Psychiatric and neurological disorders in late adolescence and risk of convictions for violent crime in men
Autor: | Tomas Moberg, Anders Tengström, Jussi Jokinen, Erik G. Jönsson, Marlene Stenbacka, Peter Nordström |
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Jazyk: | angličtina |
Předmět: |
Male
medicine.medical_specialty Adolescent Substance-Related Disorders Poison control Violence Mental disorders Suicide prevention Personality Disorders Psykiatri Conduct disorder Young Adult Childhood maltreatment Risk Factors Intellectual Disability Injury prevention Intellectual disability mental disorders medicine Humans Registries Personality disorders Psychiatry Aged Sweden Violence and Violent crime Mental Disorders Human factors and ergonomics Mental retardation social sciences Middle Aged medicine.disease Mental illness Psychiatry and Mental health Crime Nervous System Diseases Psychology Substance-related disorders Conduct sorder Clinical psychology Follow-Up Studies Research Article |
Zdroj: | BMC Psychiatry |
ISSN: | 1471-244X |
DOI: | 10.1186/s12888-015-0683-7 |
Popis: | Background The relationship between mental illness and violent crime is complex because of the involvement of many other confounding risk factors. In the present study, we analysed psychiatric and neurological disorders in relation to the risk of convictions for violent crime, taking into account early behavioural and socio-economic risk factors. Methods The study population consisted of 49,398 Swedish men, who were thoroughly assessed at conscription for compulsory military service during the years 1969–1970 and followed in national crime registers up to 2006. Five diagnostic groups were analysed: anxiety-depression/neuroses, personality disorders, substance-related disorders, mental retardation and neurological conditions. In addition, eight confounders measured at conscription and based on the literature on violence risk assessment, were added to the analyses. The relative risks of convictions for violent crime during 35 years after conscription were examined in relation to psychiatric diagnoses and other risk factors at conscription, as measured by odds ratios (ORs) and confidence intervals (CIs) from bivariate and multivariate logistic regression analyses. Results In the bivariate analyses there was a significant association between receiving a psychiatric diagnosis at conscription and a future conviction for violent crime (OR = 3.83, 95 % CI = 3.47–4.22), whereas no significant association between neurological conditions and future violent crime (OR = 1.03, 95 % CI = 0.48–2.21) was found. In the fully adjusted multivariate logistic regression model, mental retardation had the strongest association with future violent crime (OR = 3.60, 95 % CI = 2.73–4.75), followed by substance-related disorders (OR = 2.81, 95 % CI = 2.18–3.62), personality disorders (OR = 2.66, 95 % CI = 2.21–3.19) and anxiety-depression (OR = 1.29, 95 % CI = 1.07–1.55). Among the other risk factors, early behavioural problem had the strongest association with convictions for violent crime. Conclusions Mental retardation, substance-related disorders, personality disorders and early behavioural problems are important predictors of convictions for violent crime in men. Electronic supplementary material The online version of this article (doi:10.1186/s12888-015-0683-7) contains supplementary material, which is available to authorized users. |
Databáze: | OpenAIRE |
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