TALES FROM THE NEW ASYLUM James L. Knoll, IV, MD |  | COUCH IN CRISIS Ronald Pies, MD |  | VIEW FROM RETIREMENT H. Steven Moffic, MD |  | COUCH IN CRISIS Michael Blumenfield, MD |  | ON DSM-5 Allen Frances, MD |  | ON DSM-5 James Phillips, MD | | ON DSM-5 John Z. Sadler, MD | | HISTORY OF PSYCHIATRY Greg Eghigian, PhD | | HISTORY OF PSYCHIATRY Hans Pols, PhD | | HISTORY OF PSYCHIATRY Andreas Killen, PhD | | EARLY CAREER PSYCHIATRY Howard Forman, MD | | RESIDENTS BLOG Jacob L. Freedman, MD | | RESIDENTS BLOG Andrea Nelsen, MD | | Click here for all blog listings... |
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Tales From the New Asylum

James L. Knoll IV, MD, is Editor-in-Chief of Psychiatric Times. He is an associate professor of psychiatry at the SUNY Upstate Medical Center in Syracuse, where he is director of forensic psychiatry, and director of the forensic psychiatry fellowship at Central New York Psychiatric Center. Dr Knoll provides forensic consults for the criminal justice system and the private sector. He has authored numerous articles and book chapters and is coeditor of the Correctional Mental Health Report. He contributes frequently to Psychiatric Times and is series editor of the column Psychiatry & The Law. He writes a forensic psychiatry blog, The Edge Effect.
Inpatient Suicide: Identifying Vulnerability in the Hospital Setting
James L. Knoll IV, MD
, May 22, 2012
While approximately 1 in 4 outpatient suicides will result in a claim, about 1 in 2 inpatient suicides will result in a claim. The two highest suicide risk times for hospitalized patients are the 1st week after admission and shortly after discharge. Here, learn about likely likely causes of increased suicide risk at discharge in this population.
John Henry: Railroading the Mentally Ill
James L. Knoll IV, MD
, January 24, 2012
Many inmates are carried along in the structured, routine flow of the New Asylums without receiving treatment until their situation so demanded. In the case of Mr Henry, the demand came in the form of self-induced isolation.
Pioneering FBI Profiler Answers Questions About Serial Killers
James L. Knoll IV, MD and Robert R. (Roy) Hazelwood, MS
, January 20, 2012
Here, Mr Hazelwood answers questions about serial murderers that are commonly posed to him. The term serial murderer (or serial killer) was not even a part of the forensic lexicon until the 1970s . . .
Tales from the New Asylum: The Valediction (Blogcast)
James L. Knoll IV, MD
, October 27, 2011
Whenever a suicide happens in the New Asylums, a palpable, muted dread descends over the institution...it is added as another sedimentary layer to the strata and culture of the particular institution. Before things get too deeply buried, it is important to excavate...
Blogcast of Shadow: A Blow So Appalling
James L. Knoll IV, MD
, October 13, 2011
Gabe was in prison for killing a prostitute. During a bout of hyper-sexuality, intoxication, and paranoia, he believed the prostitute intended to rob him.
BlogCast: Tales from the New Asylum—Yesterday
James L. Knoll IV, MD
, September 29, 2011
Here, Psychiatric Times presents the first recorded version of Dr James Knoll's Tales from the New Asylum—Yesterday. Download, listen, enjoy. "He was five floors up, grasping the outside railing of a medium-security prison dormitory balcony . . ."
9/11 10th Anniversary: A Mortality Salience Reminder
James L. Knoll IV, MD
, September 9, 2011
Attempting to write an article about 9/11 is fraught with peril from the outset. What can be said that is not repetitious? Then there is the ever present risk of offending those whose lives were forever changed in an overawing, tragic manner.
Shadow: A Blow So Appalling
James L. Knoll, IV, MD
, June 23, 2011
Here’s why it is painful to see a man cry: he's not supposed to. Emotions are arresting when society tells us they should not be expressed. In the case of a grown man crying, there are some thousands of years of cultural training laying down the prohibitive regulations.
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