title: Arrest types and co-occurring disorders in persons with schizophrenia or related psychoses.
abstract: This study examined the patterns of criminal arrest and co-occurring psychiatric disorders among individuals with schizophrenia or related psychosis that were receiving public mental health services and had an arrest history. Within a 10-year period, 65% of subjects were arrested for crimes against public order, 50% for serious violent crimes, and 45% for property crimes. The presence of any co-occurring disorder increased the risk of arrest for all offense categories. For nearly all offense types, antisocial personality disorder and substance use disorders conferred the greatest increase in risk for arrest. Among anxiety disorders, post-traumatic stress disorder was associated with a greater risk of arrest for serious violent crimes but not other offense types. Criminal risk assessments and clinical management in this population should focus on co-occurring antisocial personality disorder and substance use disorders in addition to other clinical and non-clinical factors.
authors.affiliation: Center for Mental Health Services Research, Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA. patrick.mccabe@umassmed.edu
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: McCabe
authors.forename: Paul P
authors.initials: PP
authors.lastname: Christopher
authors.forename: Nicholas
authors.initials: N
authors.lastname: Druhn
authors.forename: Kristen M
authors.initials: KM
authors.lastname: Roy-Bujnowski
authors.forename: Albert J
authors.initials: AJ
authors.lastname: Grudzinskas
authors.forename: William H
authors.initials: WH
authors.lastname: Fisher
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000987:Antisocial Personality Disorder / Q000453:epidemiology* / Q000523:psychology; D015331:Cohort Studies; D015897:Comorbidity; D003415:Crime / Q000145:classification / Q000523:psychology / Q000706:statistics & numerical data*; D017831:Diagnosis, Dual (Psychiatry); D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D035846:Law Enforcement; D008297:Male; D008404:Massachusetts / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D011329:Prisoners / Q000706:statistics & numerical data*; D012559:Schizophrenia / Q000175:diagnosis / Q000453:epidemiology*; D012959:Socioeconomic Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D055815:Young Adult