Violence and psychiatric morbidity in a national household population: a report from the British Household Survey

Coid, J. and Yang, M. and Roberts, A. and Ullrich, S. and Moran, P. and Bebbington, P. and Brugha, T. and Jenkins, R. and Farrell, M. and Lewis, G. and Singleton, N. (2006) Violence and psychiatric morbidity in a national household population: a report from the British Household Survey. American Journal of Epidemiology, 164 (12). pp. 1199-1208. ISSN 0002-9262

Full content URL: http://dx.doi.org/10.1093/aje/kwj339

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Violence and Psychiatric Morbidity in a National Household Population

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Abstract

This study measured the prevalence of self-reported violence and associations with psychiatric morbidity in
a national household population, based on a cross-sectional survey in 2000 of 8,397 respondents in Great Britain.
Diagnoses were derived from computer-assisted interviews, with self-reported violent behavior over the previous
5 years. The 5-year prevalence of nonlethal violence in Britain was 12% (95% confidence interval: 11, 13). The risk
of violence was substantially increased by alcohol dependence (odds ratio ¼ 2.72, 95% confidence interval: 1.85,
3.98), drug dependence (odds ratio ¼ 2.63, 95% confidence interval: 1.45, 4.74), and antisocial personality disorder
(odds ratio ¼ 6.12, 95%confidence interval: 3.87, 9.66). Low prevalences of these conditions (7%, 4%, and 4%,
respectively) contrasted with their relatively high proportions of attributed risk of violence (23%, 15%, and 15%).
Hazardous drinking was associated with 56% of all reported violent incidents. Screening positive for psychosis
did not independently increase risk (odds ratio ¼ 3.20, 95% confidence interval: 0.35, 29.6). The study concluded
that psychiatric morbidity makes a significant public health impact on violence exerted primarily by persons with
any personality disorder, substance dependence, and hazardous drinking. Population interventions for violent
behavior are appropriate for hazardous drinking as are targeted interventions for substance dependence and
antisocial personality disorder. Despite public concern, the risks of violence from persons with severe mental
illness were very low.

Additional Information:First published online: October 10, 2006
Keywords:Antisocial Personality Disorder, Cross-Sectional Studies, Morbidity, Risk, Violence, Substance-related disorders
Subjects:C Biological Sciences > C800 Psychology
C Biological Sciences > C890 Psychology not elsewhere classified
Divisions:College of Social Science > School of Psychology
ID Code:15808
Deposited On:26 Oct 2014 12:04

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