Are patterns of violence and aggression at presentation in patients with first‐episode psychosis temporally stable? A comparison of 2 cohorts

Keane, Sarah; Szigeti, Attila; Fanning, Felicity; Clarke, Mary

doi:10.1111/eip.12694

Cited by 8 publications

(11 citation statements)

References 33 publications

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“…The differing rate of traumatic events could also be accounted for by high variability in the measurement and definitions of trauma within studies [18]. Interestingly, rates of aggression reported in the current population (64.2%) were higher than has been reported in other first episode populations (29–36%) [52]. This may indicate that chart review is an effective method of capturing aggressive behavior compared to other techniques such as self-report measurement.…”

Section: Discussionmentioning

confidence: 99%

“…Trauma and aggression data were coded retrospectively, using a standardized chart review, based on all available information (validated measures, clinical interviews with the individual and collateral and other clinical and research data) similar to approaches described by Grivel et al [18] and Keane et al [52]. Research staff were trained on a practice data set to ensure consistency.…”

Section: Methodsmentioning

confidence: 99%

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A History of Trauma is Associated with Aggression, Depression, Non-Suicidal Self-Injury Behavior, and Suicide Ideation in First-Episode Psychosis

Grattan

Lara

Botello

et al. 2019

JCM

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The association between trauma and psychosis outcomes is well-established, and yet the impact of trauma on comorbid clinical symptoms—such as aggression, non-suicidal self-injury behavior (NSSIB), suicide ideation, and suicide behavior—for those with psychosis is unclear. To effectively treat those with first-episode psychosis (FEP) and a history of trauma, we need to understand the impact of trauma on their whole presentation. FEP participants were recruited from an Early Psychosis Program (N = 187, ages 12–35, 72.2% male). Clinicians gathered history of trauma, aggression, and suicide data, and rated current symptom severity and functioning. Data was coded using clinician rated measures, self-report measures, and retrospective clinical chart review. Regression analyses examined whether trauma was associated with a history of aggression, suicidal ideation, suicide behavior, NSSIB, symptoms, and functioning. Trauma was associated with aggression, aggression severity and type of aggression (aggression towards others). Trauma was also associated with depression severity, suicide ideation, most severe suicide ideation, and NSSIB. Trauma was not associated with suicide behavior, severity of suicide behavior or psychosocial functioning. Integrating trauma treatment into FEP care could reduce rates of depression, aggression, suicide ideation, and NSSIB for those with a history of trauma. To reduce suicide attempt occurrence and improve functioning, more research is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

A History of Trauma is Associated with Aggression, Depression, Non-Suicidal Self-Injury Behavior, and Suicide Ideation in First-Episode Psychosis

Grattan

Lara

Botello

et al. 2019

JCM

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“…An Irish study [32] on patients with first episode psychosis using the Modified Overt Aggression Scale (MOAS) [33] found physical violence rates of 29% and verbal aggression rates of 36%.…”

Section: Aggression In Psychiatric Settingsmentioning

confidence: 99%

“…Irish and UK observational studies [27,32] evidenced that patients at first episode psychosis had an even higher risk of violent behavior when involuntarily treated, with a diagnosis of mania and the presence of manic symptoms.…”

Section: Psychiatric Diagnosismentioning

confidence: 99%

Aggressive Behavior and Psychiatric Inpatients: a Narrative Review of the Literature with a Focus on the European Experience

Caruso

Antenora

Riba

et al. 2021

Curr Psychiatry Rep

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Purpose of Review We summarized peer-reviewed literature on aggressive episodes perpetrated by adult patients admitted to general hospital units, especially psychiatry or emergency services. We examined the main factors associated with aggressive behaviors in the hospital setting, with a special focus on the European experience. Recent Findings A number of variables, including individual, historical, and contextual variables, are significant risk factors for aggression among hospitalized people. Drug abuse can be considered a trans-dimensional variable which deserves particular attention. Summary Although mental health disorders represent a significant component in the risk of aggression, there are many factors including drug abuse, past history of physically aggressive behavior, childhood abuse, social and cultural patterns, relational factors, and contextual variables that can increase the risk of overt aggressive behavior in the general hospital. This review highlights the need to undertake initiatives aimed to enhance understanding, prevention, and management of violence in general hospital settings across Europe.

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“…According to the WHO, of all deaths from suicide, 22% can be attributed to the use of alcohol, which means that one in every 5 suicides in the population could be avoided if alcohol had not been consumed [42]. It is estimated that between 34% -56% of suicide bombers abuse or are addicted to alcohol, and the risk of suicide bombers in this group is between 2% -3.4%, which is 6 times higher than in people who are not burdened with this diagnosis [43,44,45,46]. The simultaneous occurrence of affective disorders increases the level of impulsivity and auto-aggression [47].…”

Section: Ethanol Effects On Auto-aggression Behaviourmentioning

confidence: 99%

Ethanol as a stimulus to risky and auto-aggressive behaviour

Lasota¹,

Pawłowski²,

Mirowska‐Guzel³

et al. 2021

Ann Agric Environ Med.

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According to the World Health Organization (WHO), ethyl alcohol occupies the third place among health risks for the general population, causing damage to health as well as social damage. Ethanol is also considered the greatest risk factor in injuries. Both alcohol and its main metabolite, acetaldehyde, are directly toxic to tissues and lead to several systemic pathologies. Alcohol abuse may also lead to mental health disorders. Although one-in-eight adult Poles abstains from drinking alkohol, 10-20% of adult Poles drink alcohol regularly. It is estimated that this group includes about 900,000 addicts, and over 2,000,000 people who drink alcohol at a risky or harmful level. It affects their occurrence and their consequences Drinkdriving is one of the problems most often raised, although alcohol is a documented risk factor in pedestrian accidents. It is also an important risk factor for suicidal behaviour with people under the influence of alcohol choosing more radical and effective methods of committing suicide, such as hanging or 'throwing themselves under a moving vehicle.' Only properly selected and consistently taken preventive actions can improve the tragic statistics related to ethanol stimulating risky and auto-aggressive behaviours. It is also necessary to improve the system for reporting such events because only reliable statistics enable proper assessment of the scale of the problem, and the effectiveness of these activities.

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Are patterns of violence and aggression at presentation in patients with first‐episode psychosis temporally stable? A comparison of 2 cohorts

Abstract: Aggression and violence rates in FEP appear relatively stable over time.

Cited by 8 publications

References 33 publications

A History of Trauma is Associated with Aggression, Depression, Non-Suicidal Self-Injury Behavior, and Suicide Ideation in First-Episode Psychosis

A History of Trauma is Associated with Aggression, Depression, Non-Suicidal Self-Injury Behavior, and Suicide Ideation in First-Episode Psychosis

Aggressive Behavior and Psychiatric Inpatients: a Narrative Review of the Literature with a Focus on the European Experience

Ethanol as a stimulus to risky and auto-aggressive behaviour

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