Cleall, D; Smith, JG
(2023)
Voluntary and coercive covert trading behaviour on low and medium secure psychiatric units: a cross-sectional study.
JOURNAL OF FORENSIC PSYCHIATRY & PSYCHOLOGY, 34 (3-4).
pp. 357-370.
ISSN 1478-9949
https://doi.org/10.1080/14789949.2023.2228283
SGUL Authors: Smith, Jared Grant
Abstract
Little is known about covert trading behaviour in secure hospital settings. This study evaluated the nature, prevalence, and frequency of covert voluntary trading behaviour (VTB) and of coercive trading behaviour (CTB) between patients in secure psychiatric units. Ninety-six eligible patients in 18 low or medium secure wards across South London anonymously completed a questionnaire exploring their experiences of covert trading behaviour (including exchanging, lending, borrowing, or gifting personal property, money, or services) during their current hospital admission. About 70.2% reported engaging in some form of unauthorised VTB (38.3% ≥5 different behaviours). VTB was more commonly reported by male (74.7%) than female (36.3%) participants (odds ratio (OR) = 4.93, 95% confidence intervals (CI) = 1.28,19.05, p = 0.021). Engagement in any CTB behaviour was reported by fewer patients (31.9%). Participants were significantly more likely to report themselves as victims of coercive behaviours (8.6%–14.0% across different behaviours) rather than instigators (1.1%–5.5% across behaviours). Involvement in CTB was more common in patients reporting VTB (39.4%) compared to those not involved in VTB (14.3%; OR = 3.90, CI = 1.21,12.54). Covert patient trading appears commonplace in secure psychiatric inpatient settings and VTB participation may be linked with CTB engagement. Hospital policies to better monitor and regulate patient trading may help to reduce the incidence of CTB.
Item Type: |
Article
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Additional Information: |
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent. |
Keywords: |
Trading, secure hospital, mentally disordered offenders, coercion, bullying, forensic psychiatry, 1103 Clinical Sciences, 1701 Psychology, Criminology, Psychiatry |
SGUL Research Institute / Research Centre: |
Academic Structure > Population Health Research Institute (INPH) |
Journal or Publication Title: |
JOURNAL OF FORENSIC PSYCHIATRY & PSYCHOLOGY |
ISSN: |
1478-9949 |
Dates: |
Date | Event |
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22 June 2023 | Published | 16 June 2023 | Accepted |
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Publisher License: |
Creative Commons: Attribution-Noncommercial-No Derivative Works 4.0 |
Web of Science ID: |
WOS:001012004800001 |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/115515 |
Publisher's version: |
https://doi.org/10.1080/14789949.2023.2228283 |
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