ArticleBMC psychiatry2015
Factors affecting length of stay in forensic hospital setting: need for therapeutic security and course of admission.
Article in BMC psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05074732 (Dundrum Forensic Redevelopment Evaluation Study), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Dundrum Forensic Redevelopment Evaluation Study: D-FOREST Study.
Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 90 citations in OpenAlex.
- The effectiveness of interventions for offending behaviours in adults with autism spectrum disorders (ASD): a systematic PRISMA review.BMC psychology · 2024Pooled it
- Factors influencing the length of stay in forensic psychiatric settings: a systematic review.BMC health services research · 2024Pooled it
- Study protocol: a randomised controlled trial of cognitive remediation for a national cohort of forensic mental health patients with schizophrenia or schizoaffective disorder.BMC psychiatry · 2016Trial
- Gambling and hidden practices in forensic psychiatry: a qualitative study of ambivalence, autonomy, and negotiated care.Frontiers in psychiatry · 2026Article
- Analysing length of stay disparities in inpatient forensic psychiatric care: a cross-sectional study in Czechia.International journal of mental health systems · 2025Article
- Neuroethics and treatment without consent.CNS spectrums · 2025Article
- Factors predicting the length of stay in inpatient forensic psychiatric care in Hungary.Frontiers in psychiatry · 2025Article
- Barriers to discharge: A retrospective study of factors associated with stays of longer than 2 years in a French secure hospital unit.Criminal behaviour and mental health : CBMH · 2024Article
- Factors associated with length of stay in medium secure units: A realist review.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2024Review
- Markers of predicting discharge from forensic psychiatric hospitals in Czechia.The International journal of social psychiatry · 2024Article
- Motiv8: a study protocol for a cluster-randomised feasibility trial of a weight management intervention for adults with severe mental illness in secure forensic services.Pilot and feasibility studies · 2024Article
- Institutional influence on length of stay in German forensic hospitals: a multilevel analysis of patients with schizophrenia spectrum disorders.Frontiers in psychiatry · 2024Article
- A multidisciplinary weight management intervention for adults with severe mental illness in forensic psychiatric inpatient services (Motiv8): a single blind cluster-randomised wait-list controlled feasibility trial.Frontiers in psychiatry · 2024Article
- Examining the need for a high level of therapeutic security at a regional forensic mental health service in Aotearoa New Zealand.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2024Article
- Excellence in forensic psychiatry services: international survey of qualities and correlates.BJPsych open · 2023Article
- Determinants of clinical outcome and length of stay in acute care forensic psychiatry units.BMC psychiatry · 2023Article
- Socio-demographic, clinical and offense-related characteristics of forensic psychiatric inpatients in Hunan, China: a cross-sectional survey.BMC psychiatry · 2023Article
- COVID-19 Vaccination in those with mental health difficulties: A guide to assist decision-making in England, Scotland, and Wales.Medicine, science, and the law · 2022Article
- Article
- Psychiatric Hospitalizations of People Found Not Criminally Responsible on Account of Mental Disorder in France: A Ten-Year Retrospective Study (2011-2020).Frontiers in psychiatry · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients admitted to a secure forensic hospital are at risk of a long hospital stay. Forensic hospital beds are a scarce and expensive resource and ability to identify the factors predicting length of stay at time of admission would be beneficial. The DUNDRUM-1 triage security scale and DUNDRUM-2 triage urgency scale are designed to assess need for therapeutic security and urgency of that need while the HCR-20 predicts risk of violence. We hypothesized that items on the DUNDRUM-1 and DUNDRUM-2 scales, rated at the time of pre-admission assessment, would predict length of stay in a medium secure forensic hospital setting.
methodsThis is a prospective study. All admissions to a medium secure forensic hospital setting were collated over a 54 month period (n = 279) and followed up for a total of 66 months. Each patient was rated using the DUNDRUM-1 triage security scale and DUNDRUM-2 triage urgency scale as part of a pre-admission assessment (n = 279) and HCR-20 within 2 weeks of admission (n = 187). Episodes of harm to self, harm to others and episodes of seclusion whilst an in-patient were collated. Date of discharge was noted for each individual.
resultsDiagnosis at the time of pre-admission assessment (adjustment disorder v other diagnosis), predicted legal status (sentenced v mental health order) and items on the DUNDRUM-1 triage security scale and the DUNDRUM-2 triage urgency scale, also rated at the time of pre-admission assessment, predicted length of stay in the forensic hospital setting. Need for seclusion following admission also predicted length of stay.
conclusionsThese findings may form the basis for a structured professional judgment instrument, rated prior to or at time of admission, to assist in estimating length of stay for forensic patients. Such a tool would be useful to clinicians, service planners and commissioners given the high cost of secure psychiatric care.
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