The assessment of dangerous and severe personality disorder: Lessons from a randomised controlled trial linked to qualitative analysis

Journal of Forensic Psychiatry and Psychology

Volumn 20, Issue 1, 2009, Pages 132-146

  Tyrer, Peter ^a   Cooper, Sylvia ^a   Rutter, Deborah ^a   Seivewright, Helen ^a   Duggan, Conor ^b   Maden, Tony ^a   Barrett, Barbara ^c   Joyce, Eileen ^d   Rao, Bharti ^a   Nur, Ula ^a   Cicchetti, Domenic ^a   Crawford, Mike ^a   Byford, Sarah ^c  

^a IMPERIAL COLLEGE LONDON   (United Kingdom)

^b Duncan MacMillan Centre   (United Kingdom)

^c KING'S COLLEGE LONDON   (United Kingdom)

^d UNIVERSITY COLLEGE LONDON   (United Kingdom)

Author keywords

Assessment; Complex intervention; Dangerousness; Personality disorder; Randomised trial

Indexed keywords

AGGRESSION; ARTICLE; CLINICAL EFFECTIVENESS; CLINICAL PROTOCOL; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DANGEROUS AND PERSONALITY DISORDER PROGRAM; DISEASE SEVERITY; HEALTH PROGRAM; HUMAN; HUMAN RELATION; MAJOR CLINICAL STUDY; MENTAL HEALTH; OUTCOME ASSESSMENT; PERSONALITY DISORDER; PHYSICAL CAPACITY; PRIORITY JOURNAL; PRISONER; PSYCHOTHERAPY; QUALITATIVE ANALYSIS; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; SOCIAL INTERACTION; TREATMENT DURATION; VIOLENCE;

EID: 62149125451     PISSN: 14789949     EISSN: 14789957     Source Type: Journal    
DOI: 10.1080/14789940802236872     Document Type: Article

References (36)

1. Barrett, B. and Byford, S. (2007) Collecting service use data for economic evaluation in DSPD populations: Development of the Secure Facilities Service Use Schedule (SFSUS). British Journal of Psychiatry, 190, pp. s76-s86.
2. Barrett, B., Byford, S., Seivewright, H., Cooper, S. and Tyrer, P. (2009) The assessment of dangerous and severe personality disorder: Service use, cost and consequences. Forensic Psychology and Psychiatry, 20, pp. 120-131.
3. Buchanan, A. and Leese, M. (2001) Detention of people with dangerous severe personality disorder: A systematic review. Lancet, 358, pp. 1955-1999.
4. Campbell, M., Fitzpatrick, R., Haines, A., Sandercock, P., Spiegelhalter, D. and Tyrer, P. (2000) A framework for the design and evaluation of complex interventions to improve health. British Medical Journal, 321, pp. 694-696.
5. Coid, J., Yang, M., Tyrer, P., Roberts, A. and Singleton, N. (2006) Prevalence and correlates of personality disorder among adults aged 16 to 74 in Great Britain. British Journal of Psychiatry, 188, pp. 423-431.
6. Cure, S., Chua, W. L., Duggan, L. and Adams, C. (2005) Randomised controlled trials relevant to aggressive and violent people, 1955-2000: A survey. British Journal of Psychiatry, 186, pp. 185-189.
7. Doyle, M. and Dolan, M. (2006) Predicting community violence from patients discharged from mental health services. British Journal of Psychiatry, 189, pp. 520-526.
8. Drummond, M. F., O'Brien, B., Stoddart, G. L. and Torrance, G. W. (1997) Methods for the economic evaluation of health care programmes, Oxford University Press, Oxford, UK
9. Duggan, C., Adams, C., Ferriter, M., Huband, N. and Smailagic, N. (2007) A systematic review of the use of psychological treatments for people with personality disorder. Personality and Mental Health, 1, pp. 95-125.
10. Duggan, C., Mason, L., Banerjee, P. and Hilton, J. (2007) The value of standard personality assessments in informing clinical decision-making in a medium secure unit. British Journal of Psychiatry, 190, pp. s15-s19.
11. Haasen, C., Verthein, U., Degkwitz, P., Berger, J., Krausz, M. and Naber, D. (2007) Heroin-assisted treatment for opioid dependence: Randomised controlled trial. British Journal of Psychiatry, 191, pp. 55-62.
12. Hare, R. D. (1991) The Hare Psychopathy Checklist-Revised, Multi-Health Systems, Toronto, Canada
13. Harper, A. and Power, M. (1998) Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28, pp. 551-558.
14. Hart, S. D., Cox, D. N. and Hare, R. D. (1995) The Hare Psychopathy Checklist-Revised Screening Version (PCL:SV), Multi-Health Systems, Toronto, Canada
15. Hart, S. D., Michie, C. and Cooke, D. J. (2007) Precision of actuarial risk assessment instruments: Evaluating the 'margins of error' of group v. individual predictions of violence. British Journal of Psychiatry, 190, pp. s60-s65.
16. Home Office, Department of Health (1999) Managing dangerous people with severe personality disorder: Proposals for policy development, Department of Health, London
17. Home Office, Department of Health (2001) DSPD programme: Dangerous people with severe personality disorder initiative: Progress report, Home Office, London
18. Howard, R. (2006) How is personality disorder linked to dangerousness? A putative role for early-onset alcohol abuse. Medical Hypotheses, 67, pp. 702-708.
19. Johnson, T. (1998) Clinical trials in psychiatry: Background and statistical perspective. Statistical Methods in Medical Research, 7, pp. 209-234.
20. Lieberman, J. A., Stroup, T. S., McEvoy, J. P., Swartz, M. S., Rosenheck, R. A. Perkins, D. O. et al. (2005) Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. New England Journal of Medicine, 353, pp. 1209-1223.
21. Maden, T. and Tyrer, P. (2003) Dangerous and severe personality disorder: A new concept from the United Kingdom. Journal of Personality Disorder, 17, pp. 489-496.
22. McDermott, B. E., Edens, J. F., Quanbeck, C. D., Busse, D. and Scott, C. L. Examining the role of static and dynamic risk factors in the prediction of inpatient violence: Variable- and person-focused analyses [Electronic version]. Law and Human Behaviour
23. Moran, P. (2001) Dangerous severe personality disorder: Bad tidings from the UK. International Journal of Social Psychiatry, 48, pp. 6-10.
24. Reed, J. (1994) Report of the Department of Health and the Home Office working group on psychopathic disorder, Department of Health & Home Office, London
25. Seivewright, H., Tyrer, P. and Johnson, T. (2002) Changes in personality status in neurotic disorder. Lancet, 359, pp. 2253-2254.
26. Shea, M. T. and Yen, S. (2003) Stability as a distinction between Axis I and Axis II disorders. Journal of Personality Disorders, 17, pp. 373-386.
27. Sorgi, P., Ratey, J., Knoedler, D. W., Markert, R. J. and Reichman, M. (1991) Rating aggression in the clinical setting: A retrospective adaptation of the Overt Aggression Scale: Preliminary results. Journal of Neuropsychiatry, 3, pp. 552-556.
28. Tyrer, P. (2006) Deconstructing personality disorder. Quarterly Journal of Mental Health, 1, pp. 19-23.
29. Tyrer, P. and Alexander, J. (1979) Classification of personality disorder. British Journal of Psychiatry, 135, pp. 163-167.
30. Tyrer, P., Coombs, N., Ibrahimi, F., Mathilakath, A., Bajaj, P. Ranger, M. et al. (2007) Critical developments in the assessment of personality disorder. British Journal of Psychiatry, 190, pp. s51-s59.
31. Tyrer, P., Cooper, S., Herbert, E., Duggan, C., Crawford, M. Joyce, E. et al. (2007) The Quantification of Violence Scale: A simple method of recording significant violence. International Journal of Social Psychiatry, 53, pp. 485-497.
32. Tyrer, P. and Johnson, T. (1996) Establishing the severity of personality disorder. American Journal of Psychiatry, 153, pp. 1593-1597.
33. Tyrer, P., Mitchard, S., Methuen, C. and Ranger, M. (2003) Treatment-rejecting and treatment-seeking personality disorders: Type R and Type S. Journal of Personality Disorders, 17, pp. 265-270.
34. Tyrer, P., Nur, U., Crawford, M., Karlsen, S., McLean, C., Rao, B. and Johnson, T. (2005) The Social Functioning Questionnaire: A rapid and robust measure of perceived functioning. International Journal of Social Psychiatry, 51, pp. 265-275.
35. Warren, F. M., Preedy-Fayers, K., McGauley, G., Pickering, A., Norton, K., Geddes, J. and Dolan, B. (2003) Review of treatments for severe personality disorder: Home Office online report 30/03, Home Office, London
36. Weaver, T., Renton, A., Tyrer, P. and Ritchie, J. (1996) Combining qualitative data with randomised controlled trials is often useful. British Medical Journal, 313, p. 629.