Bipolar Disorder and Violent Crime: Time at Risk Reanalysis

Fazel, Seena; Lichtenstein, Paul; Frisell, Thomas; Grann, Martin; Goodwin, Guy M.; Långström, Niklas

doi:10.1001/archgenpsychiatry.2010.171

Cited by 30 publications

(17 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In fact, the AQ does not measure severe violent behaviors; it measures hostility, verbal and physical aggression, irritability, and indirect aggression. Moreover, a recent large study by Fazel et al (8, 9) showed that patients with BP had more violent behaviors (e.g., homicide, assault, robbery, sexual offenses), but the results were in large part accounted for by the use of substances and not BP per se.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, Biancosino and colleagues (7) reported that physical assault was equally prevalent in inpatients with BP, schizophrenia, substance/alcohol abuse, and ‘organic’ disorders. Fazel and colleagues (8, 9) reported significantly more violent behaviors in a large sample of adults with BP after discharge from the hospital compared with their siblings with non-BP psychopathology and the general population. However, these results were, in large part, accounted for by the presence of comorbid substance abuse.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Prospective longitudinal course of aggression among adults with bipolar disorder

Ballester

Goldstein

et al. 2013

Bipolar Disorders

View full text Add to dashboard Cite

Objectives Bipolar disorder (BP) has been associated with increased aggressive behaviors. However, all existing studies are cross-sectional and include forensic or inpatient populations and many do not take into account the effects of comorbid conditions. The goal of this study was to evaluate the longitudinal course of aggression among adult outpatients with BP compared with non-BP patients and healthy controls. Methods Subjects with bipolar I disorder (BP-I)/bipolar II disorder (BP-II) (n = 255), non-BP psychopathology (n = 85), and healthy controls (n = 84) (average 38.9 years, 78.7% female, and 84.9% Caucasian) were evaluated at intake and after two- and four-years of follow-up. Aggression was self-rated using the Aggression Questionnaire (AQ). Comparisons were adjusted for any significant demographic and clinical differences and for multiple comparisons. For subjects with BP, associations of AQ with subtype of BP, current versus past mood episodes, polarity and severity of the current episode, psychosis, and current pharmacological treatment were evaluated. Results In comparison with subjects with non-BP psychiatric disorders and healthy controls, subjects with BP showed persistently higher total and subscale AQ scores (raw and T-scores) during the four-year follow-up. There were no effects of BP subtype, severity or polarity of the current episode, psychosis, and current pharmacological treatments. Subjects in an acute mood episode showed significantly higher AQ scores than euthymic subjects. Conclusions BP, particularly during acute episodes, is associated with increased self-reported verbal and physical aggression, anger, and hostility. These results provide further evidence for the need of treatments to prevent mood recurrences and prompt treatment of acute mood episodes in subjects with BP.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Prospective longitudinal course of aggression among adults with bipolar disorder

Ballester

Goldstein

et al. 2013

Bipolar Disorders

View full text Add to dashboard Cite

show abstract

“…Substance abuse comorbidity further increased the risk (adjusted OR = 19.9, 95% CI = 14.7-26.9). In patients without substance abuse comorbidity, there was still a significant risk increase (adjusted OR = 3.1, 95% CI = 2.6-3.8) [147].…”

Section: Prevalence Of Violent Behavior In Bipolarmentioning

confidence: 94%

“…After the diagnosis, 9.5% of individuals with bipolar disorder committed violent crime compared with 629 general population controls (1.7%) (adjusted OR = 6.6, 95% CI = 5.8-7.6) [147]. Substance abuse comorbidity further increased the risk (adjusted OR = 19.9, 95% CI = 14.7-26.9).…”

Section: Prevalence Of Violent Behavior In Bipolarmentioning

confidence: 99%

See 1 more Smart Citation

Aggression in Psychoses

Volavka

2014

Advances in Psychiatry

View full text Add to dashboard Cite

Most individuals diagnosed with a mental illness are not violent, but some mentally ill patients commit violent acts. PubMed database was searched for articles published between 1980 and November 2013 using the combination of key words “schizophrenia” or “bipolar disorder” with “aggression” or “violence.” In comparison with the general population, there is approximately a twofold increase of risk of violence in schizophrenia without substance abuse comorbidity and ninefold with such comorbidity. The risk in bipolar disorder is at least as high as in schizophrenia. Most of the violence in bipolar disorder occurs during the manic phase. Violence among adults with schizophrenia may follow two distinct pathways: one associated with antisocial conduct and another associated with the acute psychopathology, particularly anger and delusions. Clozapine is the most effective treatment of aggressive behavior in schizophrenia. Emerging evidence suggests that olanzapine may be the second most effective treatment. Treatment nonadherence greatly increases the risk of violent behavior, and poor insight as well as hostility is associated with nonadherence. Nonpharmacological methods of treatment of aggression in schizophrenia and bipolar disorder are increasingly important. Cognitive behavioral approaches appear to be effective in cases where pharmacotherapy alone is not sufficient.

show abstract

Personality Disorder and Offending

Howard,

Duggan

2021

Forensic Psychology

View full text Add to dashboard Cite

Bipolar Disorder and Violent Crime: Time at Risk Reanalysis

Cited by 30 publications

References 1 publication

Prospective longitudinal course of aggression among adults with bipolar disorder

Prospective longitudinal course of aggression among adults with bipolar disorder

Aggression in Psychoses

Personality Disorder and Offending

Contact Info

Product

Resources

About