Articlebronze2001

Aggressive incidents in first-episode psychosis

Shazad Amin · Swaran Preet Singh · Glynn L. Harrison · Peter Brian Jones · Tim J. Croudace · Ian Medley +1 more

113 citations0/0 files storedThe British Journal of Psychiatry

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Psychopathy, Forensic Psychiatry, Sexual Offending Schizophrenia research and treatment Crime Patterns and Interventions

Abstract

BACKGROUND: Recent research has reported increased risk of aggressive incidents by individuals with psychotic illness. AIMS: To examine acts of aggression in first-episode psychosis. METHOD: Subjects with a first-episode psychosis were ascertained from a defined catchment area (Nottingham, UK) and reassessed at 3 years (n=166) using clinical interview, informants, health care and forensic records. RESULTS: Of the subjects, 9.6% demonstrated at least one act of serious aggression (defined as weapon use, sexual assault or victim injury) during at least one psychotic episode and 23.5% demonstrated lesser acts of aggression (defined as all other acts of aggression). For all aggressive subjects (33.1%), unemployment (OR=3.6, 95% C11.6-8.0), comorbid substance misuse (OR=3.1, C1 1.1-8.8) and symptoms of overactivity at service contact (OR=6.9,C1 2.7-17.8) had independent effects on risk of aggression. CONCLUSIONS: We confirmed some previously reported demographic and clinical associations with aggression in first-episode psychosis but no relationship with specific psychotic symptoms or diagnostic groups was observed.

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References

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2005Risque de violence et troubles mentaux graves 2010Early psychosis and aggression: Predictors and prevalence of violent behaviour amongst individuals with early onset psychosis

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