‘If one doesn't happen, the other will’: forensic mental health service patients’ experiences of co-occurring self-harm and aggression
BJPsych Open,
Год журнала:
2025,
Номер
11(1)
Опубликована: Янв. 1, 2025
Background
Co-occurring
self-harm
and
aggression
(dual
harm)
is
particularly
prevalent
among
forensic
mental
health
service
(FMHS)
patients.
There
limited
understanding
of
why
this
population
engages
in
dual
harm.
Aims
This
work
aims
to
explore
FMHS
patients’
experiences
harm
how
they
make
sense
behaviour,
with
a
focus
on
the
role
emotions.
Method
Participants
were
identified
from
their
participation
previous
study.
Sixteen
patients
lifetime
history
recruited
two
hospitals.
Individuals
participated
one-to-one,
semi-structured
interviews
where
reflected
past
and/or
current
aggression.
Interview
transcripts
analysed
using
reflexive
thematic
analysis.
Results
Six
themes
generated:
as
emotional
regulation
strategies,
consequences
witnessing
harmful
behaviours,
relationships
others
self,
trapped
within
criminal
justice
system,
convergence
divergence
aggression,
moving
forward
an
patient.
Themes
highlighted
shared
risk
factors
across
participants,
including
dysregulation,
perceived
lack
social
support
behaviours.
underlined
duality
primarily
utilising
both
regulate
negative
These
behaviours
also
fulfilled
distinct
purposes
at
times
(e.g.
punishment,
defence).
The
impact
contextual
FMHSs,
restrictive
practices
institutionalisation,
emphasised.
Conclusions
Findings
provide
recommendations
that
can
help
address
settings,
(a)
transdiagnostic,
individualised
approaches
consider
aggression;
(b)
cultural
organisational
recovery-centred
practice.
Язык: Английский
Navigating Dual-Harm: Integrating Self- and Other-Harm Into Public Health Inquiry
American Journal of Public Health,
Год журнала:
2025,
Номер
115(4), С. 596 - 604
Опубликована: Март 12, 2025
Dual-harm,
the
co-occurrence
of
self-
and
other-harm,
recognizes
overlap
between
these
outcomes
aggressive
behavior
their
potential
shared
causes.
Little
progress
has
been
made
in
preventing
responding
to
dual-harm
broader
population,
it
remains
understudied
public
health
research.
We
posit
that
scientific
investigation
would
greatly
benefit
from
application
principles
methods.
In
this
essay,
we
operationalize
as
a
problem
identify
gaps
knowledge,
addressing
its
conceptual
definitional
issues,
prevalence
estimates,
methodological
considerations,
theoretical
foundations,
risk
factors,
prevention
strategies.
also
offer
series
recommendations
advance
study
challenge
notion
conflating
nonfatal
with
homicide-suicide
part
continuum,
arguing
they
are
distinct
phenomena.
need
for
epidemiological
studies
characterize
those
engaging
better
understand
mechanisms
outcomes,
focusing
on
adolescence
critical
developmental
period.
Future
should
develop,
implement,
evaluate
targeted
intervention
preventive
efforts
individuals
involved
or
at
dual-harm.
(
Am
J
Public
Health.
2025;115(4):596–604.
https://doi.org/10.2105/AJPH.2024.307940
)
Язык: Английский
A systematic review of the co-occurrence of self-harm and aggression: Is dual harm a unique behavioural construct?
Frontiers in Psychiatry,
Год журнала:
2023,
Номер
14
Опубликована: Фев. 16, 2023
Introduction
Dual
harm
is
the
co-occurrence
of
self-harm
and
aggression
during
an
individual’s
lifetime.
It
unclear
whether
sufficient
evidence
exists
for
dual
as
a
unique
clinical
entity.
This
systematic
review
aimed
to
examine
there
are
psychological
factors
that
uniquely
associated
with
when
compared
those
who
have
engaged
in
sole
(self-harm
alone,
alone)
no
harmful
behaviours.
Our
secondary
aim
was
conduct
critical
appraisal
literature.
Methods
The
searched
PsycINFO,
PubMed,
CINAHL,
EThOS
on
September
27,
2022,
resulting
31
eligible
papers
represented
15,094
individuals.
An
adapted
version
Agency
Healthcare
Research
Quality
used
assess
risk
bias
narrative
synthesis
conducted.
Results
included
studies
assessed
differences
mental
health
problems,
personality,
emotion
related
between
different
behavioural
groups.
We
found
weak
independent
construct
characteristics.
Rather,
our
suggests
results
from
interaction
aggression.
Discussion
identified
numerous
limitations
within
Clinical
implications
recommendations
future
research
provided.
Systematic
registration
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=197323
,
identifier
CRD42020197323.
Язык: Английский
When it rains it pours? A time-series approach to the relationship between homicide and other adverse health phenomena
Journal of Public Health,
Год журнала:
2023,
Номер
32(9), С. 1691 - 1696
Опубликована: Май 20, 2023
Abstract
Aim
This
paper
aims
to
better
understand
the
relationship
between
homicide
and
other
public
health
outcomes,
by
studying
their
trends
over
time.
Subject
methods
Research
in
both
criminology
has
long
identified
that
crime
violence
tend
cluster
together
with
adverse
phenomena
social
domains.
However,
such
work
relied
primarily
on
cross-sectional
analyses.
Here,
we
instead
study
We
take
data
from
Netherlands,
2000
2020,
ask
whether
shows
similar
time
as
–
smoking
behaviour,
alcohol
use,
child
mortality,
adolescent
pregnancies,
suicide.
Results
observe,
first,
all
of
exception
suicide
declined
period
under
study.
then
employ
a
series
analysis
examine
these
arise
independently,
or
they
are
result
structural
similarities
phenomena.
showed
decline
rates
is
linked
pregnancies
‘move
together’
during
Conclusion
phenomenon
shares
teenage
one
other.
More
generally,
current
furthers
our
understanding
place
domain
(public)
health.
Язык: Английский