MRCPsych Paper B - Forensic

Question 1

Percentage of people held in custody by police that have a mental disorder

Answer 1

39%

Question 2

Prevalence of psychotic disorders in prisons compared to the general population (how many times)

Answer 2

10x

Question 3

Profile of internet child pornography offenders (ICPO)

Answer 3

younger, better educated, employed, have higher incomes, less antisocial and subs user, single

Question 4

M:F conviction rate for any offence in the UK

Answer 4

5:1

Question 5

When women with psychosis commit homicide, victims are usually what age

Answer 5

<16yo, usually a family member

Question 6

Proportion of men discharged from medium secure units that are convicted of a violent offence within 5 yrs of discharge

Answer 6

1 in 6

Question 7

Percentage of psychiatrists that reported being stalked during their career

Answer 7

10%, 30% reported harassment
*20% in hi-yield notes

Question 8

Proportion of elderly prisoners that have a mental illness

Answer 8

> 50%
*most common is depression (30%)

Question 9

Proportion of domestic violence experienced by men

Answer 9

30%

Question 10

Percentage of people who commit homicides that have a mental illness

Answer 10

10%

Question 11

Percentage of new offenders among those charged of indecent exposure

Answer 11

80%

Question 12

Percentage of violence in the population that can be ascribed to psychosis

Answer 12

5%

Question 13

Factor that contributes most to the risk of suicide in prison

Answer 13

Occupying a single cell

Question 14

Insane automastism

Answer 14

intrinsic cause - sleep walking, brain tumors, epilepsy
*acquittal on the grounds of insanity

Question 15

Sane automatism

Answer 15

extrinsic cause - confusional states, concussion, reflex actions, dissociative states, sleep terrors, hypoglycemia
*complete acquittal

Question 16

Prevalence of ID within prison populations

Answer 16

2-30%

Question 17

Actuarial instrument for violence risk assessment

Answer 17

Violence Risk Appraisal Guide (VRAG)
Violence Risk Scale
PCL-R (HARE) - psychopathy test
The Static 99 - 10 item, estimate sexual recidivism
Sexual offender risk assessment guide (SORAG) - 14 item, assess violent recidivism risk in sexual offenders

Question 18

Structured risk tools for violence risk assessment

Answer 18

HCR-20 - violence risk
SARA - spousal assault
SVR - sexual violence

Question 19

2 factors most associated with sexual recidivism

Answer 19

deviant sexual interests
antisocial orientation/lifestyle instability

Question 20

Percentage of female homicides that are DV related

Answer 20

38%

Question 21

Most common psychiatric diagnosis in arsonists

Answer 21

substance use disorders & personality disorders

Question 22

Personality trait more commonly seen in elderly sexual offenders compared to elderly non-sex-offenders

Answer 22

schizoid, obsessive-compulsive, and avoidant

Question 23

Most common forensic presentation or offence of conduct disorder

Answer 23

shoplifting

Question 24

3 explanations for memory loss or amnesia in offenders

Answer 24

1. suffering from brain dysfunction during the time of the crime (organic amnesia)
2. extreme emotional condition when committing the crime (dissociative amnesia)
3. pretending to unable to remember (feigned amnesia)

Question 25

Risk factor that increases the risk of violence in association with stalking

Answer 25

stalker is an ex-partner

Question 26

Considered to be a test for fitness to give evidence in court

Answer 26

Ability to understand questions posed by the court

Question 27

Proportion of homicide perpetrators with a primary diagnosis of PD that received prison sentence

Answer 27

9%

Question 28

Percentage of homicide perpetrators with a primary diagnosis of a PD had no contact with the mental health services in the year before

Answer 28

7%

Question 29

Percentage of PD patients had no other psychiatric illness at the time of committing the homicide

Answer 29

45%

Question 30

Percentage of homicide perpetrators with a history of mental disorder has PD as a primary diagnosis

Answer 30

25-30%

Question 31

A tool that guides decisions regarding the need for, and level of, secure placement

Answer 31

DUNDRUM

Question 32

Proportion of shoplifters that will reoffend after conviction

Answer 32

10%

Question 33

Proportion of prisoners that will self-harm during their prison term

Answer 33

10%

Question 34

Lifetime rate of any mental disorder in perpetrators of homicide

Answer 34

30%

Question 35

Probability of having a mental disorder at the time of committing a homicide offence

Answer 35

10%