Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Serious Mental Illness Linked with Violent Behavior

J Interpers Violence; ePub 2018 Mar 13; Roche, et al

Patients with serious mental illness (SMI) conditions had higher rates of violent ideation and behavior (VIS) than both patients with non-SMI psychopathology and those with substance use disorders (SUDs) only, according to a recent study. Researchers analyzed the intake records of 63,572 patients diagnosed with SMIs (ie, schizoaffective disorder, schizophrenia, bipolar disorder, and unipolar depression), SUDs, and non-SMI psychiatric disorders. Raw prevalence rates for a combined metric of VIS were established and compared for each group, and a series of logistic regression analyses were performed to estimate how various demographic factors influenced the likelihood of VIS endorsement in each study group. They found:

  • Patients with SMI and comorbid substance use pathology were responsible for the majority of VIS with in each SMI condition.
  • Men with SMI conditions had higher prevalence rates of VIS than females.
  • In addition, for every SMI diagnosis, comorbid SUDs and younger age were related to greater risk for VIB, and where race and gender were found to significantly alter the likelihood of VIS endorsement, African American status, and female gender were independently related to greater risk.

Citation:

Roche MW, Boyle OJ, Cheng C-C, et al. Prevalence and risk of violent ideation and behavior in serious mental illnesses: An analysis of 63,572 patient records. [Published online ahead of print March 13, 2018]. J Interpers Violence. doi:10.1177/0886260518759976.

This Week's Must Reads

Arthritis Common in Persons with Depression, Int J Geriatr Psychiatry; ePub 2018 Sep 19; Brooks, et al

Correlation Between Depression Severity and QOL, J Affect Disord; ePub 2018 Sep 17; Gao, Su, et al

Measuring Depression in PD in Older Adults, Int J Geriatr Psychiatry; ePub 2018 Sep 25; Lopez, et al

CUDOS-D Proves Reliable, Valid Measure of MDD, Psychiatry Res; ePub 2018 Oct 2; Zimmerman, et al

Trajectories of PTS, Depression After Civil Unrest, Am J Community Psychol; ePub 2018 Sep 17; Galovski, et al

Must Reads in Addiction Medicine

Alcohol Consumption and Consent to Sex Examined, J Sex Res; ePub 2018 Sep 10; Drouin, Jozkowski, et al

Childhood Cancer Survivors and Alcohol Consumption, Addiction; ePub 2018 Sep 8; Brinkman, et al

Food Insecurity, Substance Use Among Women with HIV, Addiction; ePub 2018 Aug 14; Whittle, Sheira, et al

Examining Predictors of Initiation of Substance Use, Am J Addictions; ePub 2018 Aug 7; Blanco, et al