Objective predictors of outcome in forensic mental health services-a systematic review

CNS Spectrums
Ottilie SedgwickVeena Kumari

Abstract

This systematic review aimed to examine whether neurobiological methods, or other methods independent of clinical judgment, have been investigated to assist decision making in forensic mental health services and, if so, whether this may be a useful strategy for predicting outcomes. OVID-Medline, Embase, and PsychInfo (inception-January 2015) were searched, limiting to English and human studies, using terms relating to "predict," "outcome," "psychiatry," and "forensic" to identify primary research articles reporting on predictors of outcome in forensic mental health services not reliant on clinical judgment/self-report. Fifty studies investigating demographic, neuropsychological/neurophysiological, and biological predictors were identified, reporting on 3 broad outcomes: (i) inpatient violence, (ii) length of stay, (iii) reoffending. Factors associated positively, negatively, and showing no relationship with each outcome were extracted and compiled across studies. Of various demographic predictors examined, the most consistent associations were between previous psychiatric admissions and inpatient violence; a more "severe" offense and a longer length of stay; and young age and reoffending. Poor performance on tests of cognitive ...Continue Reading

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Citations

Oct 7, 2016·Journal of Interpersonal Violence·Inge JeandarmeStefan Bogaerts
Jan 20, 2018·Current Opinion in Endocrinology, Diabetes, and Obesity·Katrin Tomson-Johanson, Jaanus Harro
Jul 10, 2021·The Australian and New Zealand Journal of Psychiatry·Piyal SenVeena Kumari

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