TY  - JOUR
PY  - 1998//
TI  - Substance Misuse and Risk of Aggression and Offending Among the Severely Mentally Ill
JO  - British journal of psychiatry
A1  - Scott, Helen
A1  - Johnson, Sonia
A1  - Menezes, Paulo
A1  - Thornicroft, Graham
A1  - Marshall, Jane
A1  - Bindman, Jonathan
A1  - Bebbington, Paul
A1  - Kuipers, Elizabeth
SP  - 345
EP  - 350
VL  - 172
IS  - 4
N2  - 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 Adult Mentally Ill Offender Adult Offender Adult Violence Adult Substance Use Violence Causes Psychological Factors Substance Use Effects Drug Related Aggression Drug Related Violence Drug Use Effects Alcohol Related Aggression Alcohol Related Violence Alcohol Use Effects Mentally Ill Adult 11-99<p />
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/
ID  - ref1
ER  -