Forensic - Mentor & more 2 Flashcards
What was the prevalence of ‘any personality disorder’ in male remand prisoners according to the 1997 study?
78%
The prevalence was 64% for male sentenced prisoners and 50% for female prisoners.
Which personality disorder had the highest prevalence among prisoners?
Antisocial personality disorder
Paranoid personality disorder was second, particularly among males.
What percentage of female prisoners were found to have antisocial personality disorder?
31%
Additionally, 20% had borderline personality disorder.
What were the prevalence rates for any functional psychosis in male sentenced, male remand, and female prisoners?
7% (male sentenced), 10% (male remand), 14% (female)
These rates indicate the mental health challenges faced within the prison population.
In comparison to sentenced prisoners, how did rates of suicidal ideation and attempts differ for remand prisoners?
Higher in remand prisoners
Women reported higher rates of suicidal ideation and attempts than males.
What did the 2001 study find regarding the mental health of older prisoners?
53% had a psychiatric diagnosis
Approximately 30% had a diagnosis of depression and 30% had a diagnosis of personality disorder.
What is the Rapid Risk Assessment for Sex Offence Recidivism (RRASOR)?
An actuarial tool used to predict the risk of sex offence recidivism
It includes factors such as the number of past sex offence convictions and the age of the offender.
What is the two-year re-conviction rate for restricted patients compared to the general prison population?
7% for all offences and 1% for grave offences (restricted patients) vs. 65% for any offence (prison population)
This highlights the differences in recidivism risks between these groups.
What are the three main methods for assessing risk to others?
- Unstructured clinical approach
- Actuarial risk assessment
- Structured professional judgement
Each method varies in reliability and framework.
What does the Historical-Clinical-Risk Management-20 (HCR-20) tool assess?
Risk of violence
It consists of 20 items divided into historical, clinical, and risk management factors.
What is the purpose of the Sexual Violence Risk-20 (SVR-20)?
To characterize an individual’s risk of committing sexual violence
It also helps in targeting plans to manage that risk.
What common method of suicide was reported among prisoners?
Hanging or self-strangulation
This method accounted for 92% of suicides.
What percentage of suicides among prisoners occurred within 7 days of reception into prison?
32%
This statistic highlights the critical period of vulnerability for new prisoners.
What factors increase the risk of suicide in prisoners?
- Being in a single cell
- Being married
- Being male
- Having a psychiatric illness
- Having a history of substance misuse
- Having a history of previous self-harm or attempted suicide
- Recent suicidal ideation
- Being on remand
These factors indicate the multifaceted nature of suicide risk within the prison environment.
True or False: Most people with mental disorders are violent.
False
The vast majority of people with mental disorders are not violent.
What is the relationship between substance misuse and violence in individuals with mental disorders?
Substance misuse greatly increases the risk of violence
This applies to both individuals with mental disorders and community controls.
What is a recommended initial medication for rapid tranquillisation according to NICE?
IM lorazepam
This is recommended when oral options are refused.
What is the primary focus of the Maudsley Guidelines regarding rapid tranquillisation?
To provide recommendations for managing acute agitation and distress
These guidelines include various medication options.
What is the recommended oral dose of lorazepam for patients already on antipsychotics?
1-2 mg
This is part of the treatment protocol for managing agitation.
What is the oral dose of promethazine that can be prescribed alongside antipsychotics?
25-50 mg
Promethazine can be used to enhance the effects of other medications.
What is the oral dose of olanzapine for patients not already taking an antipsychotic?
10 mg
Olanzapine is used as an initial treatment for agitation.
What is the recommended IM dose of lorazepam?
2 mg
IM lorazepam is used in acute situations.
What should IM olanzapine NOT be combined with?
IM benzodiazepines
Combining these can lead to adverse effects.
What is the IM dose of promethazine?
50 mg
Useful in benzodiazepine-tolerant patients.
