Feasibility and Utility of Different Approaches to Violence Risk Assessment for Young Adults Receiving Treatment for Early Psychosis

Rolin, Stephanie A.; Scodes, Jennifer; Dambreville, Renald; Nossel, Ilana; Bello, Iruma; Wall, Melanie M.; Stroup, T. Scott; Dixon, Lisa B.; Appelbaum, Paul S.

doi:10.1007/s10597-021-00922-6

Cited by 5 publications

(2 citation statements)

References 52 publications

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“…Research evidence confirms the highest risk period for violence in individuals with a mental health diagnosis is the 2‐month period following discharge from a mental health facility. Earlier studies of adult populations report that between 1% and 20% of individuals admitted to the hospital for a psychiatric admission are reported to engage in violence once discharged (Rolin et al, 2022). Our data extend this earlier research, with many mothers in our study experiencing violence from their child in the 2 months following their child's initial receipt of a mental health diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Process mining the trajectories for adolescent‐to‐mother violence from longitudinal police and health service data

Peck

Provost

East

et al. 2022

Journal of Advanced Nursing

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Aim:The aim was to discover longitudinal trajectories and patterns of events preceding adolescent-to-mother family violence in a geographic locale in Australia.Design: This was a retrospective case series.Methods: Routinely collected administrative data were sourced and linked from police and health service electronic records for adolescents born between 1994 and 2006 who had been issued a legal action for a family violence-related offence (n = 775). A time-stamped log of events from birth (where available) was created. Process mining was employed to discover dominant events and trajectories in the log from birth until adolescents' first recorded offence against their mother.Results/Findings: Most adolescents in the case series offended against mothers (63%, n = 486). Trajectory analysis confirmed dominant early childhood events were repeated exposure to parental intimate partner violence (P-IPV), parental drug and/or alcohol use and neglect. During early adolescence, pathways towards adolescent-tomother violence involved other offending, drug and/or alcohol use and mental health service contact. Conclusion:The trajectories evidenced provide a complex picture of the emergence of adolescent-to-mother violence. From an early intervention perspective, it was found that many children and mothers were identifiable from police records in early childhood, at an average age of 35 months. Responses to adolescent family violence need to acknowledge the impact of childhood trauma and emerging mental health problems, along with strategies to mitigate the effect of P-IPV on mother-to-child relationships.Impact: This is the first large-scale study to specifically examine trajectories from birth for adolescents who engage in violence towards mothers. The findings have important implications for the design and delivery of early intervention childhood services and interagency collaboration in nursing and midwifery services. In early adolescence, contact with mental health services represents an opportunity for screening and support interventions. This is an important preventive timepoint for family violence, adolescent drug and alcohol use and other offences.

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Section: Discussionmentioning

confidence: 99%

Process mining the trajectories for adolescent‐to‐mother violence from longitudinal police and health service data

Peck

Provost

East

et al. 2022

Journal of Advanced Nursing

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“…So, early intervention programs in psychosis could implement an identification of patients with early conduct disorders, high impulsivity and CU, as well as trace the onset of CU to identify early and persistent users. The use of tools to assess risk factors for VB [such as the HCR20 ( 146 , 147 )], CU and impulsivity, could be useful. Recent studies have shown the feasibility and value of these tools into mental health services.…”

Section: Discussionmentioning

confidence: 99%

The Link Between Cannabis Use and Violent Behavior in the Early Phase of Psychosis: The Potential Role of Impulsivity

et al. 2022

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IntroductionRecently, the literature has shown that Cannabis Use (CU) was a risk factor for Violent Behavior (VB) in patients with psychosis, and those in the early phase of psychosis (EPP). These findings are relevant because of the high prevalence of CU in this EPP, and the potential for prevention during this phase of illness. However, there is still a lack of clear explanations, supported by empirical evidence, about what underlies the link between CU and VB against other.MethodThis viewpoint reviews the scientific literature on the link between CU and VB, and the involvement of impulsivity in this relationship. This last point will be addressed at clinical and neurobiological levels.ResultsRecent studies confirmed that CU is particularly high in the EPP, and is a risk factor for VB in the EPP and schizophrenia. Studies have also shown that impulsivity is a risk factor for VB in psychosis, is associated with CU, and may mediate the link between CU and VB. Research suggests a neurobiological mechanism, as CU affects the structures and function of frontal areas, known to play a role in impulsive behavior.ConclusionScientific evidence support the hypothesis of an involvement of impulsivity as a variable that could mediate the link between CU and aggression, particularly, when CU has an early onset. However, this hypothesis should be confirmed with longitudinal studies and by taking into account confounding factors. The studies highlight the relevance of early prevention in the EPP, in addition to interventions focusing on psychotic disorders.

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Violent and Aggressive Behavior in Individuals at Risk for Psychosis: Prevalence, Mechanisms, Assessment, Management, and Prevention

Fekih‐Romdhane

Hallit

Cheour

et al. 2022

Handbook of Anger, Aggression, and Violence

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Feasibility and Utility of Different Approaches to Violence Risk Assessment for Young Adults Receiving Treatment for Early Psychosis

Cited by 5 publications

References 52 publications

Process mining the trajectories for adolescent‐to‐mother violence from longitudinal police and health service data

Process mining the trajectories for adolescent‐to‐mother violence from longitudinal police and health service data

The Link Between Cannabis Use and Violent Behavior in the Early Phase of Psychosis: The Potential Role of Impulsivity

Violent and Aggressive Behavior in Individuals at Risk for Psychosis: Prevalence, Mechanisms, Assessment, Management, and Prevention

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