Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2014.55.156
Alcohol abuse as the strongest risk factor for violent offending in patients with paranoid schizophrenia
Marija Kudumija Slijepčević
orcid.org/0000-0002-1494-5748
; Department of Psychiatry, General Hospital Bjelovar, Bjelovar, Croatia
Vlado Jukić
; Psychiatric Clinical Hospital Vrapče, Zagreb, Croatia
Darko Novalić
; Department of Psychiatry, General Hospital Bjelovar, Bjelovar, Croatia
Tija Žarković-Palijan
; Psychiatric Hospital “Dr Ivan Barbot,” Popovača, Croatia
Milan Milošević
; Department for Environmental and Occupational Health, University of Zagreb, School of Medicine, Andrija Štampar School of Public Health, Zagreb, Croatia
Ivana Rosenzweig
; Department of Neuroimaging, Institute of Psychiatry, King’s College London, London, United Kingdom
Sažetak
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.
Ključne riječi
Hrčak ID:
127312
URI
Datum izdavanja:
15.4.2014.
Posjeta: 2.151 *