Thomas Nilsson

Cardiovascular fitness of forensic psychiatric patients: a longitudinal clinical study

Anja Fernqvist, Peter Andiné, Roland Thomeé, Alessio Degl’Innocenti et autres

BACKGROUND: Forensic psychiatric patients have a reduced life expectancy, largely due to cardiovascular diseases. Low maximal oxygen uptake is a risk factor for cardiovascular diseases in the general population and may also be essential to the cardiovascular risk among forensic psychiatric patients. …

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Autism as legal insanity – Neurocognitive and contextual arguments in Swedish forensic psychiatric evaluations

Björn Hofvander, Clare S. Allely, Anahid Khaneie, Thomas Nilsson et autres

The specific circumstances under which autism spectrum disorder could meet the legal standards severe mental disorder (SMD; the core Swedish legal concept underpinning sentencing to forensic psychiatric care) in criminal court cases are unclear. AIM: To explore which neurocognitive and contextual factors …

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Association of psychotropic medications with the use of coercive measures and recidivism during forensic psychiatric care: a Swedish nationwide register-based study

Taalke Maria Sitter, Suvi Savinen, Peter Andiné, Anja Fernqvist et autres

BACKGROUND: Patients in forensic psychiatric care (FPC) are often treated with various psychotropic medications. However, evidence regarding their effectiveness in this setting is lacking. OBJECTIVE: The study aimed to estimate how different psychotropic medications are associated with the use of coercive measures …

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Personality Pathology and Functional Outcomes During Pharmacological Treatment of Adult ADHD

Peter Jacobsson, Elin Palage, Christopher J. Hopwood, Bo Söderpalm et autres

Adults with ADHD show substantial variability in response to pharmacological treatment, and comorbid personality pathology may help explain why symptom improvement often fails to translate into meaningful functional improvement. This naturalistic longitudinal study examined whether dimensional personality pathology predicts symptomatic and functional …

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Measures of risk for violence and of aggression in a life history perspective linked to lethal violence among Swedish justice-involved women

Karin Trägårdh, Malin Hildebrand Karlén, Peter Andiné, Thomas Nilsson

The overall aim was to investigate links between measures of risk for violence and of aggression in a life history perspective and lethal violence among Swedish justice-involved women, and whether such measures differed between women with versus without a severe mental disorder …

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Title: Personality pathology limits functional improvement during pharmacological treatment of adult ADHD; Personality pathology and ADHD outcomes

Peter Jacobsson, Elin Palage, Christopher James Hopwood, Bo Söderpalm et autres

Attention-deficit/hyperactivity disorder (ADHD) in adults involves inattention, hyperactivity, and impulsivity, often accompanied by emotional dysregulation and significant functional impairment. Although stimulant medication effectively reduces core symptoms, its impact on broader psychosocial functioning is less consistent. Personality pathology, varying in severity and expression, …

Health care workers’ experiences of exercise in forensic psychiatry: a qualitative focus group study

Henrik Bergman, Annelie Gutke, Peter Andiné, Alessio Degl’ Innocenti et autres

PURPOSE: This study aimed to describe the experiences of using exercise as part of treatment and rehabilitation among health care workers for inpatients in forensic psychiatric care, especially regarding the significance of exercise as part of treatment or rehabilitation. METHODS: A qualitative …

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The practical goals of inpatient forensic mental health services in Sweden – A qualitative comparative analysis of met and unmet rehabilitative needs in the transition to outpatient care

Solvejg Gram Henneberg Pedersen, Folke D. Lindström, John A. Nyman, Anne G. Crocker et autres

Forensic mental health services (FMHS) seek to alleviate mental illness and reduce the risk of (violent) recidivism, but they may also be understood to be responsible for supporting patients with many other aspects of their often challenging lives. In practice, the task …

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Links Between Psychopathy, Type of Violence, and Severe Mental Disorder among Female Offenders of Lethal Violence in Sweden

Karin Trägårdh, Malin Hildebrand Karlén, Peter Andiné, Thomas Nilsson

Knowledge about females who commit lethal violence is limited compared to what we know about their male counterparts. The overall aim of this study was to investigate links between psychopathy, type of violence, and severe mental disorder (SMD), among Swedish female offenders …

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An Inductive Content Analysis of Collaborative Violence Risk Management Plans in a High-Security Forensic Psychiatric Hospital

Johan Berlin, Malin Hildebrand Karlén, Thomas Nilsson, Märta Wallinius

This study explored a new method for nursing staff's work with collaborative violence risk management, to be used in forensic psychiatric inpatient settings. The components of the method, the background to, and the rationale for collaborative risk management in forensic mental health …

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Assessment of everyday functioning in Swedish forensic mental health services

Lina Norrbin, Åsa I. Eriksson, Anne G. Crocker, Thomas Nilsson

Individuals in forensic mental health services (FMHS) commonly exhibit greater cognitive deficits and unmet health needs than those in general psychiatric care. Despite the central role of functional disability in FMHS treatment objectives, the assessment in this domain remains underexplored. This study …

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Dual-roles and beyond: values, ethics, and practices in forensic mental health decision-making

Sven H. Pedersen, Susanna Radovic, Thomas Nilsson, Lena Eriksson

Forensic mental health services (FMHS) involve restricting certain individual rights to uphold or promote other ethical values - the restriction of liberty in various forms is justified with reference to health and safety of the individual and the community. The tension that …

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