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Characteristics of male autistic spectrum patients in low security: are they different from non-autistic low secure patients?

Haw, C., Radley, J. and Cooke, L. (2013) Characteristics of male autistic spectrum patients in low security: are they different from non-autistic low secure patients? Journal of Intellectual Disabilities and Offending Behaviour. 4(1/2), pp. 24-32. 2050-8832.

Item Type: Article
Abstract: Abstract: Purpose ‐ The purpose of this paper is to describe the characteristics of adult male autistic spectrum disorder (ASD) patients admitted to low secure services and to compare them with non-ASD patients. Design/methodology/approach ‐ Case-control study of admissions to two ASD units and one non-ASD unit at a tertiary referral centre. Subjects were compared on demographic, personal, clinical and offending behaviour variables. Findings ‐ In total, 51 ASD and 43 controls were studied. Median age at diagnosis of ASD was 21 years (range 6-56). The ASD group were younger (median age 27 vs 33 years) and more likely to be single than controls. Their age at first contact with psychiatric services was lower and proportionally more were admitted from prison and courts. Almost three-quarters had psychiatric comorbidity, most commonly schizophrenia, but unlike controls, personality disorder and drug and alcohol disorders were uncommon. Lifetime sexually inappropriate behaviour and physical violence were less common, as was non-compliance with medication. However, 78 per cent had a lifetime history of physical violence and a third had a conviction for GBH or homicide. Offending behaviour was sometimes atypical in nature and some had convictions for unusual offences such as harassment and stalking. Research limitations/implications ‐ The age difference between cases and controls is likely to have confounded the results. Findings cannot be generalised to the NHS. Originality/value ‐ This group of ASD patients in low security differed in several important respects from their non-ASD counterparts, which highlights their differing treatment needs, strengths and weaknesses.
Uncontrolled Keywords: Asperger, autism, forensic psychiatry, inpatients, institutional care, intellectual disabilities, offending behaviour
Subjects: R Medicine > RC Internal medicine > RC435 Psychiatry > RC553.A88 Autism spectrum disorders
R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine > RA1151 Forensic psychiatry
Creators: Haw, Camilla, Radley, Jane and Cooke, Louise
Publisher: Emerald Group
Northamptonshire and East Midlands: Health
Faculties, Divisions and Institutes: University Faculties, Divisions and Research Centres - OLD > Faculty of Health & Society > Mental Health and Learning Disability
Faculties > Faculty of Health & Society > Nursing
Date: 2013
Date Type: Publication
Page Range: pp. 24-32
Journal or Publication Title: Journal of Intellectual Disabilities and Offending Behaviour
Volume: 4
Number: 1/2
Language: English
ISSN: 2050-8832
Status: Published / Disseminated

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