Aggressive behaviour, victimisation and crime among severely mentally ill patients requiring hospitalisation

Hodgins, Sheilagh; Alderton, J.; Cree, Adrian; Aboud, Andrew; Mak, Timothy Shin Heng

doi:10.1192/bjp.bp.106.06.029587

Cited by 138 publications

(140 citation statements)

References 50 publications

Supporting

Mentioning

126

Contrasting

Unclassified

Order By: Relevance

“…These findings accord with several previous studies from high-income 21 countries (Choe et al, 2008;Hodgins et al, 2007;Silver et al, 2011). The burden of stigma, discrimination and disrespect experienced by people with SMI in rural Ethiopia has already been reported (Shibre et al, 2001).…”

Section: Violent Victimizationsupporting

confidence: 82%

“…The association between violent victimization and history of violence is consistent with other studies from high-income countries (Choe et al, 2008;Hodgins et al, 2007;Maniglio, 2009;Silver et al, 2011;Swanson et al, 2006;Walsh et al, 2003); however, the crosssectional nature of our study does not allow determination of the direction of causality or the potential mechanisms linking SMI to victimization. The exposure of people with SMI to goading by children raises the possibility that violence may be a response to provocation or threats from others in this setting.…”

Section: Violent Victimizationsupporting

confidence: 79%

“…In high-income country settings, the presence of SMI is associated consistently with an increased risk of violence, although the extent to which this excess risk is explained by co-morbid substance misuse continues to be debated (Choe et al, 2008;Fazel et al, 2009a;Fazel et al, 2009b;Fazel et al, 2010;Short et al, 2013). The problem of violence carried out by people with SMI is often the focus of the public's attention in high-income countries; however, people with mental illness are more frequently the victims of violence ('violent victimization') than the general population (Hodgins et al, 2007;Maniglio, 2009;Sturup et al, 2011;Teplin et al, 2005;Walsh et al, 2003). Indeed, people with SMI are more likely to be victims of violence than to commit a violent act (Choe et al, 2008;Hiday et al, 2001;Hodgins et al, 2007;Silver et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…The problem of violence carried out by people with SMI is often the focus of the public's attention in high-income countries; however, people with mental illness are more frequently the victims of violence ('violent victimization') than the general population (Hodgins et al, 2007;Maniglio, 2009;Sturup et al, 2011;Teplin et al, 2005;Walsh et al, 2003). Indeed, people with SMI are more likely to be victims of violence than to commit a violent act (Choe et al, 2008;Hiday et al, 2001;Hodgins et al, 2007;Silver et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Violence and violent victimization in people with severe mental illness in a rural low-income country setting: A comparative cross-sectional community study

Tsigebrhan¹,

Shibre²,

Medhin³

et al. 2014

Schizophrenia Research

View full text Add to dashboard Cite

Section: Violent Victimizationsupporting

confidence: 82%

Section: Violent Victimizationsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Violence and violent victimization in people with severe mental illness in a rural low-income country setting: A comparative cross-sectional community study

Tsigebrhan¹,

Shibre²,

Medhin³

et al. 2014

Schizophrenia Research

View full text Add to dashboard Cite

“…"Victimization" is defined as the act of being a victim of any aggressive behavior 9 . As the term is imprecise, most authors distinguish between violent and non-violent victimization.…”

Section: Introductionmentioning

confidence: 99%

Victimization of The Mentally Ill

El-Missiry

2016

Eur. psychiatr.

View full text Add to dashboard Cite

Background: Individuals with serious mental illnesses compose a group particularly vulnerable to victimization. This major susceptibility to violent crimes is due to the impairment of their cognitive functions and to the living conditions of these individuals. Objectives: This paper aimed to perform a systematic review of the literature about the occurrence and factors associated with victimization in this population, in addition to evaluate the national literature about the subject. Methods: Publications that assessed the prevalence of victimization in individuals with serious mental illness were analyzed. Medline (1966 to February 2013 and Lilacs (1982 to February 2013 databases were searched. Separate searches were conducted for the keywords "mental illness", "psychiatric disorder(s)", "mental disorder(s)", "schizophrenia", "psychosis", "psychotic", "depression", "bipolar", combined with each of the following keywords: "victimization", "victimisation", "sexual abuse", "physical abuse". Results: Twenty papers were found. There were no publications on the topic in national and Latin-American literature. Although they differ in methodology, in the concept of victimization and in sociodemographic and clinical variables, the studies showed that patients with serious mental disorders present higher risk of victimization when compared to the general population. The main factors associated with victimization were: substance use, young age, severe symptomatology, recent history of violence perpetration, criminal history, male gender, and homelessness. Discussion: Individuals with serious mental disorders show high rates of victimization. The subject deserves further studies in our area.

show abstract

Association of Schizophrenia Spectrum Disorders and Violence Perpetration in Adults and Adolescents From 15 Countries

et al. 2022

View full text Add to dashboard Cite

IMPORTANCEViolence perpetration outcomes in individuals with schizophrenia spectrum disorders contribute to morbidity and mortality at a population level, disrupt care, and lead to stigma.OBJECTIVE To conduct a systematic review and meta-analysis of the risk of perpetrating interpersonal violence in individuals with schizophrenia spectrum disorders compared with general population control individuals.DATA SOURCES Multiple databases were searched for studies in any language from January 1970 to March 2021 using the terms violen* or homicid* and psychosis or psychoses or psychotic or schizophren* or schizoaffective or delusional and terms for mental disorders. Bibliographies of included articles were hand searched. STUDY SELECTIONThe study included case-control and cohort studies that allowed risks of interpersonal violence perpetration and/or violent criminality in individuals with schizophrenia spectrum disorders to be compared with a general population group without these disorders. DATA EXTRACTION AND SYNTHESISThe study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and the Meta-analyses of Observational Studies in Epidemiology (MOOSE) proposal. Two reviewers extracted data. Quality was assessed using the Newcastle-Ottawa Quality Assessment Scale. Data were pooled using a random-effects model. MAIN OUTCOMES AND MEASURESThe main outcome was violence to others obtained either through official records, self-report and/or collateral-report, or medical file review and included any physical assault, robbery, sexual offenses, illegal threats or intimidation, and arson. RESULTSThe meta-analysis included 24 studies of violence perpetration outcomes in 15 countries over 4 decades (N = 51 309 individuals with schizophrenia spectrum disorders; reported mean age of 21 to 54 years at follow-up; of those studies that reported outcomes separately by sex, there were 19 976 male individuals and 14 275 female individuals). There was an increase in risk of violence perpetration in men with schizophrenia and other psychoses (pooled odds ratio [OR], 4.5; 95% CI, 3.6-5.6) with substantial heterogeneity (I 2 = 85%; 95% CI, 77-91). The risk was also elevated in women (pooled OR, 10.2; 95% CI, 7.1-14.6), with substantial heterogeneity (I 2 = 66%; 95% CI, 31-83). Odds of perpetrating sexual offenses (OR, 5.1; 95% CI, 3.8-6.8) and homicide (OR, 17.7; 95% CI, 13.9-22.6) were also investigated. Three studies found increased relative risks of arson but data were not pooled for this analysis owing to heterogeneity of outcomes. Absolute risks of violence perpetration in register-based studies were less than 1 in 20 in women with schizophrenia spectrum disorders and less than 1 in 4 in men over a 35-year period.CONCLUSIONS AND RELEVANCE This systematic review and meta-analysis found that the risk of perpetrating violent outcomes was increased in individuals with schizophrenia spectrum disorders compared with community control individuals, which has been confirmed in new population-based longi...

show abstract

Aggressive behaviour, victimisation and crime among severely mentally ill patients requiring hospitalisation

Abstract: Aggressive behaviour and victimization are common among severely mentally ill people requiring hospitalisation in the inner city. Rates of violent crime are higher than in the general population.

Cited by 138 publications

References 50 publications

Violence and violent victimization in people with severe mental illness in a rural low-income country setting: A comparative cross-sectional community study

Violence and violent victimization in people with severe mental illness in a rural low-income country setting: A comparative cross-sectional community study

Victimization of The Mentally Ill

Association of Schizophrenia Spectrum Disorders and Violence Perpetration in Adults and Adolescents From 15 Countries

Contact Info

Product

Resources

About