Can we distinguish the perpetrators of a homicide-suicide from suicide victims? A systematic review

Journal of Forensic Psychiatry and Psychology, Год журнала: 2025, Номер unknown, С. 1 - 28

Опубликована: Фев. 17, 2025

Язык: Английский

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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

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‘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

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Dual harm among patients attending a mental health unit in Uganda: a hospital based retrospective study

BMC Psychiatry, Год журнала: 2024, Номер 24(1)

Опубликована: Фев. 22, 2024

Abstract Background Dual harm encompasses the complex interplay of co-occurrence self-harm and aggression. Individuals with dual may display a more hazardous pattern harmful behaviors like homicide-suicide compared to people sole harm. This study aimed examine presence among general psychiatry inpatients in mental health unit Uganda. Methods A retrospective chart review 3098 from January 2018 December 2021. reported experience at admission was based on experiences or property both. Logistic regression assessed association between sociodemographics clinical characteristics. Results total 29 (1%) patients experienced harm, five having both others property, 23 people, one property. statistically significantly associated male gender bivariate analysis. However, there were no significant factors multivariate analysis sensitivity specific types Conclusion General Uganda before lower prevalence than previous literature. investigated sociodemographic could explain these experiences. Further studies looking are warranted understand unfortunate serious consequences

Язык: Английский

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Psychopathy, pain, and pain empathy: A psychophysiological study

PLoS ONE, Год журнала: 2024, Номер 19(7), С. e0306461 - e0306461

Опубликована: Июль 5, 2024

The present study examined whether people higher in psychopathy experienced less self-reported and psychophysiological nociceptive pressure than lower psychopathy. We also affects empathy for others' pain via measures. Three hundred sixty-nine students (18-78 years; M = 26, SD 9.34) were screened psychopathic traits using the Youth Psychopathy Inventory (YPI). Stratified sampling was used to recruit 49 adults residing highest (n 23) lowest 26) 20% of spectrum. Using skin conductance response (SCR) self-report responses, participants responded individually adjusted intensities pneumatic images completed measures (Triarchic Measure, TriPm; Interpersonal Reactivity Index, IRI). People feeling compared psychopathy, yet we did not find any differences SCR pressure. However, when viewing other pain, high group displayed those Our results suggest relate problems empathising with as well perception show support theory dual harm which has been receiving increasing attention. Consequently, interventions should focus both on recognising others.

Язык: Английский

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Predicting violence in female forensic inpatients with substance use disorders – the utility of a gender-responsive assessment

Frontiers in Psychiatry, Год журнала: 2024, Номер 15

Опубликована: Янв. 29, 2024

Introduction Given that risk assessment tools are commonly based on male samples, the applicability to justice-involved women remains be clarified. This study aimed at assessing (1) predictive validity of HCR-20 V3, prevailing, yet primarily male-based violence instrument, and (2) incremental FAM, a gender-responsive supplement, for both inpatient violent recidivism in women. Methods The sample included 452 female forensic inpatients with substance use disorder discharged from German psychiatric care between 2001 2018. Results ROC analyses revealed good accuracy V3 while FAM failed provide validity. Further, binary logistic regression determined several predictors including personality disorder, covert/manipulative behavior, suicidal behavior/self-harm, problematic intimate relationship. Discussion These findings support highlighting clinical relevance supporting gender-informed management.

Язык: Английский

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Dual harm: Violent behaviour to others and self-harm behaviour in adults compulsorily admitted to a Dutch psychiatric hospital

International Journal of Law and Psychiatry, Год журнала: 2024, Номер 94, С. 101989 - 101989

Опубликована: Апрель 24, 2024

Verbal and physical violence in psychiatric hospitals can have harmful consequences for staff members, such as injury, traumatisation, sick leave, they often accompany involuntary admission. Harm to others may co-occur with self-harm, i.e., dual harm. However, little is known about the association between dual-harm violent behaviour towards members its clinical outcomes, seclusion rapid tranquilisation after admission a inpatient unit.

Язык: Английский

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The Impact of Shame on the Dual Harm in Adolescents: The Role of Cognitive Flexibility

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Авг. 23, 2024

Dual harm is a grave public health concern within the adolescent population, linked to mental disorders and extreme behaviors such as suicide. However, psychological mechanisms underlying dual in adolescents are poorly understood. This study aims investigate role of shame harm, well mitigating effects cognitive flexibility, based on cognitive-emotional model harm. employs two sequential experiments. Experiment 1 manipulates subjects' using induction task, measuring with scores from Tabasco Sauce Paradigm Cold Pressor Test. The results reveal that compared control group, intervention group exhibits higher levels behaviors. 2 builds upon this foundation, employing Wisconsin Card Sorting Test measure flexibility. replicate those further demonstrate reduced flexibility exacerbates Shame considered trigger which can mitigate.

Язык: Английский

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Dual harm among patients in the Ontario forensic mental health system

PLoS ONE, Год журнала: 2024, Номер 19(12), С. e0316364 - e0316364

Опубликована: Дек. 30, 2024

Background Dual harm involves the unfortunate experience of to self and others/objects. Safeguarding individuals in forensic psychiatric settings against all forms others is sacrosanct. While understanding dual crucial care rehabilitation patients settings, only a few studies have explored this phenomenon. This study examined its associated clinical sociodemographic factors among Ontario, Canada. Methods In retrospective study, we used data from Ontario Review Board (ORB) (n = 1240; mean age 42.54±3.32 years, 85.73% male). We defined as co-occurrence self-harming behaviour last 12 months violent towards or objects (such verbal, physical, sexual aggression). analysed relation factors. Results Of 1240 patients, 43 (3.55%) had engaged harm. Most them related verbal aggression (3.15%), followed by (2.97%), (2.73%), was rarest (1.32%). Only types Having previous history diagnosis neurodevelopmental disorder increased chance perpetrating/engaging However, increasing higher education decreased These were similar for different harm, except aggression, which subtype with having personality diagnosis. Again, violence self-harm. Conclusion present self-harm prevalent various especially when perpetrated objects. Strategies manage risk aggressive should be put place mitigate complications, disorders.

Язык: Английский

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The Associations Between Temperament and Self-Oriented, Other-Oriented, and Dual-Harmful Behaviors in Emerging Adults

Psychologica Belgica, Год журнала: 2024, Номер 64(1)

Опубликована: Дек. 30, 2024

Self- and other-oriented harmful behaviors are common among emerging adults. Individuals who engage in both forms of behavior, termed dual-harm, experience more adverse outcomes comparison to individuals either. This study examines temperamental traits, defined as reactive regulative temperament, transdiagnostic factors underlying engagement self-oriented, other-oriented, dual-harmful behaviors. These operationalized non-suicidal self-injury (NSSI), direct aggression, a combination both, respectively. Participants 669 adults (69.36% women; Mage = 21.48; SD 2.20). The focusses on how temperament can differentiate four different groups (i.e., no-harm, NSSI-only, aggression-only, dual-harm group) pairwise manner. Results highlight hyper-reactive Behavioral inhibitions system (BIS) hypo-reactive activation (BAS)-Impulsivity compared no-harm aggression-only. Conversely, we found BIS BAS-Impulsivity those report aggressive behaviors, NSSI-only. Finally, Effortful control (EC) is the group, when engaging only NSSI, or neither highlights role traits differentiating patterns which should be integrated future research clinical interventions.

Язык: Английский

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