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Age of onset group characteristics in forensic patients with schizophrenia

Published online by Cambridge University Press:  15 April 2020

D. Vinokur ,
S.Z. Levine ,
D. Roe ,
A. Krivoy  and
T. Fischel
D. Vinokur
Affiliation:
Bar Ilan University
S.Z. Levine*
Affiliation:
Bar Ilan University Department of Community Mental Health, University of Haifa, Israel
D. Roe
Affiliation:
Department of Community Mental Health, University of Haifa, Israel
A. Krivoy
Affiliation:
Geha Mental Health Center, Petah-Tikva, Israel and Sackler, Faculty of Medicine, Tel-Aviv University, Ramat-Aviv, Israel
T. Fischel
Affiliation:
Geha Mental Health Center, Petah-Tikva, Israel and Sackler, Faculty of Medicine, Tel-Aviv University, Ramat-Aviv, Israel
*
*Corresponding author. Department of Community Mental Health, University of Haifa, Israel. Tel.: +972 489 6083; fax: +972 3 761 7374. E-mail address: [email protected] (S.Z. Levine).
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Abstract

This study aims to empirically identify age of onset groups and their clinical and background characteristics in forensic patients with schizophrenia. Hospital charts were reviewed of all 138 forensic patients with schizophrenia admitted to Geha Psychiatric Hospital that serves a catchment area of approximately 500,000 people, from 2000 to 2009 inclusive. Admixture analysis empirically identified early- (M = 19.99, SD = 3.31) and late-onset groups (M = 36.13, SD = 9.25). Early-onset was associated with more suicide attempts, violence before the age of 15, and early conduct problems, whereas late-onset was associated with a greater likelihood of violence after the age of 18 and marriage (P < 0.01). The current findings provide clinicians with a unique direction for risk assessment and indicate differences in violence between early- and late-onset schizophrenia, particularly co-occurrence of harmful behavioral phenotypes.

Keywords

AdmixtureSchizophreniaAge of onsetForensicEpidemiology
Type
Original article
Information
European Psychiatry , Volume 29 , Issue 3 , March 2014 , pp. 149 - 152
Copyright
Copyright © European Psychiatric Association 2014

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