Homicidality in schizophrenia: A replication study.

Schwartz, Robert C.; Reynolds, Cynthia A.; Austin, James F.; Petersen, Suni

doi:10.1037/0002-9432.73.1.74

Cited by 12 publications

(4 citation statements)

References 19 publications

(32 reference statements)

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“…30 The authors found that manic symptoms, psychotic symptoms and impaired global function all correlated significantly with homicidal ideation and attempted murder, lending credence to the supposition that the lack of reality testing, judgment and communication, as well as impairment in other functional areas, can lead to violent or homicidal behavior.…”

Section: Schizophrenia Schizoaffective Disorder and Delusional Disordermentioning

confidence: 94%

Relação entre homicídio e transtornos mentais

Valença

Moraes

2006

Rev. Bras. Psiquiatr.

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Relationship between homicide and mental disordersRelação entre homicídio e transtornos mentais A b s t r a c t Objective: Several studies have found a relationship between severe mental disorders and violence. One of the approaches to study this theme are investigations with homicide offenders. The aim of the present article was to investigate the association between homicide and mental disorders. Method: A review of the literature was made through the following databases: Medline, Scientific Eletronic Library Online and Lilacs. In the Medline system, it was also searched the related articles section. Results: Although there is an association between mental disorders and homicide, it is not clear why some patients behave violently and others do not. Comorbid alcohol/drugs disorders and personality disorders and lack of adherence to treatment may increase this risk. Conclusions: Identifying people with risk of violence and offering them mental health treatment services is warranted. These services should prevent the loss of contact and non-compliance with treatment that frequently precede homicide committed by people with severe mental disorders. It is of utmost importance that society and governmental authorities decrease the barriers that limit access to psychiatric and psychosocial treatment.

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Section: Schizophrenia Schizoaffective Disorder and Delusional Disordermentioning

confidence: 94%

Relação entre homicídio e transtornos mentais

Valença

Moraes

2006

Rev. Bras. Psiquiatr.

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“…In our study, male gender, young age, illness duration and delusional beliefs were the main determinants and triggers of homicide in both schizophrenic and bipolar disorder patients. In a similar study by Schwartz et al [16], manic symptoms and substance misuse were significantly correlated with more extreme homicidality. They also showed that men displayed significantly heightened homicidality than women.…”

Section: Discussionmentioning

confidence: 65%

Homicide offending and its main determinants in patients with schizophrenia or bipolar mood disorders

Assareh¹,

Rakhshani²,

Kashfi³

et al. 2016

Arch Psych Psych

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SummaryAims: This study aimed to assess the prevalence of homicide in patients suffering from schizophrenia or bipolar mood disorders and determine the main underlying determinants of this violent behavior. Method:In a retrospective study, we reviewed the characteristics of 600 consecutive patients hospitalized at Farabi Hospital in Kermanshah, Iran with the main diagnosis of schizophrenia (n=300) or bipolar mood disorders (n=300).. The diagnosis was made based on the psychiatric report and the DSM-IV criteria. Study information was collected by reviewing hospital record files.Results: In our sample 13.3% of patients with schizophrenia and 20.0% of those with bipolar mood disorders committed homicide. In both groups, more than two-thirds of offenders were male and more than half were younger than 30 years. In patients with schizophrenia the main triggers of homicide were delusional beliefs (50.0%) followed by auditory hallucinations (50.0%). In bipolar mood disorders the main triggers of homicide included paranoid delusional beliefs (73.3%), excitement, irritability and impulsive behavior (20.0%), and auditory hallucinations (6.6%). Conclusions:A notable proportion of patients with schizophrenia or bipolar mood disorders in Iran commit homicide. Homicide is considerably more prevalent in men, in younger patients, and in those with delusional beliefs. homicide, schizophrenia, bipolar mood disordersThe relationship between violent behaviors and mental disorders is now taken into consideration by specialists in behavioral science and psychiatric disorders. Homicide is a type of aggressive behavior that may be triggered by different motivations [1]. Several factors are involved in the increased occurrence of homicide, such as socioeconomic pressures, cultural factors and literacy [2]. In fact, violence occurs when the balance between internal impulses and the individual's control systems is impaired. The most common predictor factors include a history of violence, access to means of coercion, loss of controlling anger, history of previous convictions, history of homicide, loss of parents, and chronic hostility or hatred [3]. In this context, the presence of psychiatric disorders is of particular importance [4]. In psychiatric patients, the majority of violent acts are due to the nature of their underlying illness, such as

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“…Recent literature suggests that psychosis is related to higher incidence of violence than that found in the general public (Schwartz, Petersen, Reynolds, & Austin, 2003;Schwartz, Petersen, & Skaggs, 2001). Schwartz et al (2003) recommended that clinicians ''pay particular attention to evaluating homicidality in patients who are male, have schizophrenia, who abuse substances, who show acute manic symptoms, and whose global functioning has recently declined'' (p. 74). As with the suicide assessment, the crisis worker should assess for ideation, intent, and plan to harm others.…”

Section: Case Study: Rolandomentioning

confidence: 99%

Adolescent Latino Males with Schizophrenia: Mobile Crisis Response

Singer¹

2005

Brief Treatment and Crisis Intervention

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Although schizophrenia has a biological basis, the presentation of symptoms and the understanding of the disorder vary among cultures. Service providers who understand these cultural variations are in a better position to provide effective crisis intervention. When a person with schizophrenia goes into crisis (often synonymous with the acute psychotic phase), the intersection of culture, diagnosis, developmental stage, and social setting can be overwhelming to the crisis worker. Roberts's Seven-Stage Crisis Intervention Model provides a useful framework within which to provide culturally competent crisis intervention. This article applies Roberts's model to a case involving an adolescent Latino male who has a diagnosis of schizophrenia. Included is a review of literature on mobile crisis intervention with youth, cultural competence, and schizophrenia. Specific treatment recommendations are made for understanding cultural variations, developmental influences, and service delivery with this population.

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Homicidality in schizophrenia: A replication study.

Cited by 12 publications

References 19 publications

Relação entre homicídio e transtornos mentais

Relação entre homicídio e transtornos mentais

Homicide offending and its main determinants in patients with schizophrenia or bipolar mood disorders

Adolescent Latino Males with Schizophrenia: Mobile Crisis Response

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