Interviewing forensic mental health patients who have a history of aggression: considerations and suggestions

This paper discusses issues arising when interviewing men and women in forensic mental health services, noting that many patients in these settings have significant histories of aggression or violence. The differences between interviews conducted for assessment purposes and those that are conducted as part of treatment are noted. We identify some important considerations for interviewers. These relate to characteristics of the client, characteristics of the interviewer, and features of the mental health setting that might impact on the interview. Some practical recommendations are offered to assist forensic mental health practitioners who conduct both types of interview

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Long-term cumulative outcomes of child sexual abuse: Inter-relationships among mental health problems, offending, revictimisation and unnatural death

Abstract not available

Long-term outcomes of child sexual abuse: Examining interrelationships among psychopathology, offending and revictimisation

Abstract not available

Changes in the prevalence and nature of violent crime by youth in Victoria, Australia

Contemporary Australian crime statistics reveal an overall increasing trend in juvenile assault and other violent offence categories; these statistics have coincided with concerns within the Australian criminal justice system that the nature of youth violence has changed. This study utilized a detailed case file review design to investigate the extent and nature of changes in patterns of violent youth offending in Victoria, Australia. It was hypothesized that violent offending would significantly increase between 2000 and 2010, and that the characteristics of those engaging in violence and the types of violence they engaged in would have changed. Analyses showed that violent crime increased significantly and a number of clinically pertinent differences were observed. Continued monitoring of nuanced changes in the frequency and nature of violent offending among Australian youth is warranted to continue to reassure members of the community that criminal justice services are highly committed to their safety

Child maltreatment and criminal justice system involvement in Australia: findings from a national survey

Few studies have examined associations between child maltreatment and criminal justice system involvement using large nationally representative samples and comprehensive measures of self‑reported maltreatment. This study analyses nationally representative data from the Australian Child Maltreatment Study, which surveyed 8,500 Australians to obtain self-reported data on all five child maltreatment types (physical abuse, sexual abuse, emotional abuse, neglect, and exposure to domestic violence) and criminal justice system involvement. We examine associations between self-reported child maltreatment, and chronic multi-type maltreatment, and arrests, convictions and imprisonment. Results show moderate associations between child maltreatment and arrests and convictions, and between maltreatment and imprisonment among men. Stronger associations were found for those experiencing three or more types of maltreatment