Alcohol abuse as the strongest risk factor for violent offending in patients with paranoid schizophreniaReport as inadecuate




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Croatian medical journal, Vol.55 No.2 April 2014. -

Aim To determine predictive risk factors for violent offending

in patients with paranoid schizophrenia in Croatia.

Method The cross-sectional study including male in-patients

with paranoid schizophrenia with N = 104 and

without N = 102 history of physical violence and violent

offending was conducted simultaneously in several hospitals

in Croatia during one-year period 2010-2011. Data

on their sociodemographic characteristics, duration of

untreated illness phase DUP, alcohol abuse, suicidal behavior,

personality features, and insight into illness were

collected and compared between groups. Binary logistic

regression model was used to determine the predictors of

violent offending.

Results Predictors of violent offending were older age,

DUP before first contact with psychiatric services, and alcohol

abuse. Regression model showed that the strongest

positive predictive factor was harmful alcohol use, as determined

by AUDIT test odds ratio 37.01; 95% confidence

interval 5.20-263.24. Psychopathy, emotional stability,

and conscientiousness were significant positive predictive

factors, while extroversion, pleasantness, and intellect

were significant negative predictive factors for violent offending.

Conclusion This study found an association between alcohol

abuse and the risk for violent offending in paranoid

schizophrenia. We hope that this finding will help improve

public and mental health prevention strategies in this vulnerable

patient group.



Author: Marija Kudumija Slijepčević - orcid.org-0000-0002-1494-5748 ; Department of Psychiatry, General Hospital Bjelovar, Bjelovar, Cr

Source: http://hrcak.srce.hr/



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