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Violence and psychiatric morbidity in the national household population of Britain: public health implications

  • Jeremy Coid (a1), Min Yang (a1), Amanda Roberts (a1), Simone Ullrich (a1), Paul Moran (a2), Paul Bebbington (a3), Traolach Brugha (a4), Rachel Jenkins (a2), Michael Farrell (a2), Glyn Lewis (a5) and Nicola Singleton (a6)...
Abstract
Background

It is unclear whether psychiatric morbidity contributes to the small proportion of the population responsible for a large percentage of antisocial behaviour, including violence.

Aims

To measure associations between psychiatric morbidity and severity chronicity and types of victims of violence in the national household population of Britain.

Method

Cross-sectional survey of persons in households (n=8397). Data included self-reported location, victims and outcome of violence over the previous 5 years. Diagnoses were determined by computer-assisted interviews.

Results

Hazardous drinking was associated with over half of all incidents involving injury. Antisocial personality disorder conveyed an attributable risk of 24% of respondents reporting victim injuries, but screening positive for psychosis conveyed an attributable risk of only 1.2%.

Conclusions

The burden of care resulting from violence associated with hazardous drinking supports population interventions. Despite exceptional risks, half of respondents with antisocial personality disorder were not violent, indicating limitations in targeted interventions to detain high-risk individuals.

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Copyright
Corresponding author
Professor Jeremy Coid, Forensic Psychiatry Research Unit, St Bartholomew's Hospital, William Harvey House, 61 Bartholomew Close, London ECIA 7BE, UK. Tel: +44 (0) 207601 8138; fax: +44 (0) 20 7601 7969; email: j.w.coid@qmul.ac.uk
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Declaration of interest

None. Funded by the Department of Health.

Footnotes
References
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American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM – IV). Washington, DC: APA.
Arnold, M. & Laidler, T. J. (1994) Alcohol Misuse and Violence 7. Situational and Environmental Factors in Alcohol-related Violence. Canberra: Government Publishing Services.
Arseneault, L., Moffit, T. E., Caspi, A., et al (2002) The targets of violence committed by young offenders with alcohol dependence, marijuana dependence and schizophrenia-spectrum disorders: findings from a birth cohort. Criminal Behaviour and Mental Health, 12, 155168.
Babor, T. F., de la Fuente, J. R., Saunders, J., et al (1992) AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Healthcare. Geneva: World Health Organization.
Bebbington, P. & Nayani, T. (1994) The Psychosis Screening Questionnaire. International Journal of Methods in Psychiatric Resarch, 5, 1119.
Bohn, M. J., Babor, T. F. & Kranzler, H. R. (1995) The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings. Journal of Studies on Alcohol, 56, 423432.
Binder, R. L. & McNeil, D. E. (1986) Victims and families of violent psychiatric patients. Bulletin of the American Academy of Psychiatry and Law, 14, 131139.
Buchanan, A. & Leese, M. (2001) Detention of people with dangerous severe personality disorders: a systematic review. Lancet, 358, 19551959.
Coid, J. (2003a) Epidemiology, public health and the problem of personality disorder. British Journal of Psychiatry, 182, 310.
Coid, J. W. (2003b) Formulating strategies for the primary prevention of adult antisocial behaviour: “high risk;” or “population” strategies? In Early Prevention of Adult Antisocial Behaviour (eds Farrington, D. P. & Coid, J. W.), pp. 3278. Cambridge: Cambridge University Press.
Dolan, B. & Coid, J. (1993) Psychopathic and Antisocial Personality Disorders: Treatment and Research Issues. London: Gaskell.
English, R. D., Holman, C. D. J., Milne, E., et al (1995) The Quantification of Drug Caused Morbidity and Mortality in Australia. Canberra: Commonwealth Department of Human Services and Health.
Estroff, S. E., Swanson, J. W., Lachicotte, W. S., et al (1998) Risk reconsidered: targets of violence in the social networks of people with serious psychiatric disorders. Social Psychiatry and Psychiatric Epidemiology, 33, 95101.
First, M. B., Gibbon, M., Spitzer, R. L., et al (1997) Structured Clinical Interviews for DSM – IV Axis-II Personality Disorders Washington, DC: American Psychiatric Press.
Gliksman, L., Single, E., McKenzie, D., et al (1993) The role of alcohol providers in prevention: an evaluation of a server intervention programme. Addiction, 88, 11951203.
Graham, K., Leonard, K. E., Room, R., et al (1998) Current directions in research on understanding and preventing intoxicated aggression. Addiction, 93, 659676.
Haapanen, R. A. (1990) Selective Incapacitation and the Serious Offender. A Longitudinal Study of Criminal Career Patterns. New York: Springer-Verlag.
Hauritz, M., Homel, R., McIlwain, G., et al (1998) Reducing violence in licensed venues through community safety action projects: the Queensland experience. Contemporary Drug Problems, 25, 511551.
Home Office & Department of Health (1999) Managing Dangerous People with Severe Personality Disorder. London: TSO (The Stationery Office).
Home Office & Department of Health (2000) Reforming the Mental Health Act. London: TSO (The Stationery Office).
Homel, R., Hauritz, M., Wortley, R., et al (1997) Preventing alcohol-related crime through community action: The Surfers Paradise Safety Action Project. In Policing for Prevention: Reducing Crime, Public Intoxication and Injury, Crime Prevention Studies (ed Homel, R.), pp. 3590. New York: Criminal Justice Press.
Kahn, H. A. & Sempos, C. T. (1989) Statistical Methods in Epidemiology. Oxford: Oxford University Press.
Kantor, G. K. & Jasinski, J. L. (1998) Dynamics and risk factors in partner violence. In Partner Violence: A Comprehensive Review of 220 Years of Research (eds Jasinski, J. L. & Williams, L. M.), pp. 143. Thousand Oaks, CA: Sage.
Kish, L. (1965) Survey Sampling. London: John Wiley & Sons.
Lewis, G., Pelosi, A., Araya, R. C., et al (1992) Measuring psychiatric disorder in the community: a standardised assessment for lay-interviewers. Psychological Medicine, 22, 465486.
Link, B. G., Andrews, H. A. & Cullen, F. T. (1992) The violent and illegal behavior of mental patients reconsidered. American Sociological Review, 57, 275292.
Loeber, R., Farrington, D. P. & Waschbusch, D. A. (1998) Serious and violent juvenile offenders. In Serious and Violent Juvenile Offenders: Risk Factors and Successful Interventions (eds Loeber, R. & Farrington, D. P.), pp. 1339 Thousand Oaks, CA: Sage.
MacAndrew, C. & Edgerton, R. B. (1969) Drunken Comportment: A Social Explanation. Chicago, IL: Aldine.
Moran, P. (1999) Antisocial Personality Disorder. An Epidemiological Perspective. London: Gaskell.
Murdoch, D., Pihl, R. O. & Ross, D. (1990) Alcohol and crimes of violence: present issues. International Journal of the Addictions, 25, 10651081.
Rasbash, J., Browne, W., Goldstein, H., et al (2000) A User's Guide to MLwiN. London: Institute of Education, University of London.
Robins, L. N. (1998) The intimate connection between antisocial personality and substance abuse. Social Psychiatry and Psychiatric Epidemiology, 33, 393399.
Robins, L. N., Tipp, J. & Przybeck, T. (1991) Antisocial personality. In Psychiatric Disorder in America (eds Robbins, L. N. & Regier, D. A.), pp. 258290. New York: Free Press.
Rose, G. (1985) Sick individuals and sick populations. International Journal of Epidemiology, 14, 3238.
Rose, G. (1992) The Strategy of Preventive Medicine. Oxford: Oxford University Press.
Shepherd, J. & Farrington, D. (2003) The impact of antisocial lifestyle on health. BMJ, 326, 834835.
Shepherd, J. P., Farrington, D. P. & Potts, A. J. C. (2002) Relations between offending, injury and illness. Journal of the Royal Society of Medicine, 95, 539544.
Shrout, P. E. & Newman, S. C. (1989) Design of two-phase prevalence surveys of rare disorders. Biometrics, 45, 549555.
Singleton, N., Meltzer, H., Gatward, R., et al (1998) Psychiatric Morbidity Among Prisoners in England and Wales. London: TSO (The Stationery Office).
Singleton, N., Bumpstead, R., O'Brien, M., et al (2001) Psychiatric Morbidity Among Adults Livingin Private Households, 2000. London: TSO (The Stationery Office).
Steadman, H. J., Mulvey, E. P., Monahan, J., et al (1998) Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Archives of General Psychiatry, 55, 393401.
Stockwell, T., Murphy, D. & Hodgson, R. (1983) The Severity of Alcohol Dependence questionnaire: its use, reliability and validity. British Journal of Addiction, 78, 145155.
Straznickas, K. A., McNiel, D. E. & Binder, R. L. (1993) Violence toward family caregivers by mentally ill relatives. Hospital and Community Psychiatry, 44, 385387.
Stueve, A. & Link, B. C. (1997) Violence and psychiatric disorders: results from an epidemiological study of young adults in Israel. Psychiatric Quarterly, 68, 327342.
Swanson, J. W., Holzer, C. E., Ganju, V. K., et al (1990) Violence and psychiatric disorder in the community: evidence from the epidemiologic catchment area surveys. Hospital and Community Psychiatry, 41, 761770.
Taylor, P. J. & Gunn, J. (1999) Homicides by people with mental illness: myth and reality. British Journal of Psychiatry, 174, 914.
Wallace, C., Mullen, P., Burgess, P., et al (1998) Serious criminal offending and mental disorder: case linkage study. British Journal of Psychiatry, 172, 477484.
Wallace, C., Mullen, P. E. & 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.
Warren, F., McGauley, G., Norton, L., et al (2003) Review of Treatments for Severe Personality Disorder. Home Office Online Report 30/03. Available at http://www.homeoffice.gov.uk/rds/pdfs2/rdsolr3003.pdf
Welsh, B. C. (2003) Economic cost and benefits of primary prevention of delinquency and later offending: a review of the research. In Early Prevention of Adult Antisocial Behaviour (eds Farrington, D. P. & Coid, J. W.), pp. 318355. Cambridge: Cambridge University Press.
Zimmerman, M. (1994) Diagnosing personality disorders. A review of issues and research methods. Archives of General Psychiatry, 51, 225245.
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Violence and psychiatric morbidity in the national household population of Britain: public health implications

  • Jeremy Coid (a1), Min Yang (a1), Amanda Roberts (a1), Simone Ullrich (a1), Paul Moran (a2), Paul Bebbington (a3), Traolach Brugha (a4), Rachel Jenkins (a2), Michael Farrell (a2), Glyn Lewis (a5) and Nicola Singleton (a6)...
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