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- Title
Cues for different diagnostic patterns of interpersonal violence in a psychiatric sample: an observational study.
- Authors
Talevi, D.; Gregori, E.; Socci, V.; Quarta, E.; Stratta, P.; Pacitti, F.; Rossi, R.
- Abstract
Introduction: Interpersonal violence has increased as a health concern in the psychiatry practice over the last decades. Most patients with mental illness do not present an increased risk of violence and a mental disorder is not a necessary or sufficient cause of violent behaviors. However, people with mental illness endorse more often a number of risk factors for violence that could confound this association, such as young age and male gender. Objectives: The aim of this study was to investigate the effect of age, gender, and diagnosis on reported levels of interpersonal violence in a sample of people with severe mental illnesses. Methods: 160 inpatients, of which 73 with psychosis, 53 with mood disorder and 34 with personality disorder were assessed for experiences of victimization and perpetration of interpersonal violence using the Karolinska Interpersonal Violence Scale interview. Results: Violence negatively correlated with age. Females were exposed to higher degree of victimizations, whereas males were more involved in perpetration of violence in childhood. Personality disorders are associated with higher levels of interpersonal violence. An interaction effect of gender and diagnosis was also observed for expression of violence in adulthood. Mood disorder showed a victimization pattern, personality disorders a perpetration pattern and psychoses a less defined pattern. Conclusions: Psychoses, mood disorders and personality disorders have different patterns of violent experiences when stretified by age and gender. This study offers a better understanding of how gender and age affect violent behaviors. These patterns could have pathophysiological or pathoplastic meaning addressing clinical and diagnostic trajectories interacting with other intervening risk factors.
- Subjects
DATING violence; PEOPLE with mental illness; RISK of violence; PERSONALITY disorders; AFFECTIVE disorders; VIOLENCE
- Publication
European Psychiatry, 2020, Vol 63, pS190
- ISSN
0924-9338
- Publication type
Article