Violence risk and mental disorders (VIORMED-2): A prospective multicenter study in Italy
The management of mentally ill offenders in the community is one of the great challenges imposed on community psychiatry. 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 ment...
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| Veröffentlicht in: | PloS one 2019-04, Vol.14 (4), p.e0214924-e0214924 |
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| creator | Barlati, Stefano Stefana, Alberto Bartoli, Francesco Bianconi, Giorgio Bulgari, Viola Candini, Valentina Carrà, Giuseppe Cavalera, Cesare Clerici, Massimo Cricelli, Marta Ferla, Maria Teresa Ferrari, Clarissa Iozzino, Laura Macis, Ambra Vita, Antonio de Girolamo, Giovanni |
| description | The management of mentally ill offenders in the community is one of the great challenges imposed on community psychiatry.
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.
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.
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.
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. |
| doi_str_mv | 10.1371/journal.pone.0214924 |
| format | Article |
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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.
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.
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.
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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0214924</identifier><identifier>PMID: 30990814</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Aggression ; Aggression - psychology ; Aggressive behavior ; Aggressiveness ; Ambulatory Care ; Behavior ; Biology and Life Sciences ; Communities ; Community services ; Cross-Sectional Studies ; Domestic violence ; Female ; Follow-Up Studies ; Forensic psychiatry ; Health care reform ; History ; Hospitalization ; Humans ; Italy - epidemiology ; Male ; Medicine and Health Sciences ; Mental disorders ; Mental Disorders - epidemiology ; Mental Disorders - physiopathology ; Mental Disorders - psychology ; Mental Disorders - therapy ; Mental health ; Mental health services ; Mentally ill persons ; Middle Aged ; Offenders ; Patient monitoring equipment ; Patients ; People and Places ; Prospective Studies ; Psychiatry ; Psychological aspects ; Psychosocial factors ; Risk Factors ; Significance ; Social Sciences ; Statistical analysis ; Statistical significance ; Statistics ; Studies ; Violence ; Violence - psychology</subject><ispartof>PloS one, 2019-04, Vol.14 (4), p.e0214924-e0214924</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Barlati et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Barlati et al 2019 Barlati et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c593t-3f5ec615867db6e9705bafc45db275f98fa167fde0dc5de7a927a193b82f9e5b3</citedby><cites>FETCH-LOGICAL-c593t-3f5ec615867db6e9705bafc45db275f98fa167fde0dc5de7a927a193b82f9e5b3</cites><orcidid>0000-0002-1611-8324 ; 0000-0002-4807-7184</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467378/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467378/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2103,2929,23868,27346,27926,27927,33776,53793,53795</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30990814$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Hashimoto, Kenji</contributor><creatorcontrib>Barlati, Stefano</creatorcontrib><creatorcontrib>Stefana, Alberto</creatorcontrib><creatorcontrib>Bartoli, Francesco</creatorcontrib><creatorcontrib>Bianconi, Giorgio</creatorcontrib><creatorcontrib>Bulgari, Viola</creatorcontrib><creatorcontrib>Candini, Valentina</creatorcontrib><creatorcontrib>Carrà, Giuseppe</creatorcontrib><creatorcontrib>Cavalera, Cesare</creatorcontrib><creatorcontrib>Clerici, Massimo</creatorcontrib><creatorcontrib>Cricelli, Marta</creatorcontrib><creatorcontrib>Ferla, Maria Teresa</creatorcontrib><creatorcontrib>Ferrari, Clarissa</creatorcontrib><creatorcontrib>Iozzino, Laura</creatorcontrib><creatorcontrib>Macis, Ambra</creatorcontrib><creatorcontrib>Vita, Antonio</creatorcontrib><creatorcontrib>de Girolamo, Giovanni</creatorcontrib><creatorcontrib>VIORMED-2 Group</creatorcontrib><creatorcontrib>for the VIORMED-2 Group</creatorcontrib><title>Violence risk and mental disorders (VIORMED-2): A prospective multicenter study in Italy</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The management of mentally ill offenders in the community is one of the great challenges imposed on community psychiatry.
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.
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.
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.
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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aggression</subject><subject>Aggression - psychology</subject><subject>Aggressive behavior</subject><subject>Aggressiveness</subject><subject>Ambulatory Care</subject><subject>Behavior</subject><subject>Biology and Life Sciences</subject><subject>Communities</subject><subject>Community services</subject><subject>Cross-Sectional Studies</subject><subject>Domestic violence</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Forensic psychiatry</subject><subject>Health care reform</subject><subject>History</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - physiopathology</subject><subject>Mental Disorders - psychology</subject><subject>Mental Disorders - therapy</subject><subject>Mental health</subject><subject>Mental health services</subject><subject>Mentally ill persons</subject><subject>Middle Aged</subject><subject>Offenders</subject><subject>Patient monitoring equipment</subject><subject>Patients</subject><subject>People and Places</subject><subject>Prospective Studies</subject><subject>Psychiatry</subject><subject>Psychological aspects</subject><subject>Psychosocial factors</subject><subject>Risk Factors</subject><subject>Significance</subject><subject>Social Sciences</subject><subject>Statistical analysis</subject><subject>Statistical significance</subject><subject>Statistics</subject><subject>Studies</subject><subject>Violence</subject><subject>Violence - 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risk and mental disorders (VIORMED-2): A prospective multicenter study in Italy</title><author>Barlati, Stefano ; Stefana, Alberto ; Bartoli, Francesco ; Bianconi, Giorgio ; Bulgari, Viola ; Candini, Valentina ; Carrà, Giuseppe ; Cavalera, Cesare ; Clerici, Massimo ; Cricelli, Marta ; Ferla, Maria Teresa ; Ferrari, Clarissa ; Iozzino, Laura ; Macis, Ambra ; Vita, Antonio ; de Girolamo, Giovanni</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c593t-3f5ec615867db6e9705bafc45db275f98fa167fde0dc5de7a927a193b82f9e5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aggression</topic><topic>Aggression - psychology</topic><topic>Aggressive behavior</topic><topic>Aggressiveness</topic><topic>Ambulatory Care</topic><topic>Behavior</topic><topic>Biology and Life Sciences</topic><topic>Communities</topic><topic>Community 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barlati, Stefano</au><au>Stefana, Alberto</au><au>Bartoli, Francesco</au><au>Bianconi, Giorgio</au><au>Bulgari, Viola</au><au>Candini, Valentina</au><au>Carrà, Giuseppe</au><au>Cavalera, Cesare</au><au>Clerici, Massimo</au><au>Cricelli, Marta</au><au>Ferla, Maria Teresa</au><au>Ferrari, Clarissa</au><au>Iozzino, Laura</au><au>Macis, Ambra</au><au>Vita, Antonio</au><au>de Girolamo, Giovanni</au><au>Hashimoto, Kenji</au><aucorp>VIORMED-2 Group</aucorp><aucorp>for the VIORMED-2 Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Violence risk and mental disorders (VIORMED-2): A prospective multicenter study in Italy</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-04-16</date><risdate>2019</risdate><volume>14</volume><issue>4</issue><spage>e0214924</spage><epage>e0214924</epage><pages>e0214924-e0214924</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The management of mentally ill offenders in the community is one of the great challenges imposed on community psychiatry.
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.
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.
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.
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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30990814</pmid><doi>10.1371/journal.pone.0214924</doi><orcidid>https://orcid.org/0000-0002-1611-8324</orcidid><orcidid>https://orcid.org/0000-0002-4807-7184</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2019-04, Vol.14 (4), p.e0214924-e0214924 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2210524271 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Sociological Abstracts; Public Library of Science; PubMed Central; Free Full-Text Journals in Chemistry; EZB Electronic Journals Library |
| subjects | Adolescent Adult Aggression Aggression - psychology Aggressive behavior Aggressiveness Ambulatory Care Behavior Biology and Life Sciences Communities Community services Cross-Sectional Studies Domestic violence Female Follow-Up Studies Forensic psychiatry Health care reform History Hospitalization Humans Italy - epidemiology Male Medicine and Health Sciences Mental disorders Mental Disorders - epidemiology Mental Disorders - physiopathology Mental Disorders - psychology Mental Disorders - therapy Mental health Mental health services Mentally ill persons Middle Aged Offenders Patient monitoring equipment Patients People and Places Prospective Studies Psychiatry Psychological aspects Psychosocial factors Risk Factors Significance Social Sciences Statistical analysis Statistical significance Statistics Studies Violence Violence - psychology |
| title | Violence risk and mental disorders (VIORMED-2): A prospective multicenter study in Italy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-17T19%3A56%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Violence%20risk%20and%20mental%20disorders%20(VIORMED-2):%20A%20prospective%20multicenter%20study%20in%20Italy&rft.jtitle=PloS%20one&rft.au=Barlati,%20Stefano&rft.aucorp=VIORMED-2%20Group&rft.date=2019-04-16&rft.volume=14&rft.issue=4&rft.spage=e0214924&rft.epage=e0214924&rft.pages=e0214924-e0214924&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0214924&rft_dat=%3Cgale_plos_%3EA582576211%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2210524271&rft_id=info:pmid/30990814&rft_galeid=A582576211&rft_doaj_id=oai_doaj_org_article_4596762bbeab4ea681045420eac1218d&rfr_iscdi=true |