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Associations with violent and homicidal behaviour among men with schizophrenia

机译:精神分裂症男性暴力和杀人行为的关联

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Objective We aimed to assess the risk factors associated with homicidal behaviour in male patients diagnosed with schizophrenia. Methods In a period of 1 year, male schizophrenia cases between 18-65 years of age (n = 210) were included. The clinical evaluation included the Positive and Negative Syndrome Scale (PANSS) and Overt Aggression Scale (OAS). The patients were divided into three groups in terms of violent behaviour history: (1) homicide group (n = 30), (2) a violent act resulting in serious injury (n = 71), (3) control group (patients without a history of a violent act) (n = 109). Results Lower level of education, rural residence, being unemployed and living alone were found to be significantly more common in patients who had committed a violent act compared to the schizophrenia patients in the control group. In order to explore the predictive value of several factors associated with violent behaviour, a logistic regression model was used, and variables (shorter duration of education, living alone, and lack of insight) significantly predicted the presence of violent behaviour (murder and/or injury) (chi(2)=31.78, df = 12, p = 0.001). Conclusions In order to be able to determine causality of homicidal acts in schizophrenia patients, our significant findings between homicidal violence, non-homicidal violence and the control group would merit further attention and exploration in further studies.
机译:目的我们旨在评估诊断为精神分裂症的男性患者与凶杀行为相关的危险因素。方法在1年内,纳入18至65岁(n = 210)的男性精神分裂症病例。临床评估包括阳性和阴性综合征量表(PANSS)和公开攻击量表(OAS)。根据暴力行为史将患者分为三组:(1)凶杀组(n = 30),(2)导致严重伤害的暴力行为(n = 71),(3)对照组(无暴力行为史)(n = 109)。结果发现,与对照组的精神分裂症患者相比,暴力行为患者的受教育程度较低,在农村居住,失业和独自生活的比例明显更高。为了探索与暴力行为相关的几个因素的预测价值,使用了逻辑回归模型,并且变量(受教育时间较短,独自生活和缺乏见识的变量)显着预测了暴力行为(谋杀和/或伤害)(chi(2)= 31.78,df = 12,p = 0.001)。结论为了能够确定精神分裂症患者中杀人行为的因果关系,我们在杀人暴力,非杀人暴力和对照组之间的重要发现将值得进一步研究和关注。

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