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Self-injurious behaviour and deliberate self-harm
Published in Tim Riding, Caron Swann, Bob Swann, Colin Dale, The Handbook of Forensic Learning Disabilities, 2021
In custodial situations (in police cells or prison) this approach is often referred to as ‘suicide watch’. In healthcare settings various terms are used interchangeably, including special, close, constant or continuous observations, supervision, specialling, one to one, and suicide precaution. Bowers and Park34 conducted a search of all electronic databases for papers on special observation. Special observation is described as a method of controlling and containing the most disturbed patients who are considered to be at imminent risk of harming themselves or others. A perceived risk of self-harm was found to be the commonest reason for initiating some form of extra or special observation above and beyond what is available to most patients as a matter of course. A study of the use of emergency control measures in three US mental hospitals35 found that 3.4% of the residents had been subject to one-to-one observation during the survey month. This study also appears to indicate that special observation is often combined with other control measures, such as seclusion, emergency medication and mechanical restraint.
Correctional Health Care and Civil Rights
Published in Julie Dickinson, Anne Meyer, Karen J. Huff, Deborah A. Wipf, Elizabeth K. Zorn, Kathy G. Ferrell, Lisa Mancuso, Marjorie Berg Pugatch, Joanne Walker, Karen Wilkinson, Legal Nurse Consulting Principles and Practices, 2019
J. Thaddeus Eckenrode, Cynthia A. Maag, Mariann F. Cosby
Suicide watch is ordered when an inmate voices suicide ideation or plan to COs, healthcare staff, or mental health providers. The inmate will be evaluated, usually daily, to discuss feelings or mood to decide when the inmate may come off of watch. Nurses check on the inmate daily for any health needs and to administer medications. Forms used for suicide watch should reflect the inmate was observed in 15-minute intervals (or whatever the facility’s policy may be) during the entire suicide watch (Hayes, 2017).
The health law, ethics and patient safety interface
Published in John Tingle, Clayton Ó Néill, Morgan Shimwell, Global Patient Safety, 2018
Such proposals are relatively uncontroversial. More so would be the use of surveillance technologies, for example video monitoring of patients. This could be targeted at patients who are perceived to be particularly vulnerable, such as those at risk of falling or on suicide watch. Supporters of such surveillance will argue they offer a deterrent from abuse and a record that can be used to investigate abuse. In some settings it might be argued that surveillance offers greater freedom, if, for example, it allows patients greater freedom of movement.
Uses and Misuses of Ted Kaczynski's MMPI
Published in Journal of Personality Assessment, 2019
The guilty pleas were the culmination of a series of developments leading up to Kaczynski's trial. As his early January 1998 trial date approached, Kaczynski, who was being held in the Sacramento County Jail, strongly objected to his attorneys' plans to mount an insanity defense. When he perceived that he would not be able to thwart this plan, Kaczynski attempted suicide on January 7, 1998, by fashioning a tourniquet from his underwear and beginning to asphyxiate himself. He discontinued this attempt when he began to feel dizzy, his vision became blurry, and he became concerned that he might sustain brain damage in a nonfatal suicide attempt. When questioned about the resulting abrasion on his neck, Kaczynski acknowledged his suicide attempt to custodial staff and was placed on suicide watch. The judge ordered a competency evaluation, which was conducted by Sally Johnson, MD, who at the time served as Chief Psychiatrist and Associate Warden for Mental Health Services for the Federal Correctional Institution in Butner, North Carolina.
“It’s like my kid came back overnight”: Experiences of trans and non-binary young people and their families seeking, finding and engaging with clinical care in England
Published in International Journal of Transgender Health, 2021
Anna Carlile, Ethan Butteriss, Annie Pullen Sansfaçon
The year and a bit before the blockers, he was literally suicidal, we had to make God knows how many trips to A&E [Accident and Emergency; the Emergency Room] and that was just horrendous, we were on suicide watch constantly. He wouldn’t get out of his bed, he wouldn’t go anywhere, he was terrified of everything, it was horrific. The blockers kind of took half of that away and he was up and down but since … T [testosterone], he’s getting on trains and going out to meet friends on his own … he’s been volunteering in a school, he’s joined the gym, he wants to join a theatre group … It’s like my kid came back overnight.