title: Recidivistic offending and mortality in alcoholic violent offenders: a prospective follow-up study.
abstract: Predictive data supporting prevention of violent criminality are scarce. We examined risk factors for recidivism and mortality among non-psychotic alcoholic violent offenders, the majority having antisocial or borderline personality disorders, or both, which is a group that commits the majority of violent offences in Finland. Criminal records and mortality data on 242 male alcoholic violent offenders were analysed after a 7- to 15-year follow-up, and compared between themselves and with those of 1210 age-, sex- and municipality-matched controls. Recidivism and mortality rates were high. The risk of recidivistic violence was increased by antisocial or borderline personality disorder, or both, childhood maltreatment, and a combination of these. A combination of borderline personality disorder and childhood maltreatment was particularly noxious, suggesting an additive risk increase for a poor outcome. Accurate diagnosis and careful childhood interview may help to predict recidivism and premature death.
authors.affiliation: Institute of Clinical Medicine, Department of Psychiatry, University of Helsinki, Helsinki, Finland. roope.tikkanen@helsinki.fi
authors.forename: Roope
authors.initials: R
authors.lastname: Tikkanen
authors.forename: Matti
authors.initials: M
authors.lastname: Holi
authors.forename: Nina
authors.initials: N
authors.lastname: Lindberg
authors.forename: Jari
authors.initials: J
authors.lastname: Tiihonen
authors.forename: Matti
authors.initials: M
authors.lastname: Virkkunen
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality*; D000987:Antisocial Personality Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000401:mortality; D001883:Borderline Personality Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D002648:Child; D002649:Child Abuse / Q000706:statistics & numerical data; D015897:Comorbidity; D003415:Crime / Q000331:legislation & jurisprudence / Q000523:psychology / Q000706:statistics & numerical data*; D005387:Finland / Q000453:epidemiology; D005500:Follow-Up Studies; D005555:Forensic Psychiatry; D006801:Humans; D053208:Kaplan-Meier Estimate; D008137:Longitudinal Studies; D008297:Male; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology*; D011379:Prognosis; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D014754:Violence / Q000331:legislation & jurisprudence / Q000523:psychology / Q000706:statistics & numerical data*