotland

Cited by 61 publications

References 9 publications

A review of recent academic literature on the characteristics of patients in British special hospitals

A review of recent academic literature on the characteristics of patients in British special hospitals

Perinatal Risk Factors in Offenders with Severe Personality Disorder: A Population-based Investigation

Management of schizophrenia in conditions of high security

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