MRCPsych Paper B - Forensic Flashcards

1
Q

Percentage of people held in custody by police that have a mental disorder

A

39%

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2
Q

Prevalence of psychotic disorders in prisons compared to the general population (how many times)

A

10x

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3
Q

Profile of internet child pornography offenders (ICPO)

A

younger, better educated, employed, have higher incomes, less antisocial and subs user, single

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4
Q

M:F conviction rate for any offence in the UK

A

5:1

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5
Q

When women with psychosis commit homicide, victims are usually what age

A

<16yo, usually a family member

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6
Q

Proportion of men discharged from medium secure units that are convicted of a violent offence within 5 yrs of discharge

A

1 in 6

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7
Q

Percentage of psychiatrists that reported being stalked during their career

A

10%, 30% reported harassment
*20% in hi-yield notes

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8
Q

Proportion of elderly prisoners that have a mental illness

A

> 50%
*most common is depression (30%)

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9
Q

Proportion of domestic violence experienced by men

A

30%

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10
Q

Percentage of people who commit homicides that have a mental illness

A

10%

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11
Q

Percentage of new offenders among those charged of indecent exposure

A

80%

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12
Q

Percentage of violence in the population that can be ascribed to psychosis

A

5%

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13
Q

Factor that contributes most to the risk of suicide in prison

A

Occupying a single cell

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14
Q

Insane automastism

A

intrinsic cause - sleep walking, brain tumors, epilepsy
*acquittal on the grounds of insanity

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15
Q

Sane automatism

A

extrinsic cause - confusional states, concussion, reflex actions, dissociative states, sleep terrors, hypoglycemia
*complete acquittal

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16
Q

Prevalence of ID within prison populations

A

2-30%

17
Q

Actuarial instrument for violence risk assessment

A

Violence Risk Appraisal Guide (VRAG)
Violence Risk Scale
PCL-R (HARE) - psychopathy test
The Static 99 - 10 item, estimate sexual recidivism
Sexual offender risk assessment guide (SORAG) - 14 item, assess violent recidivism risk in sexual offenders

18
Q

Structured risk tools for violence risk assessment

A

HCR-20 - violence risk
SARA - spousal assault
SVR - sexual violence

19
Q

2 factors most associated with sexual recidivism

A

deviant sexual interests
antisocial orientation/lifestyle instability

20
Q

Percentage of female homicides that are DV related

A

38%

21
Q

Most common psychiatric diagnosis in arsonists

A

substance use disorders & personality disorders

22
Q

Personality trait more commonly seen in elderly sexual offenders compared to elderly non-sex-offenders

A

schizoid, obsessive-compulsive, and avoidant

23
Q

Most common forensic presentation or offence of conduct disorder

A

shoplifting

24
Q

3 explanations for memory loss or amnesia in offenders

A
  1. suffering from brain dysfunction during the time of the crime (organic amnesia)
  2. extreme emotional condition when committing the crime (dissociative amnesia)
  3. pretending to unable to remember (feigned amnesia)
25
Q

Risk factor that increases the risk of violence in association with stalking

A

stalker is an ex-partner

26
Q

Considered to be a test for fitness to give evidence in court

A

Ability to understand questions posed by the court

27
Q

Proportion of homicide perpetrators with a primary diagnosis of PD that received prison sentence

A

9%

28
Q

Percentage of homicide perpetrators with a primary diagnosis of a PD had no contact with the mental health services in the year before

A

7%

29
Q

Percentage of PD patients had no other psychiatric illness at the time of committing the homicide

A

45%

30
Q

Percentage of homicide perpetrators with a history of mental disorder has PD as a primary diagnosis

A

25-30%

31
Q

A tool that guides decisions regarding the need for, and level of, secure placement

A

DUNDRUM

32
Q

Proportion of shoplifters that will reoffend after conviction

A

10%

33
Q

Proportion of prisoners that will self-harm during their prison term

A

10%

34
Q

Lifetime rate of any mental disorder in perpetrators of homicide

A

30%

35
Q

Probability of having a mental disorder at the time of committing a homicide offence

A

10%