Substance use is a risk factor for violent behavior in male patients with bipolar disorder

Alniak, Izgi; Erkıran, Murat; Mutlu, Elif

doi:10.1016/j.jad.2015.12.059

Cited by 23 publications

(12 citation statements)

References 41 publications

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“…Although somehow in line with previous literature [5,6,9,41,44] future research comparing diagnoses, gender and age impact, including larger size samples and using more sophisticated methodological approaches are warranted.…”

Section: Main Findingssupporting

confidence: 80%

“…Schizophrenia, mood disorders, post-traumatic stress disorder, personality disorders and substance use disorders are related to a high occurrence of violent behaviors, especially when active symptoms or a relapse are present [5][6][7][8][9][10]. In fact, most patients with stable mental illness do not present an increased risk of violence [8] and are more likely to be victims than perpetrators [9,11,12].…”

Section: Introductionmentioning

confidence: 99%

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Cues for different diagnostic patterns of interpersonal violence in a psychiatric sample: an observational study

Talevi

Collazzoni

Rossi

et al. 2019

Preprint

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Background. Interpersonal violence has increased as a health concern especially in the psychiatry practice over the last decades; nevertheless, most patients with stable mental illness do not present an increased risk of violence and a mental disorder is not a necessary or sufficient cause of violent behaviors. People with mental illness endorse more often a number of risk factors for violence that could confound this association, such as young age and male gender. The aim of this study was to investigate the effect of age, gender, and diagnosis on reported levels of interpersonal violence in a sample of people with severe mental illnesses. Methods. The sample was composed of 160 inpatients: 73 with psychosis, 53 with mood disorder and 34 with personality disorder. All patients enrolled in the study were assessed for experiences of victimization and perpetration of interpersonal violence using the Karolinska Interpersonal Violence Scale interview. Demographic variables were also collected. Results. Violence negatively correlated with age. Compared to males, females were exposed to higher degree of violence (for both victimizations in childhood and adulthood), whereas males were more involved in the perpetration of violence (only for perpetration in childhood). Among diagnoses, personality disorders are associated with higher levels of interpersonal violence. An interaction effect of gender and diagnosis was also observed for expression of violence in adulthood. Distinct patterns of interpersonal violence did emerge for the diagnostic entities with mood disorder showing a victimization pattern, personality disorders a perpetration pattern and psychoses a less defined pattern. Conclusions. The main finding is that psychoses, mood disorders and personality disorders have different patterns of violent experiences when combined with age and gender. This study offers a step towards a better understanding of the extent to which gender and age could affect violent behaviors. Moreover, study findings may increase the comprehension of the reason why some mental disorders, compared to others, are more associated with the risk of victimization or perpetration of violence. These patterns could have pathophysiological or pathoplastic meaning addressing clinical and diagnostic trajectories interacting with other intervening risk factors.

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Section: Main Findingssupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Cues for different diagnostic patterns of interpersonal violence in a psychiatric sample: an observational study

Talevi

Collazzoni

Rossi

et al. 2019

Preprint

View full text Add to dashboard Cite

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“…The prevalence for SUD and mental health disorders are much greater for the offender population (i.e., prisoners, inmates) than non-imprisoned populations [9,10,11]. Individuals with SUD have a significantly higher probability of being arrested compared to the population without these issues [12,13]. A majority of offenders in the United States (56%) reported that they used at least one substance prior to arrest [14].…”

Section: Introductionmentioning

confidence: 99%

Associations among Substance Use, Mental Health Disorders, and Self-Harm in a Prison Population: Examining Group Risk for Suicide Attempt

Gates

Turney²,

Ferguson

et al. 2017

IJERPH

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Substance use disorders (SUD) and mental health disorders are significant public health issues that co-occur and are associated with high risk for suicide attempts. SUD and mental health disorders are more prevalent among offenders (i.e., prisoners or inmates) than the non-imprisoned population, raising concerns about the risk of self-harm. This cross-sectional study examined the population of a state prison system (10,988 out of 13,079) to identify associations among SUD (alcohol, cannabis, intravenous drugs, narcotics, and tobacco smoking), mental health disorders (anxiety, bipolar, depression, and psychotic disorders), and suicide attempts. The primary aim was to determine which groups (SUD, mental health disorders, and co-occurrences) were strongly association with suicide attempts. Groups with a documented SUD or mental health disorders compared to peers without these issues had 2.0 and 9.2 greater odds, respectively, for attempting suicide, which was significant at p < 0.0001 for both conditions. There were also significant differences within SUD and mental health disorders groups in regard to suicide attempts. Groups with the greatest odds for suicide attempts were offenders with comorbid bipolar comorbid and anxiety, alcohol combined with depression, and cannabis co-occurring with depression. Documentation of suicide attempts during imprisonment indicates awareness, but also suggest a need to continue enhancing screening and evaluating environmental settings.

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“…In this meta-analysis SUD did not represent a moderator for the association between BD and VCB. This was probably related to the heterogeneity in the assessment of SUD across the included studies, with only few of them (Abram and Teplin, 1991;Alnıak et al, 2015;Shaffer et al, 2007) separated recent from past SUD.…”

Section: Accepted Manuscript 19mentioning

confidence: 99%

Violent criminal behavior in the context of bipolar disorder: Systematic review and meta-analysis

Verdolini

Pacchiarotti

Köhler

et al. 2018

Journal of Affective Disorders

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Substance use is a risk factor for violent behavior in male patients with bipolar disorder

Cited by 23 publications

References 41 publications

Cues for different diagnostic patterns of interpersonal violence in a psychiatric sample: an observational study

Cues for different diagnostic patterns of interpersonal violence in a psychiatric sample: an observational study

Associations among Substance Use, Mental Health Disorders, and Self-Harm in a Prison Population: Examining Group Risk for Suicide Attempt

Violent criminal behavior in the context of bipolar disorder: Systematic review and meta-analysis

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