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Aggressive incidents in first-episode psychosis
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Milton, J., Amin, Shazad, Singh, Swaran P., Croudace, Tim, Jones, Peter B., Medley, Ian, Brewin, John and Harrison, Glynn (2001) Aggressive incidents in first-episode psychosis. The British Journal of Psychiatry, Volume 178 (Number 5). pp. 433-440. doi:10.1192/bjp.178.5.433 ISSN 0007-1250.
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Official URL: http://dx.doi.org/10.1192/bjp.178.5.433
Abstract
Background. Recent research has reported increased risk of aggressive incidents by individuals with psychotic illness.
Aims. To examine acts of aggression in first-episode psychosis.
Method Subjects with a first-episode psychosis were ascertained from a defined catchment area (Nottingham, UK) and reassessed at 3 years (n=166) using clinical interview, informants, health care and forensic records.
Results. Of the subjects, 9.6% demonstrated at least one act of serious aggression (defined as weapon use, sexual assault or victim injury) during at least one psychotic episode and 23.5% demonstrated lesser acts of aggression (defined as all other acts of aggression). For all aggressive subjects (33.1%), unemployment (OR=3.6, 95% C11.6-8.0), comorbid substance misuse (OR=3.1, C1 1.1-8.8) and symptoms of overactivity at service contact (OR=6.9,C1 2.7-17.8) had independent effects on risk of aggression.
Conclusions. We confirmed some previously reported demographic and clinical associations with aggression in first-episode psychosis but no relationship with specific psychotic symptoms or diagnostic groups was observed.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry | ||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Psychoses, Violence -- Psychological aspects, Aggressiveness | ||||
| Journal or Publication Title: | The British Journal of Psychiatry | ||||
| Publisher: | Royal College of Psychiatrists | ||||
| ISSN: | 0007-1250 | ||||
| Official Date: | 2001 | ||||
| Dates: |
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| Volume: | Volume 178 | ||||
| Number: | Number 5 | ||||
| Page Range: | pp. 433-440 | ||||
| DOI: | 10.1192/bjp.178.5.433 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Funder: | NHS Executive |
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