Disorders

Question 1

Suicide

Answer 1

Prison suicide + self-harm rates rising

Hanging most common method of suicide

Majority occur within 6 months of imprisonment, life-sentence prisoners over represented

Single cell is a risk factor, also history of substance misuse / violent offenders

Question 2

Arson

Answer 2

Mostly male, late adolescent / early adulthood, unmarried, poorly educated, living alone, unemployed or unskilled labourers

Psychiatric disorders over represented - most commonly substance misuse and personality disorders. Also psychotic disorders + LD

Question 3

Kleptomania

Answer 3

Impulse control disorder

Women > men

Recurrent failure to control strong impulses to steal objects in the absence of an apparent motive. Often experience guilt / shame after stealing but does not prevent further recurrence

Question 4

Paraphilic disorders

Answer 4

Persistent and intense patterns of atypical sexual arousal

Men > women

Overlap between these disorders and sex offending / inappropriate sexual behaviour

Question 5

Manslaughter / culpable homicide

Answer 5

Voluntary - killing with intent to murder, but a partial defence applies (e.g. suicide pact, severe provacation)

Involuntary - conduct grossly negligent or unlawful act involving danger / harm that resulted in death

Question 6

Automatism - insane

Answer 6

Due to an intrinsic cause e.g. sleepwalking, brain tumours, epilepsy

Acquittal on the grounds of insanity

Question 7

Automatism - sane

Answer 7

Due to an extrinsic cause e.g. confusional states, concussion, reflex actions after bee sting, dissociate states, sleep terrors, hypoglycaemia

Results in complete acquittal

Question 8

Ganser syndrome

Answer 8

Approximate answers
Clouding of consciousness
Conversion symptoms
Visual / auditory hallucinations or pseudohallucinations
Disorientation, memory loss, loss of identity, fugue, regression, rapid recovery

Question 9

Threat control override symptoms

Answer 9

Patients feel like they are being threatened or controlled (delusions of influence, delusions of threat, command hallucinations, threatening content of auditory hallucinations) have been found to be associated with violence

Question 10

Stalking typology

Answer 10

Rejected stalker - pursue victims to reverse, correct or avenge rejection

Intimacy seekers - believe infatuation is reciprocal, no previous sexual relations

Incompetent suitors - despite poor social skills, fixation on an intimate relationship with victim

Resentful stalkers - desire to threaten and distress, not following a sexual relationship

Predatory stalkers - initially spy on victim as a precursor to sexual assault, victim often a stranger or acquaintance