TY  - JOUR
PY  - 2019//
TI  - Violence risk and mental disorders (VIORMED-2): a prospective multicenter study in Italy
JO  - PLoS one
A1  - Barlati, Stefano
A1  - Stefana, Alberto
A1  - Bartoli, Francesco
A1  - Bianconi, Giorgio
A1  - Bulgari, Viola
A1  - Candini, Valentina
A1  - Carrà, Giuseppe
A1  - Cavalera, Cesare
A1  - Clerici, Massimo
A1  - Cricelli, Marta
A1  - Ferla, Maria Teresa
A1  - Ferrari, Clarissa
A1  - Iozzino, Laura
A1  - Macis, Ambra
A1  - Vita, Antonio
A1  - de Girolamo, Giovanni
SP  - e0214924
EP  - e0214924
VL  - 14
IS  - 4
N2  - BACKGROUND: The management of mentally ill offenders in the community is one of the great challenges imposed on community psychiatry. <br><br>AIM: The aim of this study was to analyze the association between sociodemographic, clinical, and psychosocial factors and violent behavior in a sample of outpatients with severe mental disorders. <br><br>METHOD: This was a prospective cohort study with a baseline cross-sectional design used to provide a detailed analysis of patients' profiles, followed by a longitudinal design to measure aggressive and violent behavior during a 1-year follow-up. Patients with severe mental disorders, with or without a history of violence, were enrolled in four Italian Departments of Mental Health and underwent a comprehensive multidimensional assessment. <br><br>RESULTS: The sample included 247 outpatients, for a total of 126 cases and 121 controls. Compared to controls, patients with a history of violence had a greater frequency of lifetime domestic violence, a greater lifetime propensity to misuse substances, and a higher number of compulsory admissions. The forthnightly monitoring during the 1-year follow-up did show statistically significant differences in aggressive and violent behavior rates between the two groups. Verbal aggression was significantly associated with aggression against objects and physical aggression. Moreover, outpatients with an history of violence showed statistically significant higher MOAS scores compared to both residential patients with an history of violence, assessed in the first wave of this project, and all controls. <br><br>CONCLUSIONS: Patients with a history of violence had specific characteristics and showed a greater occurrence of additional community violence during a 1-year observation period. Our results may assist clinicians in implementing standardized methods of patient assessment and violence monitoring in outpatient mental health services and may prompt improved collaboration between different community services.<p />  <p>Language: en</p>
LA  - en
SN  - 1932-6203
UR  - http://dx.doi.org/10.1371/journal.pone.0214924
ID  - ref1
ER  -