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Research ArticleRegular Articles

Highly Aggressive Women in a Forensic Psychiatric Hospital

Niels C. Beck, Joseph H. Hammer, Sharon Robbins, Tara Tubbesing, Anthony Menditto and Alicia Pardee
Journal of the American Academy of Psychiatry and the Law Online March 2017, 45 (1) 17-24;
Niels C. Beck
Dr. Beck is Professor Emeritus, Dr. Robbins is Adjunct Assistant Professor, and Dr. Menditto is Adjunct Associate Professor, University of Missouri Medical School, Columbia, MO. Alicia Pardee is Staff Psychologist and Program Director, Fulton State Hospital, Fulton, MO. Dr. Hammer is Assistant Professor at the University of Kentucky, Lexington, KY. Dr. Tubbesing is Chief Psychologist at Northwest Missouri Psychiatric Rehabilitation Center, St. Joseph, MO.
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Joseph H. Hammer
Dr. Beck is Professor Emeritus, Dr. Robbins is Adjunct Assistant Professor, and Dr. Menditto is Adjunct Associate Professor, University of Missouri Medical School, Columbia, MO. Alicia Pardee is Staff Psychologist and Program Director, Fulton State Hospital, Fulton, MO. Dr. Hammer is Assistant Professor at the University of Kentucky, Lexington, KY. Dr. Tubbesing is Chief Psychologist at Northwest Missouri Psychiatric Rehabilitation Center, St. Joseph, MO.
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Sharon Robbins
Dr. Beck is Professor Emeritus, Dr. Robbins is Adjunct Assistant Professor, and Dr. Menditto is Adjunct Associate Professor, University of Missouri Medical School, Columbia, MO. Alicia Pardee is Staff Psychologist and Program Director, Fulton State Hospital, Fulton, MO. Dr. Hammer is Assistant Professor at the University of Kentucky, Lexington, KY. Dr. Tubbesing is Chief Psychologist at Northwest Missouri Psychiatric Rehabilitation Center, St. Joseph, MO.
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Tara Tubbesing
Dr. Beck is Professor Emeritus, Dr. Robbins is Adjunct Assistant Professor, and Dr. Menditto is Adjunct Associate Professor, University of Missouri Medical School, Columbia, MO. Alicia Pardee is Staff Psychologist and Program Director, Fulton State Hospital, Fulton, MO. Dr. Hammer is Assistant Professor at the University of Kentucky, Lexington, KY. Dr. Tubbesing is Chief Psychologist at Northwest Missouri Psychiatric Rehabilitation Center, St. Joseph, MO.
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Anthony Menditto
Dr. Beck is Professor Emeritus, Dr. Robbins is Adjunct Assistant Professor, and Dr. Menditto is Adjunct Associate Professor, University of Missouri Medical School, Columbia, MO. Alicia Pardee is Staff Psychologist and Program Director, Fulton State Hospital, Fulton, MO. Dr. Hammer is Assistant Professor at the University of Kentucky, Lexington, KY. Dr. Tubbesing is Chief Psychologist at Northwest Missouri Psychiatric Rehabilitation Center, St. Joseph, MO.
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Alicia Pardee
Dr. Beck is Professor Emeritus, Dr. Robbins is Adjunct Assistant Professor, and Dr. Menditto is Adjunct Associate Professor, University of Missouri Medical School, Columbia, MO. Alicia Pardee is Staff Psychologist and Program Director, Fulton State Hospital, Fulton, MO. Dr. Hammer is Assistant Professor at the University of Kentucky, Lexington, KY. Dr. Tubbesing is Chief Psychologist at Northwest Missouri Psychiatric Rehabilitation Center, St. Joseph, MO.
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    Figure 1.

    Latent class trajectories of frequency of seclusion of restraint episodes among 622 patients hospitalized at a psychiatric facility.

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    Table 1

    Trajectory Class Comparisons

    CharacteristicsHigh (n = 18)Medium (n = 17)Low (n = 51)p
    Special education (%)894122p = .000**
    Cognitive impairment (%)724726p = .002**
    Physical or sexual abuse (%)896565p = .142
    Sexual abuse (%)784751p > .313
    Physical abuse (%)56345p > .313
    Symptom onset (mean years)121622p = .000**
    Placement outside house (%)945949p = .003**
    BMI (mean)36.840.231.9p = .005**
    Hypothyroidism (%)502420p = .043*
    Self-injury frequency (mean Likert score)6.942.560.43p = .000**
    Suicide attempt frequency (mean Likert score)1.671.120.90p = .090
    Attempted elopement (%)617135p = .019*
    Prior institutional aggression (mean Likert score)4.563.471.90p = .000**
    Aggression seriousness (mean Likert score)2.501.290.37p = .000**
    Attention deficit disorder (%)4406p = .000**
    School behavior problems (%)445310p = .000**
    • N = 86;

    • ↵* p < .05;

    • ↵** p < .01.

      Significant Kruskal-Wallis test results were followed up with planned and post hoc comparisons between trajectory classes. The results of these analyses are in the text.

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Journal of the American Academy of Psychiatry and the Law Online: 45 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 45, Issue 1
1 Mar 2017
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Highly Aggressive Women in a Forensic Psychiatric Hospital
Niels C. Beck, Joseph H. Hammer, Sharon Robbins, Tara Tubbesing, Anthony Menditto, Alicia Pardee
Journal of the American Academy of Psychiatry and the Law Online Mar 2017, 45 (1) 17-24;

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Highly Aggressive Women in a Forensic Psychiatric Hospital
Niels C. Beck, Joseph H. Hammer, Sharon Robbins, Tara Tubbesing, Anthony Menditto, Alicia Pardee
Journal of the American Academy of Psychiatry and the Law Online Mar 2017, 45 (1) 17-24;
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