Clinical Characteristics and Self-Harm in Forensic Psychiatric Patients
Laporte, Natalie LU ; Ozolins, Andrejs LU ; Westling, Sofie LU
; Westrin, Åsa
LU
and Wallinius, Märta
LU
(2021)
In Frontiers in Psychiatry
12.
- Abstract
Self-harm, comprising non-suicidal self-injury, and suicide attempts, is a serious and potentially life-threatening behavior that has been associated with poor life quality and an increased risk of suicide. In forensic populations, increased rates of self-harm have been reported, and suicide is one of the leading causes of death. Aside from associations between self-harm and mental disorders, knowledge on self-harm in forensic psychiatric populations is limited. The purpose of this study was to characterize the clinical needs of a cohort of forensic psychiatric patients, including self-harm and possible risk factors thereof. Participants (N = 98) were consecutively recruited from a cohort of forensic psychiatric patients in Sweden from... (More)
Self-harm, comprising non-suicidal self-injury, and suicide attempts, is a serious and potentially life-threatening behavior that has been associated with poor life quality and an increased risk of suicide. In forensic populations, increased rates of self-harm have been reported, and suicide is one of the leading causes of death. Aside from associations between self-harm and mental disorders, knowledge on self-harm in forensic psychiatric populations is limited. The purpose of this study was to characterize the clinical needs of a cohort of forensic psychiatric patients, including self-harm and possible risk factors thereof. Participants (N = 98) were consecutively recruited from a cohort of forensic psychiatric patients in Sweden from 2016 to 2020. Data were collected through file information, self-reports, and complemented with semi-structured interviews. Results showed that self-harm was common among the participants, more than half (68.4%) of whom had at some point engaged in self-harm. The most common methods of non-suicidal self-injury were banging one's head or fist against a wall or other solid surface and cutting, and the most common method of suicide attempt was hanging. The most prominent functions of non-suicidal self-injury among the participants were intrapersonal functions such as affect regulation, self-punishment, and marking distress. Self-harm in general was associated to neurodevelopmental disorders (p = 0.014, CI = 1.23–8.02, OR = 3.14) and disruptive impulse-control and conduct disorders (p = 0.012, CI = 1.19–74.6, OR = 9.41), with reservation to very wide confidence intervals. Conclusions drawn from this study are that self-harm was highly prevalent in this sample and seems to have similar function in this group of individuals as in other studied clinical and non-clinical groups.
(Less)
- author
- Laporte, Natalie
LU
; Ozolins, Andrejs
LU
; Westling, Sofie
LU
; Westrin, Åsa
LU
and Wallinius, Märta
LU
- organization
- publishing date
- 2021-08-02
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- forensic psychiatric patients, ISAS scale, non-suicidal self-injury, psychiatric disorders, self-harm, suicide attempt
- in
- Frontiers in Psychiatry
- volume
- 12
- article number
- 698372
- publisher
- Frontiers Media S. A.
- external identifiers
-
- scopus:85112742461
- pmid:34408680
- ISSN
- 1664-0640
- DOI
- 10.3389/fpsyt.2021.698372
- language
- English
- LU publication?
- yes
- id
- 6653098c-f028-4fa6-8875-35740514b833
- date added to LUP
- 2021-09-20 11:20:22
- date last changed
- 2024-06-16 19:05:07
@article{6653098c-f028-4fa6-8875-35740514b833,
abstract = {{<p>Self-harm, comprising non-suicidal self-injury, and suicide attempts, is a serious and potentially life-threatening behavior that has been associated with poor life quality and an increased risk of suicide. In forensic populations, increased rates of self-harm have been reported, and suicide is one of the leading causes of death. Aside from associations between self-harm and mental disorders, knowledge on self-harm in forensic psychiatric populations is limited. The purpose of this study was to characterize the clinical needs of a cohort of forensic psychiatric patients, including self-harm and possible risk factors thereof. Participants (N = 98) were consecutively recruited from a cohort of forensic psychiatric patients in Sweden from 2016 to 2020. Data were collected through file information, self-reports, and complemented with semi-structured interviews. Results showed that self-harm was common among the participants, more than half (68.4%) of whom had at some point engaged in self-harm. The most common methods of non-suicidal self-injury were banging one's head or fist against a wall or other solid surface and cutting, and the most common method of suicide attempt was hanging. The most prominent functions of non-suicidal self-injury among the participants were intrapersonal functions such as affect regulation, self-punishment, and marking distress. Self-harm in general was associated to neurodevelopmental disorders (p = 0.014, CI = 1.23–8.02, OR = 3.14) and disruptive impulse-control and conduct disorders (p = 0.012, CI = 1.19–74.6, OR = 9.41), with reservation to very wide confidence intervals. Conclusions drawn from this study are that self-harm was highly prevalent in this sample and seems to have similar function in this group of individuals as in other studied clinical and non-clinical groups.</p>}},
author = {{Laporte, Natalie and Ozolins, Andrejs and Westling, Sofie and Westrin, Åsa and Wallinius, Märta}},
issn = {{1664-0640}},
keywords = {{forensic psychiatric patients; ISAS scale; non-suicidal self-injury; psychiatric disorders; self-harm; suicide attempt}},
language = {{eng}},
month = {{08}},
publisher = {{Frontiers Media S. A.}},
series = {{Frontiers in Psychiatry}},
title = {{Clinical Characteristics and Self-Harm in Forensic Psychiatric Patients}},
url = {{http://dx.doi.org/10.3389/fpsyt.2021.698372}},
doi = {{10.3389/fpsyt.2021.698372}},
volume = {{12}},
year = {{2021}},
}