Life after homicide: accounts of recovery and redemption of offender patients in a high security hospital – a qualitative study

Abstract

This study explores accounts of recovery and redemption from the perspective of offenders with a history of mental disorder who have committed homicide. Semi-structured interviews were conducted with seven men who were residing in a high secure hospital. The interviews were analysed using interpretative phenomenological analysis (IPA). Analysis of their accounts of their perpetration of homicide yielded a number of themes: the role of previous experience and its impact on their personal development; periods of loss of grip on reality; the reframing of events in their life via therapeutic interventions and internal integration, and roadblocks to the process of recovery. The findings highlight the importance of attending to offenders’ narratives about their offending and the context in which it took place as an inevitable aspect of their search for meaning in the aftermath of the death they perpetrated. Themes generated contributed to future interventions to reduce risk.

Keywords:

• qualitative research
• IPA
• homicide
• mental disorder
• secure services
• recovery
• redemption

Acknowledgements

The authors thank all the participants who participated in the research. Thanks also goes to colleagues from Broadmoor Hospital's Centralised Groupwork Service for their assistance and encouragement, in particular: Darren Lumbard, Nicola Thomas, James Tapp, Derya Ratip, Edward Goredema, Brian Thomas, Jock Hutchison, Alison Dudley, Sally Helliwell, Mickey Gopie and Emma Richards. Approval was granted by the research and development departments of the host NHS trusts and by Camden and Islington Community REC (National Research Ethics Service, NHS).