@article{ref1,
title="Substance Misuse and Risk of Aggression and Offending Among the Severely Mentally Ill",
journal="British journal of psychiatry",
year="1998",
author="Scott, Helen and Johnson, Sonia and Menezes, Paulo and Thornicroft, Graham and Marshall, Jane and Bindman, Jonathan and Bebbington, Paul and Kuipers, Elizabeth",
volume="172",
number="4",
pages="345-350",
abstract="BACKGROUND: The aim of this study was to investigate whether 'dual diagnosis' (substance misuse and severe mental illness) is associated with aggression and offending. METHOD: Twenty-seven people meeting the criteria for both psychotic illness and a substance use disorder and 65 people with psychosis only were interviewed. Case notes were also examined and keyworkers asked to rate substance misuse and aggression. RESULTS: The severity of aggression and offending among this community treatment sample was low. Individuals with a dual diagnosis were significantly more likely than those with psychosis only to report any history of committing an offence (P = 0.001), or recent hostile behaviour (P = 0.001). Keyworkers were more likely to report recent aggression among the dually diagnosed (P = 0.01). Significant differences persisted when we used logistic regression to control for potentially confounding demographic and clinical variables. CONCLUSIONS: Dual diagnosis may be an important factor in aggression and offending among severely mentally ill individuals in inner-city areas. Accurate risk assessment requires examination of substance use. (Abstract Adapted from Source: British Journal of Psychiatry, 1998. Copyright © 1998 by the Royal College of Psychiatrists)Mentally Ill AdultMentally Ill OffenderAdult OffenderAdult ViolenceAdult Substance UseViolence CausesPsychological FactorsSubstance Use EffectsDrug Related AggressionDrug Related ViolenceDrug Use EffectsAlcohol Related AggressionAlcohol Related ViolenceAlcohol Use EffectsMentally Ill Adult11-99<p />",
language="en",
issn="0007-1250",
doi="",
url="http://dx.doi.org/"
}