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Strand, Susanne, DocentORCID iD iconorcid.org/0000-0002-8285-0935
Publications (10 of 35) Show all publications
Sheperd, S. M. & Strand, S. (2016). The utility of the psychopathy checklist: Youth Version (PCL: YV) and the Youth Psychopathic Trait Inventory (YPI)-is it meaningful to measure psychopathy in young offenders?. Psychological Assessment, 28(4), 405-415
Open this publication in new window or tab >>The utility of the psychopathy checklist: Youth Version (PCL: YV) and the Youth Psychopathic Trait Inventory (YPI)-is it meaningful to measure psychopathy in young offenders?
2016 (English)In: Psychological Assessment, ISSN 1040-3590, E-ISSN 1939-134X, Vol. 28, no 4, p. 405-415Article in journal (Refereed) Published
Abstract [en]

This study examined the convergent validity of 2 youth psychopathy instruments, the Psychopathy Checklist: Youth Version (PCL: YV) and the Youth Psychopathic Trait Inventory (YPI) and their relationship with problem behaviors and recidivism in an Australian sample of young offenders in custody. The PCL: YV demonstrated a capacity to identify severely antisocial youth; however, the tool was unable to differentiate between potentially psychopathic and nonpsychopathic antisocial youth. The YPI was receptive to a wide variety of problem behaviors which precluded the unique identification of core psychopathic traits in the sample. Both instruments were unable to meaningfully distinguish between recidivists and nonrecidivists. As such, the PCL: YV and the YPI demonstrate limited utility for antisocial young offenders in custody. Further research on the durability and developmental manifestation of psychopathy in adolescents is necessary before these instruments are employed in similar contexts. Implications for the clinical use of psychopathy measures are discussed.

Keywords
Juvenile, PCL: YV, Psychopathy, Recidivism, Youth violence
National Category
Social Sciences
Identifiers
urn:nbn:se:miun:diva-28860 (URN)10.1037/pas0000182 (DOI)000372968600008 ()26146951 (PubMedID)2-s2.0-84935059116 (Scopus ID)
Available from: 2016-09-21 Created: 2016-09-21 Last updated: 2017-11-21Bibliographically approved
Olsson, H., Audulv, Å., Strand, S. & Kristiansen, L. (2015). Reducing or Increasing Violence in Forensic Care: A Qualitative Study of Inpatient Experiences. Archives of Psychiatric Nursing, 29(6), 393-400
Open this publication in new window or tab >>Reducing or Increasing Violence in Forensic Care: A Qualitative Study of Inpatient Experiences
2015 (English)In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 29, no 6, p. 393-400Article in journal (Refereed) Published
Abstract [en]

Semi-structured interviews with 13 forensic psychiatric inpatients that had decreased their assessed risk of violence were analyzed using interpretive description. The main contribution from this study is a detailed description of patients' own strategies to avoid violence. Participants described having an ongoing inner dialog in which they encouraged themselves, thereby increasing their self-esteem and trying to accept their current situation. An unsafe and overcrowded ward with uninterested and nonchalant staff increased the risk of aggressive behavior. In the process of decreasing violence, the patients and the forensic psychiatric nursing staff interacted to create and maintain a safe environment.

National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-19783 (URN)10.1016/j.apnu.2015.06.009 (DOI)000365559300008 ()2-s2.0-84947032146 (Scopus ID)
Projects
Reduced violence in Forensic care
Available from: 2013-08-28 Created: 2013-08-28 Last updated: 2017-12-06Bibliographically approved
Selenius, H. & Strand, S. (2015). Superficiality in forensic psychiatric patients is related to superior phonological, semantic, and syntactic skills. Nordic Journal of Psychiatry, 69(5), 392-396
Open this publication in new window or tab >>Superficiality in forensic psychiatric patients is related to superior phonological, semantic, and syntactic skills
2015 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 69, no 5, p. 392-396Article in journal (Refereed) Published
Abstract [en]

Background: Psychopaths are reported to have unusual language processing, and they have been suggested to have better phonological awareness than do non-psychopaths. Phonological processing skills have not been studied among psychopathic persons, and it is unclear how the degree of psychopathy is related to such skills. Aims: One aim of the present study was to investigate this relationship. An additional aim was to investigate how affective-interpersonal traits and antisocial lifestyle of psychopaths are related to verbal skills such as reading and spelling, as well as to phonological processing skills. Material and methods: Forty (80% male) forensic psychiatric patients participated. They were all Swedish-speaking, and their mean age was 36 years. The patients performed reading and spelling tests as well as a battery of tasks assessing phonological processing. The patients were also assessed using the Psychopathy Checklist Screening Version (PCL:SV). Results: The patients scores on Factor 1 (affective and interpersonal traits) of the PCL:SV were significantly positively correlated with results on decoding of sentences and reading speed tests as well as with phonological processing skills. However, the only item that was significantly related to phonological processing skills as well as semantic and syntactic skills was Superficial. Conclusions: In general, psychopaths easily shift conversational topics, and it may be due to a certain cognitive skill such as rapid automatized naming. We suggest that further studies focus on rapid automatized naming in psychopaths to clarify whether their superficial character might be related to rapid naming.

Keywords
psychopathy, superficiality, language, phonological processing skills, semantic skills, syntactic skills
National Category
Social Sciences
Identifiers
urn:nbn:se:miun:diva-23785 (URN)10.3109/08039488.2014.994031 (DOI)000361330800010 ()2-s2.0-84929845783 (Scopus ID)
Available from: 2014-12-15 Created: 2014-12-15 Last updated: 2017-12-05Bibliographically approved
Storey, J., Kropp, P. R., Hart, D. S., Belfrage, H. & Strand, S. (2014). Assessment and Management of Risk for Intimate Partner Violence by Police Officers. Using the Brief Spousal Assault Form for the Evaluation of Risk (B-SAFER).. Criminal justice and behavior, 41(2), 256-271
Open this publication in new window or tab >>Assessment and Management of Risk for Intimate Partner Violence by Police Officers. Using the Brief Spousal Assault Form for the Evaluation of Risk (B-SAFER).
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2014 (English)In: Criminal justice and behavior, ISSN 0093-8548, E-ISSN 1552-3594, Vol. 41, no 2, p. 256-271Article in journal (Refereed) Published
Abstract [en]

The management of intimate partner violence (IPV) typically falls to police. For assistance, officers are increasingly using violence risk assessment tools like the Brief Spousal Assault Form for the Evaluation of Risk (B-SAFER). This study replicates the methodology of Belfrage et al. but examines the B-SAFER as used by Swedish police officers when assessing and managing IPV. Results revealed a positive relationship between risk and management. Total scores and overall risk ratings predicted recidivism (AUC [Area under the curve] = .70 and .69, respectively). Finally, a pattern where management recommendations were associated with decreased recidivism in high risk perpetrators but increased recidivism in low risk perpetrators was found. Results validate the use of the B-SAFER by police and reveal mostly comparable findings between the B-SAFER and the Spousal Assault Risk Assessment Guide, as examined by Belfrage et al., but suggest that the B-SAFER may be better suited for police.

Keywords
B-SAFER, intimate partner violence, police, risk assessment, risk management
National Category
Social Sciences
Identifiers
urn:nbn:se:miun:diva-20672 (URN)10.1177/0093854813503960 (DOI)000329197900007 ()2-s2.0-84891590140 (Scopus ID)
Available from: 2013-12-13 Created: 2013-12-13 Last updated: 2017-12-06Bibliographically approved
Olsson, H., Strand, S. & Kristiansen, L. (2014). Reaching a turning point – how patients in forensic care describe trajectories of recovery. Scandinavian Journal of Caring Sciences, 28(3), 505-514
Open this publication in new window or tab >>Reaching a turning point – how patients in forensic care describe trajectories of recovery
2014 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, no 3, p. 505-514Article in journal (Refereed) Published
Abstract [en]

In Sweden, the duration of treatment is increasing for patients admitted to forensic psychiatric care. To reduce the length of stay it is important for the forensic rehabilitation and recovery process to be effective and safe. Not much is known about how the process of recovery and transition begins and how it is described by the forensic patients. The purpose of this study was to explore how forensic patients with a history of high risk for violence experienced the turn towards recovery. A qualitative content analysis was used to analyze interviews with 10 patients who had decreased their assessed risk for violence on the risk assessment instrument HCR-20, and who were successfully managed a lower level of security. Three themes were identified: (1) the high risk phase; facing intense negative emotions and feelings (2) the turning point phase; reflecting on and approaching oneself and life in a new way (3) the recovery phase; recognizing, accepting and maturing. In the high risk phase chaotic and overwhelming feelings were experienced. The turning point phase was experienced as a sensitive stage and it was marked by being forced to find a new, constructive way of being. The recovery phase was characterized by recognizing personal circumstances in life, including accepting the need for structure, a feeling of maturity and a sense of responsibility for their own life. In order to ensure a successful recovery, the forensic nursing staff needs to recognize and support processes related to treatment motivation and turning points. Recommendations for best nursing practice are given accordingly.

Keywords
forensic patients, interviews, recovery, reduced violence, turning point
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-19784 (URN)10.1111/scs.12075 (DOI)000340288100010 ()2-s2.0-84904902706 (Scopus ID)
Note

Published online 19 Aug 2013

Available from: 2013-08-28 Created: 2013-08-28 Last updated: 2017-12-06Bibliographically approved
Olsson, H., Strand, S., Asplund, K. & Kristiansen, L. (2014). Turning points and treatment readiness in forensic patients: A study based on staff experiences.. Nordisk sygeplejeforskning, 4(3), 175-188
Open this publication in new window or tab >>Turning points and treatment readiness in forensic patients: A study based on staff experiences.
2014 (English)In: Nordisk sygeplejeforskning, ISSN 1892-2678, E-ISSN 1892-2686, Vol. 4, no 3, p. 175-188Article in journal (Refereed) Published
Abstract [en]

Many individuals sentenced to forensic psychiatric care fail in the rehabilitation process, resulting in long-term inpatient hospital care. The concepts of turning points and treatment readiness in forensic settings should therefore be afforded more attention. Much can be learned from the features that characterize trajectories of recovery and processes related to turning points. The aim of this study was to explore forensic nursing staff’s experiences of forensic psychiatric patients’ turning towards recovery. A qualitative content analysis was used to analyse interviews with 13 forensic psychiatric nursing staff. Analysis of the data revealed two main themes with implications for clinical practice: promoting a turning point and recognizing a turning point. In the first of these, the emphasis was on actions and conditions that must exist to promote a turning. In the second, the main experiences related to recognizing a turning point were stories about visible and perceptible changes in the patient. The experiences that stood out most distinctly were those of being able to wait out the patient, and having patience when there was a lack of progression. The composition of staff and patients contributed to whether or not the environment was perceived as salutary.

Keywords
Forensic Nursing, changing process, forensic psychiatric care, interviews, recovery
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-19785 (URN)
Available from: 2013-08-28 Created: 2013-08-28 Last updated: 2017-12-06Bibliographically approved
Storey, J. E. & Strand, S. (2013). Assessing violence risk among female IPV perpetrators: An examination of the B-SAFER. Journal of Aggression, Maltreatment & Trauma, 22(9), 964-980
Open this publication in new window or tab >>Assessing violence risk among female IPV perpetrators: An examination of the B-SAFER
2013 (English)In: Journal of Aggression, Maltreatment & Trauma, ISSN 1092-6771, E-ISSN 1545-083X, Vol. 22, no 9, p. 964-980Article in journal (Refereed) Published
Abstract [en]

Intimate partner violence (IPV) is a global problem and one in which frontline assessment and management falls primarily to police. Although IPV is often conceptualized as a male-perpetrated crime, evidence substantiates female IPV perpetration and increased arrest rates, raising important issues for police. This article examines police use of the Brief Spousal Assault Form for the Evaluation of Risk (B-SAFER; Kropp, Hart, & Belfrage, 2005, 2010), a violence risk assessment tool for IPV. The B-SAFER was used to assess and manage 52 women arrested for IPV. When compared to Belfrage and Strand (2008), who examined men arrested for IPV in the same sample, women possessed fewer risk factors. Risk factors were related to summary risk judgments, although differences existed between genders and risk judgments were not related to management recommendations. Results suggest that risk factors, in addition to those in the B-SAFER, are required to assess risk for female IPV. © 2013 Copyright Taylor and Francis Group, LLC.

Keywords
B-SAFER, female perpetrators, intimate partner violence, police, violence risk assessment, violence risk management
National Category
Social Sciences
Identifiers
urn:nbn:se:miun:diva-21000 (URN)10.1080/10926771.2013.835015 (DOI)2-s2.0-84888625133 (Scopus ID)
Note

CODEN: JAMTF

Available from: 2014-01-09 Created: 2014-01-09 Last updated: 2017-12-06Bibliographically approved
Olsson, H., Strand, S., Kristiansen, L., Sjöling, M. & Asplund, K. (2013). Decreased risk for violence in patients admitted to forensic care, measured with the HCR-20. Archives of Psychiatric Nursing, 27(4), 191-197
Open this publication in new window or tab >>Decreased risk for violence in patients admitted to forensic care, measured with the HCR-20
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2013 (English)In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 27, no 4, p. 191-197Article in journal (Refereed) Published
Abstract [en]

Aim: To explore if patients admitted to forensic psychiatric care decreased their assessed risk for violence over time, to identify patients who decreased their assessed risk for violence exceptionally well (30% or more) on the Clinical (C) and Risk management (R) scales in the (HCR-20), and to compare them in terms of demographic data.

Methods: The HCR-20 risk assessment instrument was used to assess the risk for violence in 267 patients admitted to a Swedish forensic psychiatric clinic between 1997 and 2010. Their assessments at admission were compared with a second, and most recent, risk assessment.

Results: The risk for violence decreased over time. Demographic criteria had no impact on differences on decreased risk. Only two factors, namely gender and psychopathy showed a difference. Risk factors associated with stress and lack of personal support were the items that turned out to be the most difficult to reduce.

Conclusion: The results show that risk prevention in forensic care does work and it is important to continue to work with risk management. The study highlights the importance of a careful analysis of the patient's risk for violence in order to work with the patient's specific risk factors to reduce the risk.

Keywords
forensic nursing, risk assessment, violence
National Category
Nursing Forensic Science
Identifiers
urn:nbn:se:miun:diva-19781 (URN)10.1016/j.apnu.2013.03.004 (DOI)000322847900007 ()2-s2.0-84881023819 (Scopus ID)
Available from: 2013-08-28 Created: 2013-08-28 Last updated: 2017-12-06Bibliographically approved
McEwan, T. E. & Strand, S. (2013). The role of psychopathology in stalking by adult strangers and acquaintances. Australian and New Zealand journal of psychiatry (Print), 47(6), 546-555
Open this publication in new window or tab >>The role of psychopathology in stalking by adult strangers and acquaintances
2013 (English)In: Australian and New Zealand journal of psychiatry (Print), ISSN 0004-8674, E-ISSN 1440-1614, Vol. 47, no 6, p. 546-555Article in journal (Refereed) Published
Abstract [en]

Objective: Individuals who stalk strangers and acquaintances are under-studied, although there is some evidence suggesting a greater prevalence of psychopathology than is present in those who stalk former partners. This study investigated the nature and prevalence of psychopathology in a sample of stranger and acquaintance stalkers and whether psychopathology was associated with increased duration or serial stalking in this group. It was hypothesised that mental illness, and specifically psychosis, would be more prevalent among strangers and acquaintances than among ex-intimate stalkers. Method: Two hundred and eleven stalkers (10% female; mean age = 35, SD = 10.8; 71 ex-intimates) were recruited between 2002 and 2007 from a specialist service in Melbourne, Australia. Each underwent psychiatric and psychological assessment and disorders were diagnosed according to DMS-IV-TR criteria. Non-parametric independent sample tests were used to examine associations between relationship type and psychopathology, and to identify individual and stalking-related characteristics associated with increased duration and serial stalking. Results: Axis I disorders were significantly more prevalent among strangers and acquaintances than ex-intimates (71% vs 48%, OR = 2.6, 95% CI = 1.4 to 4.7), as were psychotic disorders (29% vs 9%, OR = 4.4, 95% CI = 1.8 to 10.9). Psychosis was significantly associated with increased duration of stalking behaviour (U = 3043, p < 0.001). Those with a personality disorder were twice as likely to have stalked multiple times (OR = 2.4, 95% CI = 1.2 to 5.0). Conclusions: Those who stalk strangers and acquaintances are often mentally ill and psychopathology is associated with more persistent and recurrent stalking behaviour. Although limited by the use of clinical interview rather than structured assessment, these findings strongly support the argument for routine mental health assessment of stranger and acquaintance stalkers who become involved with the criminal justice system.

Keywords
Forensic psychiatry, Personality disorder; Psychosis, Stalking
National Category
Social Sciences
Identifiers
urn:nbn:se:miun:diva-20654 (URN)10.1177/0004867413479408 (DOI)000321494500010 ()2-s2.0-84880517458 (Scopus ID)
Available from: 2013-12-12 Created: 2013-12-11 Last updated: 2017-12-06Bibliographically approved
Strand, S. & Selenius, H. (2013). Uppföljning av patienter som har överförts eller skrivits ut från Rättspsykiatriska regionkliniken i Sundsvall under tidsperioden 2005-2010.
Open this publication in new window or tab >>Uppföljning av patienter som har överförts eller skrivits ut från Rättspsykiatriska regionkliniken i Sundsvall under tidsperioden 2005-2010
2013 (Swedish)Report (Other academic)
Abstract [sv]

Bakgrund. Vid den Rättspsykiatriska regionkliniken i Sundsvall, som har den högsta säkerhetsnivån, vårdas personer i behov av psykiatrisk tvångsvård. Patientgruppen består av psykiskt störda lagöverträdare som är överlämnade till rättspsykiatrisk vård (LRV), särskilt vårdkrävande patienter som vårdas enligt psykiatriskt tvångsvård (LPT) och klienter från Kriminalvården som har behov av psykiatrisk tvångsvård. Då den regionkliniken har denna mycket höga säkerhetsnivå överförs ibland patienter i behov av högkvalificerad specialistvård från andra rättspsykiatriska avdelningar med lägre säkerhetsnivå till regionkliniken. Patienterna kan sedan överföras tillbaka till den avdelning som de har kommit ifrån då deras behov av den högkvalificerade specialistvården inte längre föreligger. Även Kriminalvården har olika säkerhetsnivåer och detta innebär att regionkliniken tar emot klienter som dels är i behov av psykiatrisk tvångsvård och dels har bedömts vara de mest riskfyllda inom kriminalvården.

Syftet. Syftet med föreliggande pilotstudie var att genom en registerstudie följa upp patienter som har överförts, skrivits ut eller vårdats inom mer öppna former från Rättspsykiatriska regionkliniken i Sundsvall under åren 2005-2010.

Metod. I studien ingick 173 deltagare (13% kvinnor och 87% män), vilka var dömda till rättspsykiatrisk vård eller fängelse. Samtliga 173 inkluderade deltagare har lämnat regionkliniken under åren 2005 till 2010. Genom registerstudier samlades data in gällande demografiska variabler och riskbedömningar med HCR-20 (Webster et al. 1997). Därtill följdes patienterna upp i Brottförebyggande rådets lagföringsregister.

Resultat. Studien visade att 43% av patienterna har skrivits ut eller är fortsatt inskrivna under mer öppna former vid regionkliniken. Vidare har 44% av patienterna överförts till sina hemlandsting för fortsatt vård under hemlandstingens ansvar. Därtill har 11% av patienterna överförts tillbaka till kriminalvården och 2% av patienterna har blivit utvisade ur riket. Utifrån de riskbedömningar som har gjorts med HCR-20 kan konstateras att patienterna hade många riskfaktorer för våld då de lämnade kliniken, och då framförallt de som återgår till kriminalvården. Uppföljningen i lagföringsregistret visade att 22% av patienterna var lagförda för nya brott, varav 12% var lagförda för nya våldsbrott. De flesta patienter som har blivit lagförda för nya brott var de patienter som överförts till kriminalvården. De patienter som återfaller gör det inom 4 månader från att de har lämnat den högkvalificerade slutna specialistvården vid Rättspsykiatriska regionkliniken i Sundsvall.

Slutsats. Majoriteten av patienterna, som har lämnat den högkvalificerade slutna specialistvården vid Rättspsykiatriska regionkliniken i Sundsvall inte är färdigbehandlade. De fortsätter sin vård vid andra institutioner eller under mer öppna former. Det innebär att de som övertar vården av patienterna behöver arbeta med riskhantering i större utsträckning för att kunna förhindra återfall i nya brott.

Publisher
p. 37
Series
RCR Working Paper Series ; 2013:4
National Category
Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:miun:diva-20819 (URN)978-91-87557-24-8 (ISBN)
Available from: 2013-12-19 Created: 2013-12-19 Last updated: 2017-12-07Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8285-0935

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