violence in clinical psychiatry

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Proceedings of the 9th European Congress on. Patrick Callaghan - Nico Oud - Johan Hхkon Bj°rngaard. Henk Nijman - Tom Palmstierna - Joy Duxbury ...
Patrick Callaghan - Nico Oud - Johan Håkon Bjørngaard Henk Nijman - Tom Palmstierna - Joy Duxbury

Proceedings of the 9th European Congress on

VIOLENCE IN CLINICAL PSYCHIATRY

69

Predictors of violence among German forensic inpatients Paper 



















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groups violence

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comparison

Significance level

Continuous variables

n1

Mean

(SD)

n2

Mean

(SD)

t

df3

p

d4

Total work time until admission

225

54.3

90.2

306

129.9

139.4

7.57

521.2

.000

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Duration of sentence (concurrent sentence)*

231

11.4

25.7

340

5.71

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Total no. of comorbid diagnoses

231

2.6

2.45

340

1.52

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-5,71

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.000

-.49

No. of comorbid personality disorder diagnoses

231

.19

.42

340

.09

.30

-3.31

389.1

.001

-.28

No.of comorbid psychotic diagnoses

231

.11

.32

340

.03

.19

-3.59

337.6

.000

-.31

No. of comorbid retardation diagnoses

231

.27

.53

340

.05

.24

-5.95

293.9

.000

-.51

No. of comorbid somatic diagnoses

231

1.3

1.97

340

.78

1.46

-3.60

395.2

.000

-.31

No. of prior admissions to psychiatric hospital

231

4.6

3.81

335

3.12

3.81

-4.71

478.4

.000

-.40

Age at admission to a forensic psychiatric hospital in the actual legal proceeding

231

32.1

12.2

339

42.1

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8.78

547.6

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group:

violence

comparison

Variable

n = 231

n = 340

specification

Family status at admission single

n1

%

n2

86%

209

228 196

%

325

married

9

4%

48

15%

20

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18%

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Chi²

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divorced Social life situation at time of offence

^

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lives on his own

57

25%

130

38%

with significant other

14

6%

61

18%

with parents

51

22%

57

17%

assisted living

14

6%

13

4%

institution

55

24%

30

9%

other

35

15%

36

11%

homeless

5

2%

11

3%

71 Grade of formal schooling

223 31%

45

15%

special school

32

14%

16

5%

elementary school

72

32%

138

46%

junior high school

28

13%

52

17%

college entrance qualification

2

1%

14

5%

university entrance qualification

19

9%

36

12%

226 59

26%

No

167

74%

213

Yes No Type of offence (main offence)

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150

48%

54%

99

46%

238

84%

114

40%

340 4%

12

23

10%

50

15%

violent physical assault

109

47%

104

31%

sexual offence

15

6%

16

5%

sexual offence against minors

16

7%

17

5%

other violent offence

19

8%

45

13%

theft

6

3%

18

5%

arson

28

12%

53

16%

traffic offence

0

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2

1%

drug offence

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4

1%

other offence

5

2%

19

6%

29%

135

231

338

67 39

17%

59

17%

Cluster A personality disorders

0

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2

1%

Cluster B personality disorders

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17

5%

sexual preference disorders

6

3%

5

1%

other pesonality disorders

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28

8%

mild mental retardation

19

8%

10

3%

severe mental retardation, organic disorders (dementia etc.)

34

15%

16

5%

alcohol-related disorders

4

2%

21

6%

other substance-related disorders

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9

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9%

36

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paranoid schizophrenia

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114

10

Diagnostic Group

w

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231

killing of a person

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310

Yes Working activity before first diagnosis of mental illness?

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42.29

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Any professional qualification at admission?

 

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SE

Grade of formal schooling (university entrance qualification)

p

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Exp (b)1

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.49

1.31

1

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.57

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other violent offence*

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traffic offence

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Diagnostic Group (other psychotic disorders)

v

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.36

10.6

1

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10

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1.30

1

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.54

1.53

1

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.51

sexual preference disorders

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1.05

.16

1

.69

.66

other pesonality disorders

-.26

.52

.25

1

.61

.77

mild mental retardation

.07

.68

.01

1

.91

1.08

severe mental retardation, organic disorders (dementia etc.)*

1.92

.71

7.36

1

.01

6.86

alcohol-related disorders

-.90

.81

1.23

1

.27

.41

other substance-related disorders

-.47

1.00

.23

1

.63

.62

others

-.08

.52

.02

1

.88

.92

Total work time until admission*

-.81

.32

6.49

1

.01

.45

Duration of sentence (concurrent sentence)*

.01

.01

4.76

1

.03

1.01

No. of comorbid personality disorder diagnoses*

.84

.36

5.50

1

.02

2.31

Number of comorbid psychotic diagnoses*

1.42

.49

8.40

1

.00

4.13

Number of comorbid retardation diagnoses*

.90

.43

4.35

1

.04

2.46

No. of comorbid somatic diagnoses*

.18

.08

5.16

1

.02

1.20

Number of prior admissions to psychiatric hospital*

.09

.04

5.93

1

.01

1.09

Age at admission to forensic psychiatry in the actual legal proceeding*

-.07

.01

32.4

1

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.93

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3.36

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