Illness and drug modifiable factors associated with violent behavior in homeless people with severe mental illness: results from the French Housing First (FHF) program

Abstract

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Substance-Use Disorders and Violence

“…Although prior Accepted manuscript. Book chapter (https://doi.org/10.1007/978-3-030-33188-7_6) published in Violence and Mental Disorders (https://doi.org/10.1007/978-3-030-33188-7), Springer, 01/12/2019 violence episodes may go under reported (Fond et al, 2019), appropriate history-taking and effective suicide risk assessment activities should be carried out (Wang et al, 2019). Provided that the severity of the subject's ill-health condition allows for time and space for such interventions, the administration of a range of structured violence risk assessment tools may help the clinician in understanding the likelihood for violent behaviour to occur.…”

“…Provided that the severity of the subject's ill-health condition allows for time and space for such interventions, the administration of a range of structured violence risk assessment tools may help the clinician in understanding the likelihood for violent behaviour to occur. These tools include: the Dynamic Appraisal of Situational Aggression (DASA) (Kaunomäki et al, 2017); the Modified Overt Aggression Scale (MOAS) (Amore et al, 2008); and the Clinical Global Impression Scale (CGI-S) (Fond et al, 2019). The use of such tools has facilitated the development of tailored non-pharmacological and non-coercive interventions (Kaunomäki et al, 2017;Ogloff and Daffern, 2006) as practices such as seclusion and restraint have historically been associated to increased risk levels of violence (Khadivi et al, 2004).…”

Violent behavior by women involuntarily committed to a forensic psychiatric hospital in Rio de Janeiro, Brazil

“…Factors such as age, gender, socioeconomic status, and prior crime are important, as are other potentially treatable factors such as substance abuse, personality disorders, and regular use of medications. Comorbidity with substance abuse increases the risk of aggressive behavior in individuals with severe mental disorders [28][29][30][31][32][33] . According to Jaffeet al .…”

Pharmacological treatment of violence in schizophrenia

“…41 One large, nonrandomized observational study in 675 participants with either schizophrenia or bipolar disorder, with patients recruited from homeless shelters, jails, hospitals, and the streets, did not find enough evidence to determine if clozapine decreased violence in this population, but it asserted that not enough patients with schizophrenia are prescribed clozapine in order to make an accurate conclusion. 42 A nonrandomized, prospective study of 20 children examined clozapine's impact on aggression in adolescents. The study participants were treatment-resistant schizophrenia inpatients at a child psychiatric center, and all were treated with clozapine.…”