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) (χ2=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.
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By:
- 1 Department of Psychiatry , Training and Research Hospital , Samsun , Turkey ;
- 2 Sokrates Psychiatry and Psychotherapy Center , İzmir , Turkey ;
- 3 Department of Child and Adolescent Psychiatry , Ondokuz Mayis University Medical Faculty , Samsun , Turkey ;
- 4 Department of Psychiatry , Ondokuz Mayis University Medical Faculty , Samsun , Turkey ;
- 5 Department of Psychiatry , Dogubeyazit Hospital , Agri , Turkey.
- Nord J Psychiatry. 2015 Dec 4:1-6.
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