Content of command hallucinations predicts self-harm but not violence in a medium secure unit
Author
Rogers, P.
Watt, Andrew
Gray, Nicola S.
MacCulloch, M.
Gournay, K.
Date
2002-09-01Publisher
Routledge
ISSN
1469-9478
Metadata
Show full item recordAbstract
Evidence to date has supported negative relationships, a null relationship and a positive relationship between command hallucinations and violence or self-harm. This study was designed to determine the relationship between command hallucinations with violent or self-harm content and incidents of violence and self-harm in forensic inpatients. Patients with (n = 56) and without (n = 54) a lifetime history of command hallucinations and resident in a medium-security hospital were identified through clinical and legal records over 51 months. Measures included: staff-observed violence and self-harm; presence and content of command hallucinations; paranoid delusions; previous violent convictions; length of stay; gender; history of alcohol or illicit drug abuse. Statistical analyses used negative binomial regression. Violent command hallucinations and inpatient violence were unrelated. Self-harming command hallucinations and an absence of paranoid delusions were positively associated with self-harm. The processes that determine compliance with command hallucinations remain unclear.
Journal/conference proceeding
Journal of Forensic Psychiatry
Citation
Rogers, P., Watt, A., Gray, N.S., MacCulloch, M. and Gournay, K. (2002) 'Content of command hallucinations predicts self-harm but not violence in a medium secure unit', The Journal of Forensic Psychiatry, 13(2), pp.251-262
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