Interpersonal violence and the prediction of short-term risk of repeat suicide attempt

Haglund, Axel; Lindh, Åsa; Lysell, Henrik; Renberg, Ellinor Salander; Jokinen, Jussi; Wærn, Margda; Runeson, Bo

doi:10.1038/srep36892

Cited by 25 publications

(21 citation statements)

References 32 publications

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“…The suicide attempters in men with HD reported significantly higher values in KIVS total score. The mean total KIVS score of 5.88 among men with HD and suicidal behavior in this study is consistent with mean levels reported in two Swedish follow-up studies of suicide attempters, both reporting mean total KIVS score of 6 (Haglund et al., 2016; Jokinen et al., 2010). This fits also well with findings of Khemiri et al.…”

Section: Discussionsupporting

confidence: 91%

Interpersonal violence, early life adversity, and suicidal behavior in hypersexual men

et al. 2017

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Background and aimsThere are significant gaps in knowledge regarding the role of childhood adversity, interpersonal violence, and suicidal behavior in hypersexual disorder (HD). The aim of this study was to investigate interpersonal violence in hypersexual men compared with healthy volunteers and the experience of violence in relation to suicidal behavior.MethodsThis case–control study includes 67 male patients with HD and 40 healthy male volunteers. The Childhood Trauma Questionnaire – Short Form (CTQ-SF) and the Karolinska Interpersonal Violence Scale (KIVS) were used for assessing early life adversity and interpersonal violence in childhood and in adult life. Suicidal behavior (attempts and ideation) was assessed with the Mini-International Neuropsychiatric Interview (version 6.0) and the Montgomery–Åsberg Depression Rating Scale – Self-rating.ResultsHypersexual men reported more exposure to violence in childhood and more violent behavior as adults compared with healthy volunteers. Suicide attempters (n = 8, 12%) reported higher KIVS total score, more used violence as a child, more exposure to violence as an adult as well as higher score on CTQ-SF subscale measuring sexual abuse (SA) compared with hypersexual men without suicide attempt.DiscussionHypersexuality was associated with interpersonal violence with higher total scores in patients with a history of suicide attempt. The KIVS subscale exposure to interpersonal violence as a child was validated using the CTQ-SF but can be complemented with questions focusing on SA for full assessment of early life adversity.ConclusionChildhood adversity is an important factor in HD and interpersonal violence might be related to suicidal behavior in hypersexual men.

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Section: Discussionsupporting

confidence: 91%

Interpersonal violence, early life adversity, and suicidal behavior in hypersexual men

et al. 2017

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“…This finding is somewhat in line with that studies which more frequently found an association between victimization and diagnosis of mood disorders in females [6,9,27]. As regards perpetration of violence, we confirm that males are more likely than females to bully the peers and act aggressively in childhood [19,31,35,47,48]. On the other hand, we did not find a difference in expression of violence as an adult between genders, contrary to previous studies.…”

Section: Main Findingssupporting

confidence: 88%

“…Moreover, it allows for use of composite scores of its subscales [32]. It has been used in several suicide research studies [19,[33][34][35][36] and in observational studies within clinical samples [32,[37][38][39]. In the current study, we used the four subscales and also used the composite scores of lifetime (from childhood to adulthood) expressed violence and exposure to violence.…”

Section: Assessment Tool For Interpersonal Violencementioning

confidence: 99%

Cues for different diagnostic patterns of interpersonal violence in a psychiatric sample: an observational study

Talevi

Collazzoni

Rossi

et al. 2019

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Background. Interpersonal violence has increased as a health concern especially in the psychiatry practice over the last decades; nevertheless, most patients with stable mental illness do not present an increased risk of violence and a mental disorder is not a necessary or sufficient cause of violent behaviors. People with mental illness endorse more often a number of risk factors for violence that could confound this association, such as young age and male gender. The aim of this study was to investigate the effect of age, gender, and diagnosis on reported levels of interpersonal violence in a sample of people with severe mental illnesses. Methods. The sample was composed of 160 inpatients: 73 with psychosis, 53 with mood disorder and 34 with personality disorder. All patients enrolled in the study were assessed for experiences of victimization and perpetration of interpersonal violence using the Karolinska Interpersonal Violence Scale interview. Demographic variables were also collected. Results. Violence negatively correlated with age. Compared to males, females were exposed to higher degree of violence (for both victimizations in childhood and adulthood), whereas males were more involved in the perpetration of violence (only for perpetration in childhood). Among diagnoses, personality disorders are associated with higher levels of interpersonal violence. An interaction effect of gender and diagnosis was also observed for expression of violence in adulthood. Distinct patterns of interpersonal violence did emerge for the diagnostic entities with mood disorder showing a victimization pattern, personality disorders a perpetration pattern and psychoses a less defined pattern. Conclusions. The main finding is that psychoses, mood disorders and personality disorders have different patterns of violent experiences when combined with age and gender. This study offers a step towards a better understanding of the extent to which gender and age could affect violent behaviors. Moreover, study findings may increase the comprehension of the reason why some mental disorders, compared to others, are more associated with the risk of victimization or perpetration of violence. These patterns could have pathophysiological or pathoplastic meaning addressing clinical and diagnostic trajectories interacting with other intervening risk factors.

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“…Moreover, it allows for use of composite scores of its subscales [33]. It has been used in several suicide research studies [20,[34][35][36][37] and in observational studies within clinical samples [33,[38][39][40][41]. In the current study, we used the four subscales separately as well as the composite scores of lifetime (from childhood to adulthood) expressed violence and exposure to violence ("lifetime expressed violent behaviour" composite score and "lifetime exposure to violence" composite score).…”

Section: Participants and Proceduresmentioning

confidence: 99%

Cues for different diagnostic patterns of interpersonal violence in a psychiatric sample: an observational study

Talevi

Collazzoni

Rossi

et al. 2019

Preprint

View full text Add to dashboard Cite

Background. Interpersonal violence has increased as a health concern, especially in psychiatry practice, over the last decades. Nevertheless, most patients with stable mental disorders do not present an increased risk of violence, and mental disorder is not a necessary or sufficient cause of violent behaviours. People with mental disorders endorse more often a number of risk factors for violence that could confound this association, such as young age and male gender. The aim of this study was to investigate the effect of age, gender, and diagnosis on reported levels of interpersonal violence in a sample of people with severe mental illness. Methods. The sample was composed of 160 inpatients: 73 with a psychosis within the schizophrenia spectrum, 53 with a mood disorder and 34 with a personality disorder. All patients enrolled in the study were assessed for experiences of victimization and perpetration of interpersonal violence using the Karolinska Interpersonal Violence Scale interview. Demographic variables were also collected. Results. Both violence perpetration and victimization negatively correlated with age. Compared to males, females were exposed to higher degree of victimization in childhood and adulthood, whereas males were more involved in the perpetration of violence in childhood. Personality disorders were associated with higher levels of interpersonal violence, both perpetration and victimization; an interaction effect of gender and diagnosis was also observed for violence perpetration in adulthood. Distinct patterns of interpersonal violence did emerge for the diagnostic groups with mood disorder showing a victimization pattern, personality disorders a perpetration pattern and psychoses less defined patterns. Conclusions. The main finding is that psychotic disorders, mood disorders and personality disorders have different patterns of violent experiences interacting with age and gender. This study offers a better understanding of how gender and age could affect violent behaviours. Moreover, study findings may increase the comprehension of the reason why some mental disorders, compared to others, are more associated with the risk of victimization or perpetration of violence. These patterns could have pathophysiological or pathoplastic meaning addressing clinical and diagnostic trajectories and they could interact with other intervening risk factors.

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Interpersonal violence and the prediction of short-term risk of repeat suicide attempt

Cited by 25 publications

References 32 publications

Interpersonal violence, early life adversity, and suicidal behavior in hypersexual men

Interpersonal violence, early life adversity, and suicidal behavior in hypersexual men

Cues for different diagnostic patterns of interpersonal violence in a psychiatric sample: an observational study

Cues for different diagnostic patterns of interpersonal violence in a psychiatric sample: an observational study

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