Criminality and Sexual Behaviours in Substance Dependents Seeking Treatment

Diehl, Alessandra; Pillon, Sandra Cristina; Santos, Manoel Antônio dos; Rassool, G. Hussein; Laranjeira, Ronaldo

doi:10.1080/02791072.2016.1168534

Cited by 18 publications

(19 citation statements)

References 46 publications

(94 reference statements)

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“…Results of our study revealed that patients with substance dependence like drug use were highly associated with violent behaviors, similar to the results of a study by Diehl et al [8]. Possession of a firearm was documented in the records we analyzed, but results of the association analysis did not detect a significant correlation between firearm possession alone with the odds of violence.…”

Section: Discussionsupporting

confidence: 88%

“…Use of substances, such as alcohol and drugs, has been linked with a direct increase in risks of violent incidents in psychiatric patients [3, 6, 7]. Diehl et al [8] showed that violent crime was strongly associated with various sexual behaviors and the severity of substance dependence [8], which are clinical manifestations of positive valence systems [9]. Several studies concluded that patients with psychiatric disorders commit serious crimes more frequently compared to normal patients without psychiatric disorders [3, 10–14].…”

Section: Introductionmentioning

confidence: 99%

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Exploring associations of clinical and social parameters with violent behaviors among psychiatric patients

Dai

Uddin

et al. 2017

Journal of Biomedical Informatics

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Evidence has revealed interesting associations of clinical and social parameters with violent behaviors of patients with psychiatric disorders. Men are more violent preceding and during hospitalization, whereas women are more violent than men throughout the 3 days following a hospital admission. It has also been proven that mental disorders may be a consistent risk factor for the occurrence of violence. In order to better understand violent behaviors of patients with psychiatric disorders, it is important to investigate both the clinical symptoms and psychosocial factors that accompany violence in these patients. In this study, we utilized a dataset released by the Partners Healthcare and Neuropsychiatric Genome-scale and RDoC Individualized Domains project of Harvard Medical School to develop a unique text mining pipeline that processes unstructured clinical data in order to recognize clinical and social parameters such as age, gender, history of alcohol use, violent behaviors, etc., and explored the associations between these parameters and violent behaviors of patients with psychiatric disorders. The aim of our work was to demonstrate the feasibility of mining factors that are strongly associated with violent behaviors among psychiatric patients from unstructured psychiatric evaluation records using clinical text mining. Experiment results showed that stimulants, followed by a family history of violent behavior, suicidal behaviors, and financial stress were strongly associated with violent behaviors. Key aspects explicated in this paper include employing our text mining pipeline to extract clinical and social factors linked with violent behaviors, generating association rules to uncover possible associations between these factors and violent behaviors, and lastly the ranking of top rules associated with violent behaviors using statistical analysis and interpretation.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Exploring associations of clinical and social parameters with violent behaviors among psychiatric patients

Dai

Uddin

et al. 2017

Journal of Biomedical Informatics

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“…Diehl et al [18] zeigten in ihrer Studie, dass bei den 587 Personen, die wegen Drogenproblemen in Behandlung waren, ca. ¼ schon einmal mit den Justizbehörden zu tun hatten, 26,8 % eine Straftat begangen und 19,3 % gewalttätige Verhaltensweisen gezeigt hatten.…”

Section: Substanzbedingte Störungen Und Sexualstraftatenunclassified

“…In der von Seto et al [24] gnostischen Beurteilung von Sexualstraftätern eine Schlüsselrolle innehaben [11-13, 30, 31]. Bezogen auf sexuelle Sucht, substanzbedingte Störungen sowie Sexualstraftaten fanden sich in der vorliegenden Literatursuche lediglich 2 Studien, welche die Frage nach möglichen Zusammenhängen dezidiert untersucht haben [28,29] sowie eine Studie [18], die sich mit allgemein delinquentem Verhalten und nicht spezifisch Sexualstraftaten beschäftigte.…”

Section: Substanzbedingte Störungen Und Sexualstraftatenunclassified

Hypersexuelle Störung, Substanzbedingte Störungen und Sexualstraftaten

2016

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Zusammenfassung Ziel: Das Ziel der vorliegenden Arbeit ist es, den aktuellen Wissensstand zu hypersexuellen und substanzbedingten St?rungen sowie dem Risiko f?r Sexualstraftaten anhand einer narrativen ?bersichtsarbeit dazustellen. Methode: Es wurde eine selektive Medline Literaturrecherche mit den Schl?sselw?rtern Sexsucht, Hypersexuelle St?rung, Substanzbedingte St?rungen, Sexualstraftaten, Kinderpornografie und Kriminelles Verhalten f?r den 10-Jahreszeitraum von 2006 bis Juli 2016 durchgef?hrt. Ergebnisse: Es fanden sich lediglich 2 Studien, die alle 3 Faktoren ber?cksichtigten. In den insgesamt 17 hier dargestellten Studien wurde ein Zusammenhang zwischen substanzbedingten St?rungen sowie Sexualstraftaten beschrieben, 2 Studien fanden heraus, dass bei der H?lfte der untersuchten Sexualstraft?ter substanzbedingte St?rungen vorlagen, wobei die am h?ufigsten erw?hnte Substanz Alkohol war. Es gab Unterschiede in Bezug auf den Substanzkonsum zwischen Vergewaltigern (eher mehr substanzbedingte St?rungen) und Kindesmissbrauchern sowie Einzel- oder Serient?tern. Schwierigkeiten hinsichtlich des Vergleichs der Studien lagen z.?T in der fehlenden Differenzierung oder im Unterschied der konsumierten Drogen begr?ndet. Diskussion: Die Bearbeitung von Zusammenh?ngen zwischen Substanzkonsum und hypersexueller Symptomatik als dynamische Risikofaktoren kann in der Therapie von Sexualstraft?tern von gro?em Nutzen sein und sollte daher weiter auch systematisch untersucht werden.

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“…As a matter of fact, more far-reaching than drug abuse per se, Brown et al (2009) have suggested that neurocognitive and psychobiological individual signatures could be better predictors of DUI behavior, allowing for the identification of a cluster of individuals that could probably manifest more than one violent and/or risk-taking behavior during their lifetimes. In this sense, Brazilian studies with drug users have shown associations of levels of impulsivity, childhood trauma, certain psychiatric comorbidities with criminal involvement/violent behaviors (Diehl et al, 2016;Kessler et al, 2012aKessler et al, , 2012bKrawczyk et al, 2015), but very little data have been published about the possible association between these variables and DUI engagement in developing countries.…”

Section: Introductionmentioning

confidence: 99%

Predictive factors associated with driving under the influence among Brazilian drug-using drivers

Scherer

Silvello

Volpato

et al. 2019

Accident Analysis & Prevention

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The incidence of driving under the influence of psychoactive substances (DUI) and its recidivism can be curtailed by the proper identification of specific and predictive characteristics among drug users. In this sense, interpersonal violence (IV), psychiatric comorbidity and impulsivity seem to play an important role in DUI engagement according to previous studies. There are, however, limited data originated from low and middle income countries. In the present study, drug-using Brazilian drivers reporting DUI (n = 75) presented a higher prevalence of bipolar disorders (BD; DUI: 8% vs. non-DUI: 0%, p < 0.001), lower prevalence of obsessivecompulsive disorder (OCD; DUI: 0% vs. non-DUI: 12.6%, p < 0.001), and higher prevalence of childhood trauma (DUI: 65.3% vs. non-DUI: 46.8%, p = 0.022) than those not reporting DUI (n = 79). The evaluation of impulsivity though the Barratt Impulsivity Scale, which give impulsivity scores ranging from 30 to 120, showed higher impulsivity scores in the DUI group (80.4 ± 8) than in the non-DUI group (77.2 ± 10, p = 0.045). In general, subjects were young adults (mean age of 36 ± 9 years), Caucasians (58.4%), not married (61.0%), and with elementary schooling (40.3%) with no significant differences in demographic characteristics between drivers with and without DUI behavior. A multiple Poisson regression model showed that individuals reporting IV as perpetrators and history of childhood trauma were more likely to report DUI (PR: 1.66, 95%CI 1.22-2.7; PR: 1.57, 95%CI 1.02-2.42, respectively). The overlapping of violent situations (childhood trauma, IV and DUI) in some individuals presented here corroborates literature data suggesting that DUI can be an externalizing expression of a range of risky behavior, such as impulsiveness and aggressiveness. Moreover, while BD and higher impulsivity scores seem to act as risk factors for DUI, OCD was shown as a protective factor. These results corroborate the hypothesis that individuals with high risk for DUI could probably be identified by multidimensional assessment of cognitive, risky taking, and personality traits, which perhaps could facilitate the development of focused interventions.

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Criminality and Sexual Behaviours in Substance Dependents Seeking Treatment

Cited by 18 publications

References 46 publications

Exploring associations of clinical and social parameters with violent behaviors among psychiatric patients

Exploring associations of clinical and social parameters with violent behaviors among psychiatric patients

Hypersexuelle Störung, Substanzbedingte Störungen und Sexualstraftaten

Predictive factors associated with driving under the influence among Brazilian drug-using drivers

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