TY  - JOUR
PY  - 2016//
TI  - Examining the effect of childhood trauma on psychological distress, risk of violence and engagement, in forensic mental health
JO  - Psychiatry research
A1  - Macinnes, Marlene
A1  - Macpherson, Gary
A1  - Austin, Jessica
A1  - Schwannauer, Matthias
SP  - 314
EP  - 320
VL  - 246
IS  - 
N2  - Previous research has found an association between childhood trauma and insecure attachment and psychological distress, risk of violence and engagement in therapy. The aim of this study was to investigate the relationships between these factors in a forensic population. Sixty-four participants from three secure psychiatric hospitals completed the Childhood Trauma Questionnaire (CTQ), the Relationship Scales Questionnaire (RSQ) and the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM). Overall scores from participants' Historical Clinical Risk Management Violence Risk Assessment Scheme, (HCR-20) were calculated. Staff evaluated participants' engagement in therapy via completion of the Service Engagement Scale (SES). This retrospective study found childhood trauma and insecure attachment significantly predicted psychological distress and risk of violence. No associations with engagement were found, but methodological reasons for this outcome were acknowledged. The importance of routinely assessing for a history of childhood trauma and insecure attachment was highlighted.<br><br>Crown Copyright © 2016. Published by Elsevier Ireland Ltd. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2016.09.054
ID  - ref1
ER  -