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Recurrent self-injurious behavior in forensic patients

M Hillbrand1, J L Young, J H Krystal

  • 1Intermediate Treatment Unit, Whiting Forensic Institute, Middletown, CT 06457, USA.

The Psychiatric Quarterly
|January 1, 1996
PubMed
Summary

Forensic psychiatric patients with recurrent self-injurious behavior exhibit increased aggression towards others and require longer hospital stays. Early intervention for self-harm in forensic settings is crucial to reduce patient and financial costs.

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Area of Science:

  • Forensic Psychiatry
  • Clinical Psychology

Background:

  • Self-injurious behavior is prevalent in forensic and correctional psychiatric populations.
  • Severely and recurrently self-destructive patients present significant therapeutic challenges.

Purpose of the Study:

  • To compare forensic patients with multiple self-injury acts to those with a single act.
  • To identify characteristics differentiating recurrent self-injurious behavior in forensic settings.

Main Methods:

  • Comparative analysis of hospitalized forensic patients.
  • Categorization based on the number of self-injury acts (single vs. multiple).
  • Assessment of demographic, diagnostic, aggression, and hospitalization data.

Main Results:

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  • No significant differences in demographic or diagnostic measures between groups.
  • Recurringly self-injurious patients showed higher verbal and physical aggression towards others.
  • Patients with multiple self-injury acts required longer hospitalization periods.

    • Conclusions:

    • Recurrent self-injury in forensic patients is associated with increased aggression and prolonged hospitalization.
    • Early and vigorous intervention strategies are recommended to mitigate the impact of self-harm.
    • Addressing recurrent self-injury can reduce human and financial costs in forensic psychiatric care.