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A randomised controlled trial of a cognitive behaviourally informed intervention for changing violent sexual attitudes among adult sexual offenders in prison 一项随机对照试验,以认知行为知情干预改变监狱中成年性犯罪者的性暴力态度
IF 1.2 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2022-12-30 DOI: 10.1002/cbm.2269
Moses Onyemaechi Ede, Chinedu Ifedi Okeke, Sebastian O. Onah

Background

Predatory sexual acts by adults cause concern worldwide. Patterns of distorted thinking and weakened self-control are among the leading explanations. Amidst growing concerns about sexual offences in Nigeria, it might be that more psychologically informed interventions in prison could reduce the risks of further harm compared with the standard prison regime.

Aims

To test the effectiveness of a cognitive behaviourally informed intervention (CBII) in reducing violent sexual attitudes among men in prison in Nigeria for a sexual offence.

Methods

In a randomised controlled trial, men in two prisons who responded to in-prison advertising about the trial were screened for nature of offence and willingness to participate. Those nearing their sentence end or in other psychological therapy were excluded. Sample size was confirmed by power calculation. The Compulsive Sexual Behaviour Inventory (CSBI-22) and the Hypersexual Behaviour Inventory (HBI) were administered before, immediately after and 3 months after completion of a 12-session (18 h) Cognitive Behavioural Informed Intervention or equivalent periods of ‘treatment as usual’ (TAU) alone. The CBII was designed to change sexual attitudes, and delivered by trained cognitive therapists to the men, as a group, in one of the prisons while the controls received only TAU in the other.

Results

Before the intervention, the 39 men in each group had similar psychosocial histories and sexual attitude scores. Following CBII, the intervention group showed a significant reduction in scale scores that was sustained, whereas the TAU group showed no significant change in scores. An ANCOVA analysis confirmed between-group differences immediately after the intervention and 3 months later.

Conclusions

This randomised controlled trial adds to existing knowledge in the field because prior studies have been from high income countries, where interventions are generally delivered in more privacy and at greater length. Given that our study had to be limited to change in sexual attitudes as the main outcome, future research must focus on the extent to which such change maps on to changes in interpersonal behaviour among such men. If these findings can be extended in this way and replicated, this could pave the way for more cost-efficient interventions in higher income countries too.

成人的掠夺性性行为引起了全世界的关注。扭曲的思维模式和自我控制能力减弱是主要的解释。在尼日利亚对性犯罪的关注日益增加的情况下,与标准监狱制度相比,在监狱中进行更多的心理干预可能会减少进一步伤害的风险。目的测试认知行为知情干预(CBII)在减少尼日利亚监狱中因性犯罪的男性的暴力性态度方面的有效性。方法在一项随机对照试验中,对两所监狱中对该试验广告有反应的男性进行了犯罪性质和参与意愿的筛选。那些刑期即将结束或正在接受其他心理治疗的人被排除在外。通过功率计算确定样本量。强迫性行为量表(CSBI-22)和性欲亢进量表(HBI)分别在12次认知行为知情干预(18小时)之前、之后和完成后3个月进行,或单独进行同等时间的“正常治疗”(TAU)。CBII旨在改变性态度,并由训练有素的认知治疗师将其作为一组提供给其中一所监狱的男性,而对照组在另一所监狱中只接受TAU。结果干预前,各组39名男性具有相似的社会心理病史和性态度评分。CBII后,干预组量表得分持续显著下降,而TAU组得分无显著变化。ANCOVA分析证实了干预后立即和3个月后的组间差异。这项随机对照试验增加了该领域的现有知识,因为之前的研究都来自高收入国家,在这些国家,干预措施通常更隐秘,时间更长。鉴于我们的研究仅限于将性态度的改变作为主要结果,未来的研究必须关注这种改变在多大程度上反映了这些男性之间人际行为的变化。如果这些发现能够以这种方式推广和复制,这也可以为在高收入国家采取更具成本效益的干预措施铺平道路。
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引用次数: 2
Managing the many intrusions of death in forensic mental health services 处理法医心理健康服务中许多死亡事件
IF 1.2 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2022-12-02 DOI: 10.1002/cbm.2265
Pamela J. Taylor, Hans-Jörg Albrecht, Kris Goethals, Thomas Schütze, Jonathan Hurlow, Norbert Nedopil, Kolja Schiltz
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引用次数: 0
Offence type and neurodiversity: A comparison of 12-17-year-old boys charged with a criminal offence by diagnosis of autism spectrum disorder, attention deficit hyperactivity disorder or both 犯罪类型和神经多样性:12-17岁被诊断为自闭症谱系障碍、注意缺陷多动障碍或两者兼而有之的刑事犯罪的男孩的比较
IF 1.2 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2022-12-02 DOI: 10.1002/cbm.2267
Alexa X. Rutten, Maaike Kempes, Ilja L. Bongers, Robert R. J. M. Vermeiren, Chijs van Nieuwenhuizen

Background

Autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) have been evidenced as common among adolescents with delinquent behaviour. Less is known, however, about the relationship between these disorders and type of alleged offence, when the adolescent is involved with the criminal justice system.

Aim

Our aim was to investigate whether the type of alleged index offences among 12–17-year-olds differ between those diagnosed with ASD, ADHD or ASD + ADHD.

Method

The sample was selected for ASD and/or ADHD diagnoses from a database of all pre-trial forensic psychiatric and psychological assessments of male adolescents of 12–17 years old in the Netherlands for the years 2013 and 2014. For each record, independent researchers scored a 76-item checklist encompassing health and offending characteristics. Sixty-nine of the 1799 pre-trial assessments of these male adolescents had a diagnosis of ASD, 90 of ADHD and 29 had been diagnosed with both; these 188 cases formed our sample.

Results

The rate of sex offences was significantly higher among those with ASD (N = 20, 29%) than those with ADHD (N = 10, 11%) or both (N = 4, 14%; Fisher's exact test = 8.54; p = 0.014). By contrast, the rate of property offences without violence was significantly higher among those with ADHD (N = 22, 24%) than those with ASD (N = 4, 6%) or both (N = 5, 17%; Fisher's exact test = 10.50, p = 0.004), whereas violent offending rates did not differ between the three groups.

Conclusion

Specific offence types were not equally distributed among male adolescents with different psychiatric diagnoses. In our sample of male adolescents suspected of an offence nearly one-third of those diagnosed with ASD were convicted of a sex offence, suggesting highly specialised needs for further assessment and intervention. Among those diagnosed with ADHD, significantly more adolescents were charged with non-violent property offences. Such unequal distribution of alleged offence types among adolescents with different psychiatric diagnoses justifies tailor-made attention for offending adolescents with different psychiatric diagnoses.

自闭症谱系障碍(ASD)和注意缺陷多动障碍(ADHD)在青少年犯罪行为中很常见。然而,当青少年被卷入刑事司法系统时,人们对这些障碍与所指控的犯罪类型之间的关系知之甚少。我们的目的是调查在12 - 17岁的青少年中,被诊断为ASD、ADHD或ASD + ADHD的青少年中,所谓的指数犯罪的类型是否有所不同。方法从2013年和2014年荷兰所有12-17岁男性青少年审前法医精神病学和心理评估数据库中选择诊断为ASD和/或ADHD的样本。对于每一项记录,独立研究人员对包含健康和犯罪特征的76项清单进行了评分。在对这些男性青少年进行的1799次试验前评估中,69人被诊断为ASD, 90人被诊断为ADHD, 29人被诊断为两者兼有;这188个案例构成了我们的样本。结果ASD组性犯罪发生率(N = 20, 29%)明显高于ADHD组(N = 10, 11%)或两者均高于ADHD组(N = 4, 14%);费雪精确检验= 8.54;p = 0.014)。相比之下,ADHD患者(N = 22.24%)的无暴力财产犯罪率显著高于ASD患者(N = 4.6%)或两者兼而有之(N = 5.17%;Fisher的精确检验= 10.50,p = 0.004),而暴力犯罪率在三组之间没有差异。结论不同精神病诊断的男性青少年具体犯罪类型分布不均匀。在我们调查的涉嫌犯罪的男性青少年样本中,近三分之一被诊断为ASD的人被判有性犯罪,这表明需要进一步的评估和干预。在被诊断患有多动症的青少年中,被指控犯有非暴力财产犯罪的青少年明显更多。在患有不同精神病诊断的青少年中,指控的犯罪类型分布不均,因此有理由对患有不同精神病诊断的犯罪青少年进行量身定制的关注。
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引用次数: 0
Gambling and crime: An exploration of gambling availability and culture in an English prison 赌博与犯罪:英国监狱赌博可得性与文化的探索
IF 1.2 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2022-11-17 DOI: 10.1002/cbm.2266
Lauren Rebecca Smith, Steve Sharman, Amanda Roberts

Background

There is evidence that prisoners have the highest rate of problem gambling in any population, but little is known about the nature of in-prison gambling, the motives for it or how it relates to prior gambling behaviour.

Aims

To investigate the prevalence and type of gambling prior to prison and the prevalence, type, and reasons for gambling in prison.

Methods

Two hundred and eighty-two male volunteers in a Category B male prison in England completed a questionnaire which included the Problem Gambling Severity Index (PGSI).

Results

One hundred and twenty-six (45%) reported gambling in prison, with eighty-one (30%) of participants reporting that gambling was a normal part of prison life. Pre-prison behaviour, whether type of index offence or prior gambling, had little relationship to in-prison gambling. Frequency of gambling in prison increased with increasing PGSI risk category. The most common types of gambling in prison were card/dice games, sports and ball games, while the most common motives were entertainment, excitement or sense of challenge and to win prizes, with significant differences in motive between PGSI risk categories. Prison canteen items formed the most common currency gambled. People within the higher PGSI risk category were more likely to have borrowed items from other prisoners.

Conclusions

Our research has added to existing literature by identifying high rates of gambling in prison and showing that prisoners' perceptions of gambling are as a normal part of prison life. Findings suggest that screening and support should be available to manage gambling in prison, including support to reduce gambling-related debt, particularly given associations between debt and violence in prison. Relief from boredom and need for excitement were among the most common reasons for gambling in prison, indicating that there is a need to provide a more appropriately stimulating prison environment.

有证据表明,在任何人群中,囚犯的问题赌博率最高,但人们对监狱赌博的性质、动机或与先前赌博行为的关系知之甚少。目的调查入狱前赌博的流行程度和类型,以及监狱中赌博的流行程度、类型和原因。方法在英国某B类男子监狱中,282名男性志愿者填写了一份包括赌博问题严重程度指数(PGSI)在内的问卷。结果126人(45%)报告在监狱中赌博,81人(30%)报告赌博是监狱生活的正常组成部分。入狱前行为,无论是指导性犯罪类型还是有赌博前科,与狱中赌博关系不大。监狱中赌博的频率随着PGSI风险类别的增加而增加。在监狱中,最常见的赌博类型是纸牌/骰子游戏、体育和球类游戏,而最常见的动机是娱乐、刺激或挑战感,以及赢得奖品。不同风险类别的动机有显著差异。监狱食堂物品形成了最常见的赌博货币。PGSI风险较高的人更有可能从其他囚犯那里借东西。我们的研究补充了现有的文献,确定了监狱中的高赌博率,并表明囚犯对赌博的看法是监狱生活的正常组成部分。调查结果表明,应提供筛选和支持,以管理监狱中的赌博,包括支持减少与赌博有关的债务,特别是考虑到债务与监狱暴力之间的联系。纾解无聊和寻求刺激是在监狱中赌博的最常见原因,这表明有必要提供一个更适当刺激的监狱环境。
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引用次数: 0
A comparison of health behaviours in male adolescents with and without offending histories referred for adolescent health services in Turkey 向土耳其青少年保健服务机构转诊的有犯罪史和无犯罪史的男性青少年的健康行为比较
IF 1.2 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2022-11-12 DOI: 10.1002/cbm.2268
Nusret Ayaz, Serdar Karatoprak

Background

Offending and incarceration are important societal problems that might be reduced by improving early intervention. Most prior work identifying risk factors has focussed on early oppositional or aggressive behaviours and environmental problems. Among adults, it is well recognised that offenders have much poorer health than the wider population. This raises questions about whether behaviours that put health at risk while a teenager may also be good markers of subsequent offending.

Aims

To examine the relationship between risky health behaviours and delinquency by comparing male teenage offenders with a history of incarceration and male teenagers with no criminal involvement.

Methods

In this cross-sectional study, 66 male 12–18-year-old offenders with an incarceration history who were referred for evaluation to the Forensic Medicine Polyclinic in 2021 were compared with 74 similar aged adolescents without a criminal record but attending another clinic in the same hospital, using the Risky Health Behaviour Scale (RHBS). This covers dietary, road safety and sexual behaviours as well as exercise, substance use and violent behaviours. Negative items were reverse scored so that higher scores indicated more pro-health activities.

Results

Total RHBS scores were significantly lower among the offender-group than the comparison teenagers (Means 93.19 ± 17.00: 107.20 ± 10.83; p ≤ 0.001). This reflected significant differences in each of the subscale scores except dietary and risky sexual behaviour. Only substance use behaviours, however, were independently related to offender group membership, as was family socio-economic status.

Conclusions

Our findings add indications of risky health-related behaviours to the already extensive literature on risky social behaviours in the history of young offenders. It is possible that focussing on young offenders referred to a health service, albeit one primarily directed at mental health, has exaggerated such differences, but if substantiated in larger and more diverse samples, these findings may open new avenues for early identification of young people at risk of offending and commensurate early interventions. Focus on substance use by young people seems especially important, but low family socio-economic status needs remedies too.

犯罪和监禁是重要的社会问题,可以通过改善早期干预来减少。大多数先前确定风险因素的工作都集中在早期的对立或攻击行为和环境问题上。在成年人中,人们普遍认为罪犯的健康状况比一般人差得多。这就提出了一个问题,即青少年时期危害健康的行为是否也可能是随后犯罪的良好标志。目的通过对有监禁史的男性青少年罪犯和没有犯罪前科的男性青少年罪犯进行比较,探讨危险健康行为与犯罪之间的关系。方法采用危险健康行为量表(RHBS),对2021年转介至法医学综合诊所接受评估的66名有监禁史的12 - 18岁男性罪犯与74名无犯罪记录但在同一医院另一家诊所就诊的年龄相近的青少年进行比较。这包括饮食、道路安全和性行为以及运动、药物使用和暴力行为。消极项目的得分是相反的,因此得分越高表明更有利于健康的活动。结果犯罪组青少年RHBS总分显著低于对照组(平均93.19±17.00分:107.20±10.83分;p≤0.001)。这反映了除了饮食和危险性行为外,每个子量表得分的显著差异。然而,只有物质使用行为与罪犯群体成员独立相关,家庭社会经济地位也是如此。结论:我们的发现为已经广泛的关于青少年罪犯历史中危险社会行为的文献增加了危险健康相关行为的迹象。虽然主要针对心理健康,但将重点放在向卫生服务机构移交的年轻罪犯身上,可能夸大了这种差异,但如果在更大、更多样化的样本中得到证实,这些发现可能为早期识别有犯罪风险的年轻人和相应的早期干预开辟新的途径。关注年轻人的药物使用似乎特别重要,但家庭社会经济地位低也需要补救措施。
{"title":"A comparison of health behaviours in male adolescents with and without offending histories referred for adolescent health services in Turkey","authors":"Nusret Ayaz,&nbsp;Serdar Karatoprak","doi":"10.1002/cbm.2268","DOIUrl":"10.1002/cbm.2268","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Offending and incarceration are important societal problems that might be reduced by improving early intervention. Most prior work identifying risk factors has focussed on early oppositional or aggressive behaviours and environmental problems. Among adults, it is well recognised that offenders have much poorer health than the wider population. This raises questions about whether behaviours that put health at risk while a teenager may also be good markers of subsequent offending.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To examine the relationship between risky health behaviours and delinquency by comparing male teenage offenders with a history of incarceration and male teenagers with no criminal involvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this cross-sectional study, 66 male 12–18-year-old offenders with an incarceration history who were referred for evaluation to the Forensic Medicine Polyclinic in 2021 were compared with 74 similar aged adolescents without a criminal record but attending another clinic in the same hospital, using the <i>Risky Health Behaviour Scale (RHBS).</i> This covers dietary, road safety and sexual behaviours as well as exercise, substance use and violent behaviours. Negative items were reverse scored so that higher scores indicated more pro-health activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Total <i>RHBS</i> scores were significantly lower among the offender-group than the comparison teenagers (Means 93.19 ± 17.00: 107.20 ± 10.83; <i>p</i> ≤ 0.001). This reflected significant differences in each of the subscale scores except dietary and risky sexual behaviour. Only substance use behaviours, however, were independently related to offender group membership, as was family socio-economic status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings add indications of risky health-related behaviours to the already extensive literature on risky social behaviours in the history of young offenders. It is possible that focussing on young offenders referred to a health service, albeit one primarily directed at mental health, has exaggerated such differences, but if substantiated in larger and more diverse samples, these findings may open new avenues for early identification of young people at risk of offending and commensurate early interventions. Focus on substance use by young people seems especially important, but low family socio-economic status needs remedies too.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"32 6","pages":"414-426"},"PeriodicalIF":1.2,"publicationDate":"2022-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40486096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acceptability and feasibility of using avatar-based virtual world software as an adjunct to clinical interventions, training, and reflective practice in a medium secure setting: A qualitative interview study 在中等安全环境中,使用虚拟世界软件辅助临床干预、培训和反思实践的可接受性和可行性:一项定性访谈研究
IF 1.2 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2022-11-08 DOI: 10.1002/cbm.2264
Katy Mason, Sarah Bicknell, Ernest Kreutzer, Ashleigh Wood, Jonathan Hurlow

Background

Relationships are at the core of recovery, particularly in secure services where patients have usually had difficulties with authority figures and can have mentalisation deficits. Early indications are that avatar-based virtual world software may help facilitate communication and emotional expression.

Aims

To establish the feasibility of using avatar-based virtual world software in a medium secure hospital, adjunctive to standard staff-patient interactions during clinical interventions and staff activities including reflective practice and training; to explore patient, staff participant and facilitator experiences using it.

Methods

Use of the software was offered across an 89-bedded unit as an optional adjunct to clinical interventions, reflective practice and training sessions. Qualitative data were collected using semi-structured interviews and analysed using thematic analysis. Volunteer sampling was used. Five patients volunteered and were matched with an equal number of staff facilitators and participants.

Results

Eighty four sessions were completed using the avatar software with between 1 and 11 participant(s) per session, totalling 347 participant sessions. No adverse events occurred relatable to the sessions. An overarching theme of ‘adding value’ emerged, encompassing subthemes such as ‘concrete visual presence and imagery’, ‘mentalisation processes’ and ‘enhanced focus, depth and problem solving’. Experiences of added value were affected by moderators which were ‘power and relationship dynamics’, the ‘ability to use software’, ‘practical processes’ and ‘literacy’.

Conclusions

Avatar software is feasible to implement, acceptable to patients and staff and may offer an opportunity to aid mentalisation and reflection. By definition, everyone engaging in this study was a volunteer, even an enthusiast, so it would now be useful to extend evaluation to those who need some encouragement to use avatar software. Research to quantify benefits and establish the cost impact is now indicated, as our findings show it may offer a novel way of connecting with hard-to-reach patient groups.

人际关系是康复的核心,特别是在安全服务中,患者通常与权威人物有困难,可能有精神缺陷。早期迹象表明,基于头像的虚拟世界软件可能有助于促进交流和情感表达。目的探讨在中等安全医院中使用基于虚拟世界的虚拟世界软件的可行性,辅助临床干预和员工活动(包括反思性实践和培训)中的标准医患互动;探索患者,员工参与者和促进者使用它的经验。方法在89个床位的单元中使用该软件,作为临床干预、反思实践和培训课程的可选辅助手段。使用半结构化访谈收集定性数据,并使用专题分析进行分析。采用志愿者抽样。五名患者自愿参加,并与同等数量的工作人员辅导员和参与者相匹配。结果使用化身软件完成84个会话,每会话1 ~ 11人,共计347个会话。未发生与疗程相关的不良事件。“增加价值”的总体主题出现了,包括“具体的视觉存在和图像”、“心理过程”和“增强的焦点、深度和解决问题的能力”等子主题。附加价值体验受到“权力和关系动态”、“使用软件的能力”、“实践过程”和“文化素养”等调节因素的影响。结论阿凡达软件实施可行,为患者和工作人员所接受,可提供一个辅助思维和反思的机会。根据定义,参与这项研究的每个人都是志愿者,甚至是爱好者,所以现在将评估扩展到那些需要鼓励使用虚拟化身软件的人是有用的。量化效益和确定成本影响的研究现在表明,我们的发现表明,它可能提供一种与难以接触的患者群体联系的新方式。
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引用次数: 2
Reforming psychosocial and mental health pathways for young people following initial encounters with police 改革与警察初次接触后年轻人的社会心理和精神健康途径
IF 1.2 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2022-10-12 DOI: 10.1002/cbm.2262
David Baker, Simon Rice, Rosemary Purcell
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引用次数: 0
A comparison of men and women referred to provincial correctional mental health services in Ontario, Canada 向加拿大安大略省省级惩教精神卫生服务机构提交的男性和女性的比较
IF 1.2 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2022-10-09 DOI: 10.1002/cbm.2263
Ipsita Ray, Lindsay Fulham, Alexander I. Simpson, Tobias Vogel, Cory Gerritsen, Kiran Patel, Roland M. Jones

Background

Women comprise around 15% of admissions to provincial correctional institutions in Canada. Women in custody are known to have a high prevalence of mental health concerns, but little is known about how those referred to mental health services compare with referred men at a similar stage of imprisonment.

Aims

Our aim was to describe and compare clinical, social and demographic characteristics of a complete cohort of custodially remanded men and women who were referred to mental health services while under custodial remand in two correctional institutions.

Methods

We carried out retrospective analysis of data obtained from 4040 men and 1734 provincially detained women referred to mental health services in two correctional centres holding mainly pre-trial prisoners and serving a large mixed urban-rural catchment area in Toronto, Canada over a nearly five-year period. Men and women were first screened using the Brief Jail Mental Health Screen. Those who screened positive were assessed using the Jail Screening Assessment Tool the Brief Psychopathology Rating Scale—Expanded (BPRS-E) and the Clinical Global Impression—Corrections (CGI-C).

Results

There were many similarities between men and women, but also some important differences. Women were more socioeconomically disadvantaged than men. More women than men reported having children, yet fewer reported having any form of employment or social supports, although men were more likely to report unstable housing. In addition, women were significantly more likely to have mood and anxiety problems and to be self-harming, but did not differ from men in current psychotic symptoms. We also found differences in patterns of substance use, with a higher proportion of women using heroin and methamphetamines but fewer women having accessed addiction services.

Conclusions

Our findings have implications for clinicians and service planners. They underscore the value of systematic screening for identifying need. More specifically, they suggest need for increased availability of addiction services for women as well as ensuring support for those women who have dependent-age children. Improvement in supports for entry into employment is particularly needed for women, while men are particularly likely to need access to stable housing.

背景在加拿大的省级惩教机构中,女性约占15%。众所周知,被拘留的妇女普遍存在心理健康问题,但很少有人知道,在类似的监禁阶段,被转介到精神保健服务的妇女与被转介到精神保健服务的男子相比如何。我们的目的是描述和比较在两所教养机构还押期间被转介到精神卫生服务机构的一组完整的还押男性和女性的临床、社会和人口特征。方法回顾性分析了加拿大多伦多市两个主要关押预审囚犯的教养中心近5年来4040名男性和1734名省级在押女性的心理健康服务数据。男性和女性首先使用短期监狱心理健康筛查进行筛查。使用监狱筛查评估工具、简易精神病理评定量表(BPRS-E)和临床总体印象矫正(CGI-C)对筛查阳性的患者进行评估。结果男性和女性有许多相似之处,但也有一些重要的差异。女性在社会经济上比男性处于更不利的地位。报告有孩子的女性多于男性,但报告有任何形式的就业或社会支持的人数较少,尽管男性更有可能报告住房不稳定。此外,女性明显更有可能出现情绪和焦虑问题以及自我伤害,但在目前的精神病症状上与男性没有区别。我们还发现了物质使用模式的差异,使用海洛因和甲基苯丙胺的女性比例较高,但获得成瘾服务的女性比例较低。结论我们的研究结果对临床医生和服务计划人员有启示意义。它们强调了系统筛查对确定需求的价值。更具体地说,他们建议需要为妇女提供更多的成瘾服务,并确保为那些有受抚养子女的妇女提供支持。妇女特别需要改善对就业的支助,而男子则特别可能需要获得稳定的住房。
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引用次数: 0
Patterns of homicide in Sfax, Tunisia: A 9-year cohort study (2011–2019) 突尼斯斯法克斯杀人模式:一项为期9年的队列研究(2011-2019)
IF 1.2 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2022-09-20 DOI: 10.1002/cbm.2261
Ben Amar Wiem, Siala Hela, Zribi Malek, Karray Narjes, Hammami Zouhir, Maatoug Samir

Introduction

In Tunisia, since the January 2011 revolution, there has been considerable media interest in violence, particularly homicides. A popular perspective is, aside from any politically motivated killings, of a rise in homicides from year to year. In the absence of Tunisian national homicide statistics, a more accurate picture may be obtainable from area pathologist records.

Aims

To examine annual homicide rates from post-mortem data for the second largest administrative area of Tunisia, Sfax, with a mixed urban-rural population of about one million people.

Methods

All victims of common law homicide for the region are taken to the forensic department of one hospital in Sfax. We conducted a retrospective and descriptive study of all such cases of homicide for the 9 year period from the date of the fall of the Tunisian government in 14 January 2011 to 31 December 2019 and linked these data to those from earlier studies in the same department.

Results

One hundred and nine victims of unlawful homicide were identified during this nine year period, with an average of 12 cases per year and a peak of 17 cases in 2016, yielding a broadly consistent rate of 1.2 homicides per 100,000 inhabitants and no consistent pattern in fluctuations. Just over two-thirds of the victims were men. Mean age of victims was 34.85 years (range 8–90 years). Just under half were married (45%); largest employment groups were of low-paid casual workers (40%) or unemployed (28%). One third of the killings had taken place in a private residence, with interpersonal conflict given as the largest explanatory category; over one quarter were intra-familial and 14% between intimate partners. There was some seasonal variation, with nearly two-thirds of homicides occurring in the spring and summer months.

Conclusion

Contrary to press hype, we found no evidence of rising homicide rates in Southern Tunisia, although this does represent a different picture from that in the north of the country. The seasonal variation would merit further exploration as it raises questions around impact of fluctuations in mental health.

在突尼斯,自2011年1月的革命以来,媒体对暴力事件,特别是谋杀事件非常感兴趣。一种流行的观点是,除了任何出于政治动机的杀戮之外,杀人案件每年都在上升。由于缺乏突尼斯全国凶杀统计数据,可以从地区病理学家的记录中获得更准确的情况。目的通过对突尼斯第二大行政区斯法克斯(Sfax)的尸检数据,研究每年的杀人率。斯法克斯是一个城乡混合人口约100万的地区。方法将本区所有普通法杀人案的受害人送往斯法克斯某医院的法医部。我们对自2011年1月14日突尼斯政府倒台之日起至2019年12月31日的9年期间的所有此类杀人案件进行了回顾性和描述性研究,并将这些数据与同一部门早期研究的数据联系起来。结果在这九年期间,发现了109名非法杀人受害者,平均每年发生12起案件,2016年达到17起案件的高峰,大致一致的是每10万居民1.2起凶杀案,并且没有一致的波动模式。超过三分之二的受害者是男性。患者平均年龄34.85岁(8 ~ 90岁)。不到一半的人已婚(45%);最大的就业群体是低薪临时工(40%)或失业者(28%)。三分之一的杀戮发生在私人住宅,人际冲突被认为是最大的解释类别;超过四分之一是家庭内部的,14%是亲密伴侣之间的。有一些季节变化,近三分之二的凶杀案发生在春季和夏季。与媒体炒作相反,我们没有发现突尼斯南部凶杀率上升的证据,尽管这确实代表了该国北部不同的情况。这种季节性变化值得进一步探索,因为它提出了有关心理健康波动影响的问题。
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引用次数: 0
The relationship between self-forgiveness and psychological wellbeing in prison inmates: The mediating role of mindfulness 监狱囚犯自我宽恕与心理健康的关系:正念的中介作用
IF 1.2 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2022-09-02 DOI: 10.1002/cbm.2260
Giorgia F. Paleari, Francesca Danioni, Sara Pelucchi, Maria Rita Lombrano, Daniel Lumera, Camillo Regalia

Background

Previous research with general population samples has consistently shown that forgiveness and mindfulness facilitate coping with distressing experiences and significantly promote mental health. No study, however, has examined their unique contribution to prisoners' psychological wellbeing nor has considered the different forms of self-forgiveness among prisoners.

Aims

Our aim was to investigate the role of mindfulness in mediating any association between prisoners' self-forgiveness and psychological wellbeing and to test whether any such links are moderated by years spent in prison. In this study self-forgiveness was conceptualised as a multidimensional construct, including presence of genuine self-forgiveness, absence of pseudo self-forgiveness and/or absence of self-punitiveness.

Methods

Participants were recruited from a prison in Northern Italy. Consenting men were asked to complete an anonymous self-report questionnaire with only a researcher present.

Results

104 male prisoners (mean age 46.63 years, SD 11.38) took part. Findings were that self-punitiveness was inversely related to well-being, with mindfulness mediating this relationship, this while controlling for the other dimensions of self-forgiveness and the perceived severity of the crime committed. Contrary to expectation, we found no direct relationship between genuine self-forgiveness and well-being, but the moderated mediation models showed that genuine self-forgiveness was positively associated with mindfulness and, through this, had an indirect association with wellbeing, significant only for prisoners who had already spent several years in prison.

Conclusions

Our findings confirm that self-forgiveness is a complex construct, worthy of further investigation among offenders. They suggest that forgiveness interventions for prisoners should include modules aimed at primarily reducing self-punitive attitudes. Promotion of genuine self-forgiveness should be tried only with awareness that this is likely to take a very long time. In such circumstances, interventions may promote energy to be invested in mindful processes with a consequent improvement in psychological wellbeing.

以往对一般人群样本的研究一致表明,宽恕和正念有助于应对痛苦经历,并显著促进心理健康。然而,没有研究考察过他们对囚犯心理健康的独特贡献,也没有考虑过囚犯之间不同形式的自我宽恕。我们的目的是调查正念在囚犯自我宽恕和心理健康之间的中介作用,并测试这种联系是否会因服刑时间而有所缓和。在这项研究中,自我宽恕被定义为一个多维结构,包括真正的自我宽恕,不存在虚假的自我宽恕和/或不存在自我惩罚。方法参与者是从意大利北部的一所监狱中招募的。同意的男性被要求在只有研究人员在场的情况下完成一份匿名自我报告问卷。结果共有104名男性在押人员参与调查,平均年龄46.63岁,SD 11.38岁。研究发现,自我惩罚与幸福感呈负相关,正念调节了这种关系,同时控制了自我宽恕的其他维度和所犯罪行的严重性。与预期相反,我们发现真正的自我宽恕和幸福感之间没有直接关系,但经过调节的中介模型显示,真正的自我宽恕与正念呈正相关,通过这一点,与幸福感有间接关联,仅对已经在监狱里呆了几年的囚犯有意义。我们的研究结果证实了自我宽恕是一个复杂的结构,值得在罪犯中进一步研究。他们建议,对囚犯的宽恕干预应该包括旨在主要减少自我惩罚态度的模块。只有在意识到这可能需要很长时间的情况下,才能促进真正的自我宽恕。在这种情况下,干预措施可能会促进精力投入到正念过程中,从而改善心理健康。
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引用次数: 0
期刊
Criminal Behaviour and Mental Health
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