The role of psychopathic traits and substance abuse in predicting violent victimization in patients with schizophrenia spectrum disorders.

We examined the relationship between psychopathic traits and substance abuse and violent victimization in 94 community patients meeting DSM-IV criteria for schizophrenia spectrum disorders in contact with public mental health services in Victoria, Australia. Data on violence and victimization were collated from multiple sources and combined to categorize patients into victims of serious violence (VV; n = 74) and those who were not victims of serious violence (NVV; n = 20) groups. The VV group had higher rates of unemployment and previous violence but did not differ from the NVV on current symptom ratings. The VV group has significantly higher substance abuse and psychopathy scores, but only psychopathy score significantly contributed to the prediction of victimization. All psychopathy facets were reasonably good predictors of victimization status, but the antisocial facet contributed most to the prediction of victimization. A better understanding of the role and contribution of antisocial (particularly psychopathic) traits in violent victimization in mentally ill populations is needed to better inform community management plans.

[1]  H. Skinner,et al.  The drug abuse screening test. , 2013, Addictive behaviors.

[2]  Wesley G. Jennings,et al.  Assessing the Violent Offending and Violent Victimization Overlap Among Discharged Psychiatric Patients , 2011, Law and human behavior.

[3]  M. Dolan,et al.  Investigating the Validity of the Classification of Violence Risk in a UK Sample , 2010 .

[4]  T. Lincoln,et al.  Experiences of victimisation and depression are associated with community functioning among men with schizophrenia , 2009, Social Psychiatry and Psychiatric Epidemiology.

[5]  Brent Teasdale.  Mental Disorder and Violent Victimization , 2009 .

[6]  Xiaojin Chen.  The Link Between Juvenile Offending and Victimization The Influence of Risky Lifestyles, Social Bonding, and Individual Characteristics , 2009 .

[7]  R. Maniglio,et al.  Severe mental illness and criminal victimization: a systematic review , 2009, Acta psychiatrica Scandinavica.

[8]  M. Dolan,et al.  The Violence Risk Scale Second Edition (VRS-2) as a predictor of institutional violence in a British forensic inpatient sample , 2008, Psychiatry Research.

[9]  P. Tyrer,et al.  Predictors of violent victimization amongst those with psychosis , 2007, Acta psychiatrica Scandinavica.

[10]  T. Brugha,et al.  Urban residence, victimhood and the appraisal of personal safety in people with schizophrenia: results from the European Schizophrenia Cohort (EuroSC) , 2007, Psychological Medicine.

[11]  M. Dolan,et al.  Standardized risk assessment , 2007 .

[12]  J. Lieberman,et al.  A national study of violent behavior in persons with schizophrenia. , 2006, Archives of general psychiatry.

[13]  A. Caspi,et al.  Mental disorder and violent victimization in a total birth cohort. , 2005, American journal of public health.

[14]  L. Teplin,et al.  Crime victimization in adults with severe mental illness: comparison with the National Crime Victimization Survey. , 2005, Archives of general psychiatry.

[15]  A. Koivisto,et al.  Violent victimization in schizophrenia , 2004, Social psychiatry and psychiatric epidemiology.

[16]  R. Murray,et al.  Prevalence of violent victimisation in severe mental illness , 2003, British Journal of Psychiatry.

[17]  M. Dolan,et al.  Violence risk assessment: combining actuarial and clinical information to structure clinical judgements for the formulation and management of risk. , 2002, Journal of psychiatric and mental health nursing.

[18]  B. af Klinteberg,et al.  Adult psychopathy and violent behavior in males with early neglect and abuse , 2002, Acta psychiatrica Scandinavica. Supplementum.

[19]  E. Silver.  MENTAL DISORDER AND VIOLENT VICTIMIZATION: THE MEDIATING ROLE OF INVOLVEMENT IN CONFLICTED SOCIAL RELATIONSHIPS* , 2002 .

[20]  H. Wagner,et al.  Victimization: a link between mental illness and violence? , 2001, International journal of law and psychiatry.

[21]  J. Long,et al.  Risks for individuals with schizophrenia who are living in the community. , 2001, Psychiatric services.

[22]  Michelle P. Salyers,et al.  Recent Victimization in Women and Men with Severe Mental Illness: Prevalence and Correlates , 2001, Journal of traumatic stress.

[23]  M. Dolan,et al.  Violence risk prediction. Clinical and actuarial measures and the role of the Psychopathy Checklist. , 2000, The British journal of psychiatry : the journal of mental science.

[24]  D. Bernstein,et al.  Predicting personality pathology among adult patients with substance use disorders: effects of childhood maltreatment. , 1998, Addictive behaviors.

[25]  D. Luchins,et al.  Efficiency and validity of commonly used substance abuse screening instruments in public psychiatric patients. , 1998, Journal of addictive diseases.

[26]  C. Widom,et al.  Psychopathy and violent behaviour in abused and neglected young adults , 1996 .

[27]  D. Mossman.  Assessing predictions of violence: being accurate about accuracy. , 1994, Journal of consulting and clinical psychology.

[28]  Robert J. Sampson,et al.  Deviant Lifestyles, Proximity to Crime, and the Offender-Victim Link in Personal Violence , 1990 .

[29]  Gary F. Jensen,et al.  Gender, Lifestyles, and Victimization: Beyond Routine Activity , 1986, Violence and Victims.

[30]  J. Hanley,et al.  A method of comparing the areas under receiver operating characteristic curves derived from the same cases. , 1983, Radiology.

[31]  Jason Ong,et al.  : The relationship between , 2017 .

[32]  Shadd Maruna,et al.  Rehabilitation. Beyond the risk paradigm. , 2007 .

[33]  P. Fitzgerald,et al.  Victimization of patients with schizophrenia and related disorders. , 2005, The Australian and New Zealand journal of psychiatry.

[34]  D. Cooke,et al.  The childhood experiences of psychopaths: a retrospective study of familial and societal factors. , 1999, Journal of personality disorders.