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Why Dual Harm Demands Integrated Care in Forensic Psychiatry
Dual harm refers to when a patient harms themself and acts aggressively toward others or objects. When these behaviours occur together, patients often need closer monitoring and more coordinated care.
A study published in PLoS One by Mark Mohan Kaggwa, Bailea Erb, Sébastien Prat, Arianna Davids, John Bradford, Gary Chaimowitz, and Andrew Olagunju examined which factors were associated with dual harm among forensic patients in Ontario. Their findings highlight the need for integrated, trauma-informed care planning that addresses self-harm and aggression together.
Read moreExamination of the Structured Assessment of Protective Factors for Violence Risk – Youth Version (SAPROF-YV) in Canadian Adolescents
The Structured Assessment of Protective Factors for Violence Risk – Youth Version (SAPROF-YV) is a new measure of protective factors. It is used with a risk-focused tool, such as the Structured Assessment of Violence Risk in Youth (SAVRY), to provide a more balanced and comprehensive assessment of violence risk in adolescents. Our study investigated the relationship between the SAPROF-YV and aggression in a sample of 69 adolescents. Using a retrospective follow-up study design, we reviewed files at an inpatient treatment centre and a probation office. The SAPROF-YV showed good convergent and discriminant validity with the SAVRY. The SAPROF-YV was predictive of the absence of minor verbal aggression. While the SAPROF-YV added incremental predictive validity to SAVRY Protective factors for minor verbal aggression, it did not add incrementally to SAVRY Risk factors in the prediction of any type of aggression. We discuss implications for future research and clinical applications.
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