Forensic Flashcards
What is the best predictor of future violence?
History of past violence
What are some predictors of future violence?
- substance misuse
- previous expression of intent to harm others
- previous dangerous impulsive acts
- denial of previous established dangerous acts
- explosive or impulsive personality traits
- active symptoms of schizophrenia or mania
What is most likely to be associated with juvenile delinquency (law breaking activity in 10-20 year olds)?
parent criminality
Which factors are asscoiated with juvenile delinquency (law breaking activity in 10-20 year olds)?
- parent criminality
- low IQ
- Conduct disorder
- large family size
What % of children will have stopped offending by aged 19?
50%
What’s the prevalence of violence in outpatients with Schizophrenia?
5%
What’s the most common type of aggression in people with Schizophrenia?
verbal
Criminal behaviour in patients with Schizophrenia
- it increases with substace misuse
- Patients with schizophrenia usually assault a known person rather than a stranger.
- Violence is a common precipitant prior to the first admission to psychiatric ward
- Violence in patients with schizophrenia is not always a result of psychosis
-THEY DO NOT HAVE HIGHER RATES OF OFFENDING THAN THE GENERAL POPULATION
Criminal behaviour in patients with epilepsy
- There is an approximately twofold increase in the prevalence of epilepsy in prisoners compared with the general population
- the rate and type of offending by those with epilepsy are similar to the general population
- low intelligence is associated with violence in people with epilepsies
OFFENDING IS RARELY DURING THE ICTAL PHASE
Which offence is most associated with people with Asperger syndrome?
Property destruction and Fire setting
Which methods can be used to treat sex offenders?
-Cyproterone
-medroxyprogesterone
(both are contraindicated in liver disease and VTE)
-SSRIs where there are ruminations
-CBT
Which tools are useful for predicting sex offence recidivism?
- Rapid Risk Assessment for Sex Offence Recidivism (RRASOR)
- Sex Offender Risk Appraisal Guide (SORAG)
- Sexual Violence Risk-20 (SVR-20)
- Structured Anchored Clinical Judgement (SACJ)
What is the most important risk factor for violence both in general and mentally disordered populations?
Substance misuse
What is Pseudologia fantastica?
Pseudologia fantastica is one of the more extreme forms of pathological lying. This is a matrix of facts and fiction, mixed together in a way that makes the reality and fantasy almost indistinguishable. It is usually seen in forensic practice.
The duty to warn the 3rd parties in case of imminent danger is illustrated by which case?
Tarasoff’s case
Victims of womens’ violent acts are more likely to be?
Family members
What are the The Fitness to Plead / Pritchard Criteria?
Relates to the mental state of the defendant at the time of the trial. They include:
- ability to understand charges
- ability to follow proceedings
- ability to instruct counse
- ability to understand the difference between pleading guilty and not guilty
- ability to challenge a juror
What does not interfere with one’s fitness to plead?
Amnesia for the offense
What is Ganser’s syndrome?
Ganser’s syndrome is a rare dissociative disorder - often seen in people awaiting trial
What are the core features of Ganser’s syndrome?
approximate answers, clouding of consciousness, somatic conversion symptoms and hallucinations (visua pseudohallucinations)
Which of the following types of stalker is most likely to commit a homicide?
Predatory stalker
In females which age group is associated with the highest risk of committing a homicide?
30-39
Which mental illness most closely linked with murder-suicide?
Depression, especially in men
Which diagnosis is most commonly made in stalkers?
Antisocial PD