Predicting offense recidivism in Schizophrenia patients - 08/07/17
Résumé |
Introduction |
Schizophrenia increases the risk of offending. Recidivism rates are significant.
Aim |
Identifying general and violent recidivism risk factors in schizophrenia patients.
Methods |
We conducted a case control study. All included patients were admitted, at least once, to the forensic psychiatry department in Razi Hospital between January 1st, 1985 and December 31st, 2014 after a decision of irresponsibility by reason of insanity. All those who reoffended during this period were considered as cases. A draw was performed to create the control group. Both groups were matched according to their first offenses’ types as well as to their ages. A multivariate analysis was performed.
Results |
We included 25 cases and 38 controls. Eight recidivism risk factors were identified. Living in urban poor neighbourhoods (P=0.023; OR=4.86), having been unemployed (P=0.042; OR=2.18) and not having lived with the family (P=0.039; OR=1.36) after discharge were considered as risk factors. The same applied to alcohol (P=0.026; OR=4.89) and cannabis use disorders (P=0.018; OR=6.01). A hospitalization shorter than 6 months increased the risk by 1.79 (P=0.046). A combination of conventional antipsychotics (P=0.023;OR=4.81) and a poor adherence (P=0.001; OR=10.42) were considered as recidivism risk factors too.
Conclusions |
All eight recidivism risk factors are dynamic. This makes recidivism prevention conceivable. Measures involving the patient, the health care system, patients’ families, society and the government should be taken.
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Vol 41 - N° S
P. S590 - avril 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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