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Association between Violent Crime and Psychosis in Men Serving Prison Terms

Published online by Cambridge University Press:  27 June 2017

Javier Saavedra*
Affiliation:
Universidad de Sevilla (Spain)
Marcelino López
Affiliation:
Fundación Pública Andaluza para la Integración de las Personas con Enfermedad Mental (Spain)
M. Eva Trigo
Affiliation:
Universidad de Sevilla (Spain)
*
*Correspondence concerning this article should be addressed to Dr. Javier Saavedra. Departamento Psicología Experimental. Universidad de Sevilla. Sevilla (Spain). E-mail: fjsaavedra@us.es

Abstract

Psychosis has been associated with committing violent crimes. However, it has been reported that the association is mediated by toxin consumption, personality disorders, and positive symptoms. This study will examine the relationship between different psychological disorders and sociodemographic variables, and violent crime perpetration in a sample of 472 men serving prison terms in Andalusia, Spain. A correlation-based, retrospective study was conducted and data were analyzed through logistic regression. The sample is representative of the Andalusian prison population, with a 95% level of confidence and .02% precision. Inmates were sampled and diagnosed by expert clinicians using the SCID-I and the IPDE-II. We computed bivariate correlations between the aforementioned variables and perpetration of violent crimes (murder, homicide, attempted murder, and injury) to later apply logistic regression and find adjusted odds ratios. We confirmed the association between diagnosis of functional psychoses and violent crime, with a significant adjusted odds ratio in the last model (OR = 3.71; p = .010). Other significant variables that acted like risk factors include suicide attempts (OR = 2.04; p = .046), having received care at a mental health facility in the year before imprisonment (OR = 3.83; p = .008), and more strongly than the psychosis diagnosis, low level of education (OR = 10.32; p = .029). Toxin consumption and personality disorders were not significant in the final model.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2017 

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Footnotes

This research was carried out in the frame of the research project funded by the Gobierno de España (PSI2016–80112–P) entitled “Challenges of the self: Identities reconstruction in situations of inequality and social exclusion”.

References

Appelbaum, P. S., Robbins, P. C., & Monahan, J. (2000). Violence and delusions: Data from the MacArthur Violence Risk Assessment Study. American Journal of Psychiatry, 157, 566572.Google Scholar
Bonta, J., Law, M., & Hanson, K. (1998). The prediction of criminal and violent recidivism among mentally disordered offenders: A meta-analysis. Psychological Bulletin, 123, 123142. https://doi.org/10.1037/0033-2909.123.2.123 Google Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2 nd Ed.). Hillsdale, NJ: LEA.Google Scholar
Conner, K. R., Cox, C., Duberstein, P. R., Tian, L., Nisbet, P. A., & Conwell, Y. (2001). Violence, alcohol, and completed suicide: A case-control study. American Journal of Psychiatry 158, 17011705. https://doi.org/10.1176/appi.ajp.158.10.1701 Google Scholar
Dirección General de Instituciones Penitenciarias (2007). Estudio sobre salud mental en el medio penitenciario [Mental health study in a prison context]. Retrieved from http://www.msssi.gob.es/organizacion/sns/planCalidadSNS/boletinAgencia/boletin10/estudio_saludMental_medio_penitenciario.pdf.pdf Google Scholar
Douglas, K. S., Guy, L. S., & Hart, S. D. (2009). Psychosis as a risk factor for violence to others: A meta-analysis. Psychological Bulletin, 135, 679706. https://doi.org/10.1037/a0016311 CrossRefGoogle ScholarPubMed
Fazel, S., Gulati, G., Linsell, L., Geddes, J. R., & Grann, M. (2009). Schizophrenia and violence: Systematic review and meta-analysis. PLoS Medicine, 6(8), e1000120. https://doi.org/10.1371/journal.pmed.1000120 Google Scholar
Fazel, S., & Seewald, K. (2012). Severe mental illness in 33 588 prisoners worldwide: Systematic review and meta-regression analysis. The British Journal of Psychiatry, 200, 364373. https://doi.org/10.1192/bjp.bp.111.096370 Google Scholar
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured Clinical Interview for DSM-IV-TR axis I disorders, research version, non-patient edition (SCID-I/NP). New York, NY: New York State Psychiatric Institute.Google Scholar
Hiday, V. A., Swartz, M. S., Swanson, J. W., Borum, R., & Wagner, H. R. (1999). Criminal victimization of persons with severe mental illness. Psychiatric Services, 50, 6268. https://doi.org/10.1176/ps.50.1.62 Google Scholar
Jones, R. M., Lichtenstein, P., Grann, M., Langström, N., & Fazel, S. (2011). Alcohol use disorders in schizophrenia: A national cohort study of 12,653 patients. The Journal of Clinical Psychiatry, 72(6), 775779. https://doi.org/10.4088/JCP.10m06320 Google Scholar
Keers, R., Ullrich, S., DeStavola, B. L., & Coid, J. W. (2014). Association of violence with emergence of persecutory delusions in untreated schizophrenia. American Journal of Psychiatry, 171(3), 332339. https://doi.org/10.1176/appi.ajp.2013.13010134 Google Scholar
Link, B. G., Monahan, J., Stueve, A., & Cullen, F. T. (1999). Real in their consequences. A sociological approach to understanding the association between psychotic symptoms and violence. American Sociological Review, 64, 316332. https://doi.org/10.2307/2657535 Google Scholar
Link, B. G., Stueve, A., & Phelan, J. (1998). Psychotic symptoms and violent behaviors: Probing the components of “threat/control-override” symptoms. Social Psychiatry and Psychiatric Epidemiology, 33, 5560. https://doi.org/10.1007/s001270050210 CrossRefGoogle ScholarPubMed
Lochner, L. (2004). Education, work, and crime: A human capital approach. (Working Paper No. 10478). Cambridge, MA: National Bureau of Economic Research.Google Scholar
Lochner, L., & Moretti, E. (2004). The effect of education on crime: Evidence from prison inmates, arrests, and self-reports. American Economic Review, 94, 155189. https://doi.org/10.1257/000282804322970751 Google Scholar
López, M., Saavedra, J., López, A., & Laviana, M. (2016). Prevalencia de problemas de salud mental en varones que cumplen condena en centros penitenciarios de Andalucía (Spain) [Prevalence of mental health problems in sentenced men in prisons from Andalucía (Spain)]. Revista Española de Sanidad Penitenciaria, 18, 7685.Google Scholar
Oakley, C., Hynes, F., & Clark, T. (2009). Mood disorders and violence: A new focus. Advances in Psychiatric Treatment, 15, 263270. https://doi.org/10.1192/apt.bp.107.005413 Google Scholar
Pérez-Garín, D., Molero, F., & Bos, A. E. R. (2015). Perceived discrimination, internalized stigma and psychological well-being of people with mental illness. The Spanish Journal of Psychology, 18, e75, 19. https://doi.org/10.1017/sjp.2015.74 Google Scholar
Pondé, M. P., Caron, J., Mendonça, M. S. S., Freire, A. C. C., & Moreau, N. (2014). The relationship between mental disorders and types of crime in inmates in a Brazilian prison. Journal of Forensic Science, 59, 13071314. https://doi.org/10.1111/1556-4029.12462 Google Scholar
Shaw, J., Senior, J., Stevenson, C., Lennox, C., & Short, V. (2012). Mental illness, personality disorder and violence: A scoping review. Offender Health Research Network Website. Retrieved from http://www.ohrn.nhs.uk/OHRNResearch/MIviolence.pdf Google Scholar
Swanson, J., Swartz, M., van Dorn, R., Elbogen, E., Wagner, H. R., Rosenheck, R., … Lieberman, A. (2006). A national study of violent behavior in persons with schizophrenia. Archives of General Psychiatry, 63, 490499. https://doi.org/10.1001/archpsyc.63.5.490 CrossRefGoogle ScholarPubMed
Teixeira, E. H., & Dalgalarrondo, P. (2006). Crime, psychiatric diagnosis and victims’ profiles: A study with the sample of a criminal-psychiatric ward in São Paulo. Jornal Brasileiro de Psiquiatria, 55(3), 190194. https://doi.org/10.1590/S0047-20852006000300003 Google Scholar
Vicens, E., Tort, V., Dueñas, R. M., Muro, Á., Pérez-Arnau, F., Arroyo, J. M., … Sarda, P. (2011). The prevalence of mental disorders in Spanish prisons. Criminal Behaviour and Mental Health, 21(5), 321332. https://doi.org/10.1002/cbm.815 Google Scholar
Wallace, C., Mullen, P., & Burgess, P. (2004). Criminal offending in schizophrenia over a 25-year period marked by deinstitutionalization and increasing prevalence of comorbid substance use disorders. American Journal of Psychiatry 161, 716727. https://doi.org/10.1176/appi.ajp.161.4.716 Google Scholar
Walsh, E., Buchanan, A., & Fahy, T. (2002). Violence and schizophrenia: Examining the evidence. The British Journal of Psychiatry, 180, 490495. https://doi.org/10.1192/bjp.180.6.490 CrossRefGoogle ScholarPubMed
Witt, K., Hawton, K., & Fazel, S. (2014). The relationship between suicide and violence in schizophrenia: Analysis of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) dataset. Schizophrenia Research, 154(1–3), 6167. https://doi.org/10.1016/j.schres.2014.02.001 CrossRefGoogle ScholarPubMed
Witt, K., van Dorn, R., & Fazel, S. (2013). Risk factors for violence in psychosis: Systematic review and meta-regression analysis of 110 studies. PLoS One, 8(9), e55942. https://doi.org/10.1371/journal.pone.0055942 Google Scholar
World Health Organization (WHO) (1996). I. P. D. E. Examen Internacional de los Trastornos de la Personalidad [International Personality Disorder Examination]. Madrid, Spain: Meditor.Google Scholar