Violence in persons with and without psychosis in the Czech Republic: risk and protective factors

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F18%3A10382020" target="_blank" >RIV/00216208:11110/18:10382020 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11140/18:10382020 RIV/00064173:_____/18:N0000150 RIV/00669806:_____/18:10382020 RIV/00023752:_____/18:43919538 RIV/00064165:_____/18:10382020

Result on the web

<a href="https://doi.org/10.2147/NDT.S167928" target="_blank" >https://doi.org/10.2147/NDT.S167928</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.2147/NDT.S167928" target="_blank" >10.2147/NDT.S167928</a>

Result language

angličtina

Original language name

Violence in persons with and without psychosis in the Czech Republic: risk and protective factors

Original language description

Purpose: To prevent violence among persons with psychosis, further knowledge of the correlates and risk factors is needed. These risk factors may vary by nation. Patients and methods: This study examined factors associated with violent assaults in 158 patients with psychosis and in a matched control sample of 158 adults without psychosis in the Czech Republic. Participants completed interviews and questionnaires to confirm diagnoses, report on aggressive behavior, current and past victimization, and substance use. Additional information was collected from collateral informants and clinical files. Multiple regression analyses were conducted to identify factors that were independently associated with committing an assault in past 6 months. Results: The presence of a psychotic disorder was associated with an increased risk of assaults (OR =3.80; 95% CI 2.060-7.014). Additional risk factors in persons with and without psychosis included recent physical victimization (OR =7.09; 95% CI 3.922-12.819), childhood maltreatment (OR =3.15; 95% CI 1.877-5.271), the level of drug use (OR =1.13; 95% CI 1.063-1.197), and the level of alcohol use (OR =1.04; 95% CI 1.000-1.084). Increasing age (OR =0.96; 95% CI 0.942-0.978) and employment (OR =0.30; 95% CI 0.166-0.540) were protective factors. Except for drug use, which appeared to have greater effect on violence in the group without psychosis, there were no major differences between patients and controls in these risk and protective factors. To our knowledge, this is the first published comparison of assault predictors between schizophrenia patients and matched controls. Conclusion: Recent physical victimization was the strongest predictor of assaults. Our findings are consistent with the emerging empirical evidence pointing to the very important role of victimization in eliciting violent behavior by the victims. Some current prediction instruments may underestimate the risk of violent behavior as they take little account of current victimization. Although psychosis per se elevates the risk of violence, other risk and protective factors for violence in persons with psychosis and comparison group are largely similar.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30215 - Psychiatry

Project

<a href="/en/project/NV17-32445A" target="_blank" >NV17-32445A: Causes of assaultive behavior among patients with psychosis</a><br>

Continuities

S - Specificky vyzkum na vysokych skolach<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Neuropsychiatric Disease and Treatment

ISSN

1178-2021

e-ISSN

—

Volume of the periodical

14

Issue of the periodical within the volume

October

Country of publishing house

NZ - NEW ZEALAND

Number of pages

13

Pages from-to

2793-2805

UT code for WoS article

000448142500003

EID of the result in the Scopus database

2-s2.0-85057548970