hrcak mascot   Srce   HID

Conference paper


Tija Žarkovic Palijan ; Department of Forensic Psychiatry, Neuropsychiatric hospital „Dr Ivan Barbot”, Popovača, Croatia
Lana Mužinić ; Department of Forensic Psychiatry, Psychiatric Hospital Vrapče, Zagreb, Croatia
Sanja Radeljak ; Department of Forensic Psychiatry, Neuropsychiatric hospital „Dr Ivan Barbot”, Popovača, Croatia

Fulltext: english, pdf (286 KB) pages 429-436 downloads: 1.145* cite
APA 6th Edition
Žarkovic Palijan, T., Mužinić, L. & Radeljak, S. (2009). PSYCHIATRIC COMORBIDITY IN FORENSIC PSYCHIATRY. Psychiatria Danubina, 21 (3), 429-436. Retrieved from
MLA 8th Edition
Žarkovic Palijan, Tija, et al. "PSYCHIATRIC COMORBIDITY IN FORENSIC PSYCHIATRY." Psychiatria Danubina, vol. 21, no. 3, 2009, pp. 429-436. Accessed 18 Oct. 2021.
Chicago 17th Edition
Žarkovic Palijan, Tija, Lana Mužinić and Sanja Radeljak. "PSYCHIATRIC COMORBIDITY IN FORENSIC PSYCHIATRY." Psychiatria Danubina 21, no. 3 (2009): 429-436.
Žarkovic Palijan, T., Mužinić, L., and Radeljak, S. (2009). 'PSYCHIATRIC COMORBIDITY IN FORENSIC PSYCHIATRY', Psychiatria Danubina, 21(3), pp. 429-436. Available at: (Accessed 18 October 2021)
Žarkovic Palijan T, Mužinić L, Radeljak S. PSYCHIATRIC COMORBIDITY IN FORENSIC PSYCHIATRY. Psychiatria Danubina [Internet]. 2009 [cited 2021 October 18];21(3):429-436. Available from:
T. Žarkovic Palijan, L. Mužinić and S. Radeljak, "PSYCHIATRIC COMORBIDITY IN FORENSIC PSYCHIATRY", Psychiatria Danubina, vol.21, no. 3, pp. 429-436, 2009. [Online]. Available: [Accessed: 18 October 2021]

For the past several years a numerous studies in the field of forensic psychiatry confirmed a close relationship between violent offenders and comorbid substance abuse. The comorbid substance abuse in violent offenders was usually unrecognized and misdiagnosed. Furthermore, comorbidity in forensic psychiatry describes the
co-occurrence of two or more conditions or psychiatric disorder known in the literature as dual diagnosis and defined by World Health Organization (WHO). In fact, many violent offenders have multiple psychiatric diagnoses. Recent studies have confirmed causal relationship between major psychiatric disorders and concomitant substance abuse (comorbidity) in 50-80% of forensic cases. In general, there is a high level of psychiatric comorbidity in forensic patients with prevalence of personality disorders (50-90%), mood disorders (20-60%) and psychotic disorders (15-20%) coupled with substance abuse disorders. Moreover, the high prevalence of psychiatric comorbidities could be found in mentally retarded
individuals, as well as, in epileptic patients. Drugs and alcohol abuse can produce serious psychotoxic effects that may lead to extreme violent behavior and consequently to serious criminal offence such as physical assault, rape, armed robbery, attempted murder and homicide, all due to an altered brain function and generating psychotic-like symptoms. Studies have confirmed a significant statistical relevance in causal relationship between substance abuse and violent offences. In terms of forensic psychiatry, the comorbidity strongly contributes in the process of establishing psychiatric diagnosis of diminished mental capacity or insanity at the time of the offence in the course of clinical assessment and evaluation of violent
offenders. Today, the primary focus of forensic psychiatry treatment services (inpatient or community) is management of the violent offenders with psychiatric comorbidity which requires a multilevel, evidence based approach to the patient.
Forensic treatment service effectiveness appears to be associated with individual case management and approach including psychotherapy, pharmacotherapy and occupational therapy in order to achieve optimal rehabilitation, prevention of recidivism and stability in social functioning of the patient in the community.

forensic psychiatry; comorbidity; substance abuse; violence; criminal offence

Hrčak ID: 49329


Visits: 1.816 *