Evidence map›Paper›PMID 31910932›Full record

ArticleCNS spectrums2020

Examining violence among Not Guilty by Reason of Insanity state hospital inpatients across multiple time points: the roles of criminogenic risk factors and psychiatric symptoms.

Darci Delgado, Sean M Mitchell, Robert D Morgan, Faith Scanlon

Open access · bronzeAbstract read
In one paragraph

Article in CNS spectrums, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Darci DelgadoCalifornia Department of State Hospitals, Sacramento, California, USA.ORCID 0000-0002-4321-6755
Sean M MitchellDepartment of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA.
Robert D MorganDepartment of Psychological Sciences, Texas Tech University, Lubbock, Texas, USA.ORCID 0000-0002-6263-5955
Faith ScanlonDepartment of Psychological Sciences, Texas Tech University, Lubbock, Texas, USA.
Texas Tech University · USCalifornia State University, Sacramento · US

Funding

Postdoctoral Training in Suicide Prevention Research (supplement 2)T32MH020061 · NIMH · UNIVERSITY OF ROCHESTER · PI VAN ORDEN, KIMBERLY ALLISON · 2001 to 2025
$5.9M
NIMH NIH HHS L30 MH120575NIMH NIH HHS T32 MH020061
6 · The paper itself

Abstract

objectiveInstitutional violence in state hospitals is a public health problem that has been severely understudied. Given the personal (ie, staff and patients) and fiscal harms associated with institutional violence, more research into contributing factors for violence is needed. The overarching aim of this study then was to examine associations among psychiatric symptoms, criminal risk factors, and institutional violence.

methodsParticipants were 200 male, female, and transgender forensic mental health inpatients adjudicated Not Guilty by Reason of Insanity and committed to the California Department of State Hospitals. Participants completed a psychiatric symptom measure, and measures of and associated with criminal risk. Institutional violence was recorded from file review and includes physical violence toward staff or patients for 6-months prior to and post patient participation in this study.

resultsAfter adjusting for previous institutional violence, results indicated that psychiatric symptoms were not associated with follow-up institutional violence; however, criminal risk was associated with follow-up institutional violence. Unexpectedly, 2 aspects of criminal risk, antisocial cognitions and associates, were not associated with follow-up institutional violence after adjusting for previous institutional violence. Results also provided a tentative cutoff score on the Self-Appraisal Questionnaire for predicting follow-up institutional violence.

conclusionsThese results have important implications for treating and managing patients at risk for institutional violence, including the need to assess criminogenic risk and leverage treatments that target these risk factors as a best practice approach.

Indexed as

Insanity DefenseAdultFemaleHospitals, StateHumansInpatientsMaleMental DisordersMiddle AgedViolencecriminal riskinpatient.NGRIpsychiatric symptomsstate hospitalViolence

Identifiers

PMID31910932
PMCPMC7340570
OpenAlexW3000335091

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.