Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-28T01:39:12.407Z Has data issue: false hasContentIssue false

Dangerous Behaviour Preceding First Admissions for Schizophrenia

Published online by Cambridge University Press:  02 January 2018

M. S. Humphreys*
Affiliation:
Royal Edinburgh Hospital, Edinburgh EH10 5HF
E. C. Johnstone
Affiliation:
University of Edinburgh
J. F. MacMillan
Affiliation:
University of Birmingham
P. J. Taylor
Affiliation:
Special Hospitals Service Authority, and Senior Lecturer at the Institute of Psychiatry, London
*
Correspondence

Abstract

Of 253 patients in their first schizophrenic episode, 52 behaved in a way threatening to the lives of others before their admission to hospital. These 52 patients were studied from data collected at the time of their initial presentation. Despite a history of illness in excess of 1 year in 24 cases, and evidence that violence was motivated by psychotic symptoms in 23 cases, fewer than half of the patients were admitted to hospital as a direct result of their dangerous behaviour. Life-threatening behaviour was more common where the patient had been ill for longer, and where there were delusions of being poisoned.

Type
Papers
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chapman, J. (1966) The early symptoms of schizophrenia. British Journal of Psychiatry, 112, 225251.Google Scholar
Chen, E. Y. H., Harrison, G. & Standen, P. J. (1991) Mangement of first psychotic illness in Afro-Caribbean patients. British Journal of Psychiatry, 158, 517522.Google Scholar
Depp, F. (1983) Assaults in a public hospital. In Assaults within Psychiatric Facilities (eds J. R. Lion & W. H. Reid), pp. 2145. New York: Grune & Stratton.Google Scholar
Ekblom, B. (1970) Acts of Violence by Patients in Mental Hospitals. Uppsala: Scandinavian University Books.Google Scholar
Goodwin, D. W., Alderson, P. & Rosenthal, R. (1971) Clinical significance of hallucinations in psychiatric disorders. A study of 116 hallucinatory patients. Archives of General Psychiatry, 24, 7680.CrossRefGoogle ScholarPubMed
Gunn, J. (1991) Human violence: a biological perspective. Criminal Behaviour and Mental Health, 1, 3454.Google Scholar
Häfner, H. & Boker, W. (1973) Crimes of Violence by Mentally Abnormal Offenders (transl. Marshall, H., 1982). Cambridge: Cambridge University Press.Google Scholar
Harrison, G., Ineichen, B., Smith, J., et al (1984) Psychiatric hospital admissions in Bristol. II. Social and clinical aspects of compulsory admission. British Journal of Psychiatry, 145, 605611.Google Scholar
Hellerstein, D., Frosch, W. & Koeningsberg, H. W. (1987) The clinical significance of command hallucinations. American Journal of Psychiatry, 144, 219221.Google Scholar
Ineichen, B., Harrison, G. & Morgan, H. G. (1984) Psychiatric hospital admissions in Bristol. I. Geographical and ethnic factors. British Journal of Psychiatry, 145, 600604.Google Scholar
Jablensky, A., Schwartz, R. & Tomov, T. (1980) WHO collaborative study on impairments and disabilities associated with schizophrenic disorders. A preliminary communication. Objectives and methods. Acta Psychiatrica Scandinavica, 285 (suppl.): 152163.Google Scholar
Johnstone, E. C., Crow, T. J., Johnson, A. L., et al (1986) The Northwick Park study of first episodes of schizophrenia. I. Presentation of the illness and problems related to admission. British Journal of Psychiatry, 148, 115120.CrossRefGoogle ScholarPubMed
Lagos, J. M., Perlmutter, K. & Saexinger, H. (1977) Fear of the mentally ill: empirical support for the common man's response. American Journal of Psychiatry, 134, 11341137.Google Scholar
MacMillan, J. F. & Johnson, A. L. (1987) Contact with the police in early schizophrenia: its nature, frequency and relevance to outcome of treatment. Medicine, Science and the Law, 27, 191200.CrossRefGoogle ScholarPubMed
McGovern, D. & Cope, R. V. (1987) The compulsory detention of males of different ethnic groups with special reference to offender patients. British Journal of Psychiatry, 150, 505512.CrossRefGoogle ScholarPubMed
Mawson, D. (1985) Delusions of poisoning. Medicine, Science and the Law, 25, 279287.Google Scholar
Mowat, R. R. (1966) Morbid Jealousy and Murder. London: Tavistock Publications.Google Scholar
Rogers, R., Nussbaum, D. & Gillis, R. (1988) Command hallucinations and criminality: a clinical quandary. Bulletin of the American Academy of Psychiatry and the Law, 16, 251258.Google ScholarPubMed
Szmukler, G. I. (1981) Compulsory admissions in a London borough. II. Circumstances surrounding admission: service implications. Psychological Medicine, 11, 825838.Google Scholar
Tardiff, K. & Sweillman, A. (1980) Assault, suicide and mental illness. Archives of General Psychiatry, 37, 164169.Google Scholar
Taylor, P. J. (1985) Motives for offending among violent and psychotic men. British Journal of Psychiatry, 147, 491498.Google Scholar
Taylor, P. J. (1987) Social implications of psychosis. British Medical Bulletin, 43, 491498.CrossRefGoogle ScholarPubMed
Taylor, P. J. & Gunn, J. (1984) Violence and psychosis I - Risk of violence among psychotic men. British Medical Journal, 288, 19451949.Google Scholar
Varsamis, J., Adamson, J. D. & Sigurdson, W. F. (1972) Schizophrenics with delusions of poisoning. British Journal of Psychiatry, 121, 673675.Google Scholar
Walker, N. & McCabe, S. (1973) Crime and Insanity in England. Volume II. New Solutions and New Problems. Edinburgh: Edinburgh University Press.Google Scholar
Werner, P. D., Rose, T. L., Yesavage, J. A., et al (1984) Psychiatrists' judgements of dangerousness in patients on an acute care unit. American Journal of Psychiatry, 141, 263266.Google Scholar
Wilmanns, K. (1940) Über Morde im Prodromalstadium der Schizophrenic. Zeitschrift für die Gesamte Neurologie und Psychiatrie, 170, 583662.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Description and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and Catego Systems. Cambridge: Cambridge University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.