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Many DSM-5 Disorders Linked with Violence Typology

Psychiatry Res; 2017 Sep 12; Harford, Chen, et al

Many DSM-5 psychiatric disorders are found to be significantly associated with violence typology, including alcohol use disorder, tobacco use disorder, cannabis and other drug use disorder, mood disorders, posttraumatic stress disorder, schizotypal personality disorder, antisocial personality disorder, and borderline personality disorder, a recent study found. The study examined the lifetime prevalence of this combined violence in the general population and its associations with DSM-5 psychiatric disorders in comparison with other- and self-directed violence. Data from the National Epidemiologic Survey on Alcohol and Related Conditions–III (NESARC–III) were analyzed, and included 36,309 US adults aged ≥18 years. Violent behavior was defined by suicide attempts; recurrent suicidal behavior; gestures, threats, or self-mutilating behavior (self-directed); and multiple items of violence toward others (other-directed) in 4 categories: none, self-directed only, other-directed only, and combined self-other-directed. They found:

  • The typology of self- and/or other-directed violence among US adults has been identified, and the odds ratio between self- and other-directed violence is estimated to be 4.76.
  • Approximately 18.1% of adults reported violent behavior, including self-directed only (4.4%), other-directed only (10.9%), and combined self- and other-directed violence (2.8%).


Harford TC, Chen CM, Kerridge BT, Grant BF. Self- and other-directed forms of violence and their relationship with lifetime DSM-5 psychiatric disorders: Results from the National Epidemiologic Survey on Alcohol Related Conditions−III (NESARC−III). [Published online ahead of print September 12, 2017]. Psychiatry Res. doi:10.1016/j.psychres.2017.09.012.

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