Format

Send to

Choose Destination
Schizophr Res. 2004 Apr 1;67(2-3):247-52.

Predicting violence in schizophrenia: a prospective study.

Author information

1
Section of Forensic Mental Health, Guy's, King's and St. Thomas's School of Medicine, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. sppmemw@iop.kcl.ac.uk

Abstract

BACKGROUND:

People with schizophrenia are more violent than the general population, but this increased risk is attributable to the actions of a small subgroup. Identifying those at risk has become an essential part of clinical practice.

AIMS:

To estimate the risk factors for assault in patients with schizophrenia.

METHODS:

Two hundred seventy-one patients with schizophrenia were interviewed using an extensive battery of instruments. Assault was measured from multiple data sources over the next 2 years and criminal records were obtained. Multiple sociodemographic and clinical variables measured at baseline were examined as possible predictors of assault during follow-up.

RESULTS:

Sixty-nine (25%) patients committed assault during the 2-year follow-up. The model that best predicted assault included a history of recent assault (OR 2.33, 95% CI 1.17-4.61), a previous violent conviction (OR 2.02, 95% CI 1.04-3.87), having received special education (OR 2.76, 95% CI 1.22-6.26) and alcohol abuse (OR 3.55, 95% CI 1.24-10.2).

CONCLUSIONS:

Previously established risk factors including a history of violence and alcohol abuse are replicated in this study. Although low premorbid IQ did not predict violence, a need for special education did.

PMID:
14984884
DOI:
10.1016/S0920-9964(03)00091-4
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center