Mental Disorder and Criminality: Male Schizophrenia

Modestin, Jiří; Ammann, Roland A.

doi:10.1093/schbul/22.1.69

Cited by 101 publications

(74 citation statements)

References 78 publications

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“…Unfailingly, comorbid substance use diagnoses are pervasive [Swanson et al, 1990]. Additional factors are (1) a diagnosis of Paranoid Schizophrenia [Modestin and Ammann, 1996]; (2) symptoms [Link et al, 1998] although not as yet firmly established [see Appelbaum et al, 2000b;Stompe et al, 2004], threat control/over-ride; (3) young age [Hodgins et al, 1996]; (4) a history of exposure to childhood abuse [Monahan et al, 2000]; (5) sustaining traumatic brain injury [Tateno et al, 2003]; and (6) involuntary admission which could occur for many different reasons (e.g., suicide risk, poor self-care) one of which could be violent behavior [Foley et al, 2005]; we therefore decided to ascertain the lifetime number of voluntary and involuntary psychiatric hospitalizations to test as a potential contributing factor.…”

Section: Introductionmentioning

confidence: 99%

Insight into illness and adherence to psychotropic medications are separately associated with violence severity in a forensic sample

Alia‐Klein

O’Rourke

Goldstein

et al. 2006

Aggressive Behavior

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Violence towards others by a minority of psychotic individuals is a significant public health concern. The severity of this otherdirected violence (ODV) in the community may be influenced by insight into illness and adherence to psychotropic medications; however, few studies have tested these associations. Sixty male psychotic inpatients, legally detained at a forensic unit in New York City, were assessed with semi-structured interviews, supplemented with information from hospital and official records, family members and the treating clinician. Results indicated that in this unique sample of detained persons with psychotic disorders; (1) increase in the severity of community violence is associated with medication non-adherence, all dimensions of poor insight into illness, and several previously reported covariates such as substance use comorbidity; (2) no relationship was found between insight and adherence in this particular sample; (3) multivariate analyses showed that select covariates, along with medication adherence, and select insight domains predicted a total of 73% of the magnitude of ODV behavior in this sample. Overall, medication nonadherence explained a large amount of how violently participants behaved toward others. Since non-adherence was independent of poor insight, it may be more worthwhile for clinicians to develop treatment strategies to target medication adherence without directly addressing an elusive target such as insight into illness. Treatment addressing medication adherence needs to concomitantly target substance use behaviors since the latter was responsible for a substantial increase in ODV. Aggr. Behav. 33:86-96, 2007. r

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Section: Introductionmentioning

confidence: 99%

Insight into illness and adherence to psychotropic medications are separately associated with violence severity in a forensic sample

Alia‐Klein

O’Rourke

Goldstein

et al. 2006

Aggressive Behavior

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“…1,8,10,11 Results from 2 large-scale studies that examined the relationship between schizophrenia and sex offending were mixed. 12,13 To date, no general population studies have examined the relationship between psychotic disorders and sex offending. We aimed to fill this research gap to provide information that was sufficiently reliable and precise that could be used for policy planning and clinical practice.…”

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confidence: 99%

Psychotic Disorders and Sex Offending in a Danish Birth Cohort

Alden

Brennan²,

Hodgins

et al. 2007

Arch Gen Psychiatry

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Context: Psychotic disorders are associated with an increased risk of aggressive behavior and violent crime. Whether there is also an association with sex offending is unknown.Objectives: To estimate the lifetime prevalence of arrests for sexual offenses (with and without physical aggression) among men and women with psychotic disorders, the moderating effects of comorbid personality disorders and substance use disorders, and the prevalence rates for 4 specific psychotic disorders. Design:We examined official records of arrests for sexual offenses with and without physical aggression to compare persons hospitalized with a psychotic disorder with those who had never been hospitalized. Results: Among the men, 2.2% were hospitalized with psychotic disorders. These men committed 8.4% of the physicallyaggressivesexualoffensesand9.0%ofthenon-physically aggressive sexual offenses of the men in the cohort. Compared with men who had never been hospitalized, men with psychotic disorders without a personality disorder or a substance use disorder were not at increased risk of arrest for physically aggressive sexual offenses but were 3 times more likely to have been arrested for non-physically aggressive sexual offenses. Psychotic disorders with comorbid personality disorders or substance use disorders were associated with a 6-fold increased risk of physically aggressive sex offending and a 3-to 5-fold increased risk of non-physically aggressive sex offending.Conclusions: Psychotic disorders comorbid with personality disorders and substance use disorders are associated withanincreasedriskofsexoffendingwithandwithoutphysical aggression. Mental health policy and practice need to take account of these findings to improve functional outcome among persons with psychotic disorders.

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“…Ils auraient notamment des antécédents d'arrestations avant que la maladie ne soit identifiée ou avant même le début des troubles [63]. Souvent [43], un comportement criminel (vols, fraudes, destructions de biens) apparaît avant la maladie mentale grave, ou avant qu'un tel diagnostic ne soit posé [38].…”

Section: Une Typologie De Schizophrènes Violentsunclassified

Schizophrénie et violence : comorbidités et typologies

Vandamme

2009

Annales Médico-psychologiques, revue psychiatrique

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Mental Disorder and Criminality: Male Schizophrenia

Cited by 101 publications

References 78 publications

Insight into illness and adherence to psychotropic medications are separately associated with violence severity in a forensic sample

Insight into illness and adherence to psychotropic medications are separately associated with violence severity in a forensic sample

Psychotic Disorders and Sex Offending in a Danish Birth Cohort

Schizophrénie et violence : comorbidités et typologies

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