Entity

Time filter

Source Type

Vaasa, Finland

Kaltiala-Heino R.,University of Tampere | Eronen M.,Vanha Vaasa Hospital
Journal of Forensic Psychiatry and Psychology | Year: 2015

Ethical challenges in child and adolescent forensic psychiatry arise, on the one hand, from the dilemmas commonly faced in forensic psychiatry with adult patients, such as the dual role of the forensic psychiatrist, questions of criminal responsibility, autonomy and competence and involuntary treatment, and, on the other, from the immaturity and dependent position of the minor. Child and adolescent forensic psychiatry deals with minors involved in crime, not only as offenders, but also as victims. In this review, we attempt to describe ethical challenges in child and adolescent psychiatry using as a frame of reference the principles of biomedical ethics according to Beauchamp and Childress. © 2015 Taylor & Francis. Source


Kaltiala-Heino R.,University of Tampere | Eronen M.,Vanha Vaasa Hospital | Putkonen H.,Hospital District of Helsinki and Uusimaa
Journal of Forensic Psychiatry and Psychology | Year: 2014

Background: Most research on violent perpetrators is based on male samples. Aims: To compare girls and boys admitted to an adolescent forensic unit due to physically violent and/or sexually coercive behavior. Methods: On an adolescent forensic ward, demographics, family, treatment, crime and victimization histories, diagnose, psychiatric symptoms and violent behaviors during care of all adolescents are collected in a cumulative database. These were compared between girls and boys admitted due to violent behaviors. Results: Girls were more often diagnosed with schizophrenia group psychoses. The symptom profiles and violence risk ratings did not differ by sex. The girls were less antisocial in general. They were more suicidal and displayed more promiscuous behaviors, and they had more commonly been victims of sexual abuse. During inpatient care they displayed much more often violent and uncontrollable behaviors than the boys. Conclusion: Treatment approaches that respond to the special needs of aggressive girls are required. © 2014 Taylor & Francis. Source


Seppanen A.,Vanha Vaasa Hospital
Clinical and Developmental Immunology | Year: 2013

Collagen XVII is a nonfibril-forming transmembrane collagen, which functions as both a matrix protein and a cell-surface receptor. It is particularly copious in the skin, where it is known to be a structural component of hemidesmosomes. In addition, collagen XVII has been found to be present in the central nervous system, thus offering an explanation for the statistical association between bullous pemphigoid, in which autoimmunity is directed against dermal collagen XVII, and neurological diseases. In support of the hypothesis that collagen XVII serves as a shared antigen mediating an immune response between skin and brain, research on animal and human tissue, as well as numerous epidemiological and case studies, is presented. © 2013 Allan Seppänen. Source


Kaltiala-Heino R.,University of Tampere | Putkonen H.,Hospital District of Helsinki and Uusimaa | Eronen M.,Vanha Vaasa Hospital
Journal of Forensic Psychiatry and Psychology | Year: 2013

Objective: To explore the characteristics of girls displaying frequent aggressive behaviors on an adolescent forensic psychiatric ward. Materials and methods: On an adolescent forensic ward, demographics, family, treatment, crime and victimization histories, diagnoses, and symptoms of all adolescents are collected in a cumulative database. Regarding these, girls displaying excessive aggressive behaviors were compared with other girls, all the boys, and boys displaying frequent aggressive behaviors. Their case histories were further qualitatively explored to find characteristics associated with female violence in the literature. Results: The studied girls were the most severely ill among adolescents admitted, and had suffered most the unfortunate backgrounds with parental mental disorders, poor parental management, early caregiver disruption, community disorganization, lack of social support, and being victims of sexual abuse. They displayed a wide range of psychiatric symptoms on different symptom dimensions. Conclusion: Treatment cannot focus solely on aggression management. Extensive psychiatric needs have to be met. © 2013 Copyright Taylor and Francis Group, LLC. Source


Keski-Valkama A.,Vanha Vaasa Hospital | Koivisto A.-M.,University of Tampere | Eronen M.,Vanha Vaasa Hospital | Kaltiala-Heino R.,University of Tampere
Journal of Forensic Psychiatry and Psychology | Year: 2010

The aim of this study was to compare the views of secluded patients in a forensic setting with the views of those in a general psychiatric setting. Subjects numbered 106 secluded patients, in the two forensic psychiatric hospitals and in the general psychiatric in-patient units of two hospital districts in Finland during a one-year recruitment period. The subjects were interviewed shortly after seclusion and re-interviewed half a year later. Regardless of more frequent and longer-term use of seclusion in the forensic group, the only difference between the two groups was that the forensic patients viewed seclusion as a form of punishment more frequently. Most of the subjects knew the reason for their seclusion, they were dissatisfied with interaction opportunities during seclusion and their opinions of seclusion as a negative experience and punishment did not change during the follow-up. Furthermore, the subjects suggested many practical improvements on the present use of seclusion. Though seclusion may not always be avoidable, its application could be done in a more therapeutic manner. © 2010 Taylor & Francis. Source

Discover hidden collaborations