What is the role of epidemiology for forensic psychiatry?

Fazel, Seena; Grann, Martin; Långström, Niklas

doi:10.1002/cbm.727

Cited by 8 publications

(7 citation statements)

References 31 publications

(27 reference statements)

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“…Public health and epidemiological methods are used in forensic mental health research (Fazel, Grann, & Långström, ) but have rarely informed criminological research (Akers & Lanier, ; Vaughn, DeLisi, Beaver, Perron, & Abdon, ), despite the focus of epidemiology (i.e. prevalence, incidence, aetiology, and prevention) being congruent with criminology.…”

Section: Methodsmentioning

confidence: 99%

Prenatal maternal smoking, maternal offending, and offspring behavioural and cognitive outcomes in early childhood

Tzoumakis

Carr

Dean

et al. 2018

Criminal Behav Ment Health

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Maternal smoking during pregnancy and maternal offending were uniquely associated with a range of offspring vulnerabilities, but mothers who smoked during pregnancy tended to experience multiple problems that should also be considered as indicators of child vulnerabilities. While early behavioural difficulties were evident in these children, it was striking that they were also likely to have cognitive vulnerabilities. Early intervention to support cognitive development in these children may minimise their risk of academic underachievement, long-term disadvantage, and even offending.

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Section: Methodsmentioning

confidence: 99%

Prenatal maternal smoking, maternal offending, and offspring behavioural and cognitive outcomes in early childhood

Tzoumakis

Carr

Dean

et al. 2018

Criminal Behav Ment Health

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“…2,11,12,[17][18][19] However, before considering high dosing or polypharmacy for schizophrenic patients with psychotic or impulsive violence who have failed to respond adequately to standard antipsychotic treatments, it is important to treat and stabilize any coexisting cognitive dysfunction or substance abuse issues. 5,7,[20][21][22][23][24][25][26][27]…”

Section: Evaluation Of Violence and Treatment Of Comorbidities Beforementioning

confidence: 99%

Treating the violent patient with psychosis or impulsivity utilizing antipsychotic polypharmacy and high-dose monotherapy

Morrissette

Stahl

2014

CNS Spectr.

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Insufficient treatment of psychosis often manifests as violent and aggressive behaviors that are dangerous to the patient and others, and that warrant treatment strategies which are not considered first-line, evidence-based practices. Such treatment strategies include both antipsychotic polypharmacy (simultaneous use of 2 antipsychotics) and high-dose antipsychotic monotherapy. Here we discuss the hypothesized neurobiological substrates of various types of violence and aggression, as well as providing arguments for the use of antipsychotic polypharmacy and high-dose monotherapy to target dysfunctional neurocircuitry in the subpopulation of patients that is treatment-resistant, violent, and aggressive. In this review, we focus primarily on the data supporting the use of second-generation, atypical antipsychotics both at high doses and in combination with other antipsychotics.

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“…Primarily, it is not apparent that systematic approaches to collating forensic mental health research evidence to date have been applied, and it cannot therefore be claimed findings to date are based on all the available outcome research. A significant fugitive literature base in the forensic mental health arena (Fazel, Grann, & Långström, 2009) emphasizes this issue, particularly in reviews where this was excluded (Knabb et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

A Critical Analysis of Clinical Evidence from High Secure Forensic Inpatient Services

Tapp

Perkins

Warren

et al. 2013

International Journal of Forensic Mental Health

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High secure forensic inpatient hospitals serve important functions in the detention and rehabilitation of people with serious mental health needs who present as a risk to society.Establishing whether services are effective in restoring mental health and reducing risk is an important task, but one that has not been systematically undertaken. A systematic review of outcome evidence from this setting was therefore conducted to establish its scope and quality.Evidence was found from twenty-two studies for nine different interventions targeting multiple and overlapping outcomes, which included recidivism, mental health, aggression, social functioning and quality of life. Studies were commonly assessed as being at a potentially high risk of bias from validity threats. The 'best' available evidence was for medication, psychoeducation and third-wave cognitive-behavioural interventions. Clinical implications are tentatively offered given the narrow focus of the review on high security. Directions for the high secure services research agenda are more definitively proposed.

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What is the role of epidemiology for forensic psychiatry?

Cited by 8 publications

References 31 publications

Prenatal maternal smoking, maternal offending, and offspring behavioural and cognitive outcomes in early childhood

Prenatal maternal smoking, maternal offending, and offspring behavioural and cognitive outcomes in early childhood

Treating the violent patient with psychosis or impulsivity utilizing antipsychotic polypharmacy and high-dose monotherapy

A Critical Analysis of Clinical Evidence from High Secure Forensic Inpatient Services

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