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Br J Psychiatry. 2001 May;178:433-40.

Aggressive incidents in first-episode psychosis.

Author information

1
East Midlands Centre for Forensic Mental Health, Leicester, UK. John.Milton@arnoldl.cnhc-tr.trent.nhs.uk

Abstract

BACKGROUND:

Recent research has reported increased risk of aggressive incidents by individuals with psychotic illness.

AIMS:

To examine acts of aggression in first-episode psychosis.

METHOD:

Subjects with a first-episode psychosis were ascertained from a defined catchment area (Nottingham, UK) and reassessed at 3 years (n=166) using clinical interview, informants, health care and forensic records.

RESULTS:

Of the subjects, 9.6% demonstrated at least one act of serious aggression (defined as weapon use, sexual assault or victim injury) during at least one psychotic episode and 23.5% demonstrated lesser acts of aggression (defined as all other acts of aggression). For all aggressive subjects (33.1%), unemployment (OR=3.6, 95% C11.6-8.0), comorbid substance misuse (OR=3.1, C1 1.1-8.8) and symptoms of overactivity at service contact (OR=6.9,C1 2.7-17.8) had independent effects on risk of aggression.

CONCLUSIONS:

We confirmed some previously reported demographic and clinical associations with aggression in first-episode psychosis but no relationship with specific psychotic symptoms or diagnostic groups was observed.

PMID:
11331559
[Indexed for MEDLINE]
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