title: Impact of crime victimization on initial presentation to an early intervention for psychosis service and 18-month outcomes.
abstract: To investigate the clinical and social correlates of a lifetime history of crime victimization among first-episode psychosis patients at entry to an Early Intervention Service and following 18 months of specialist care.
  
  
  
  Face-to-face interviews were conducted with 149 individuals who presented to an Early Intervention Service for the first time with psychosis in the London borough of Lambeth, UK. A range of demographic and clinical measures were completed including self-reported history of victimization along with the type of crime and its subjective effect on the patient. Clinical and functional outcomes at 18-month follow up were ascertained from clinical case notes by a psychiatrist.
  
  
  
  A large proportion of patients (n = 64, 43%) reported a history of crime victimization. This was associated with significantly higher levels of depression and substance misuse at initial presentation. Being a victim of a crime was not significantly associated with poorer clinical or functional outcomes after 18 months of specialist care. However, non-significant differences were found for those who reported crime victimization in terms of their increased use of illegal substances or having assaulted someone else during the follow-up period.
  
  
  
  Past experience of being a victim of crime appears to be common in patients presenting for the first time with psychosis and is associated with increased likelihood of comorbidity. Thus, Early Intervention Services should consider screening for past victimization and be prepared to deal with comorbid problems. The impact of crime victimization on clinical and functional outcomes requires investigation over a longer period of time.
authors.affiliation: MRC Social, Genetic & Developmental Psychiatry Centre, King's College London, London, UK.
authors.forename: Helen L
authors.initials: HL
authors.lastname: Fisher
authors.affiliation: Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.|Psychosis Clinical Academic Group, South London and Maudsley NHS Foundation Trust, London, UK.
authors.forename: Anna
authors.initials: A
authors.lastname: Roberts
authors.affiliation: Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.|Psychosis Clinical Academic Group, South London and Maudsley NHS Foundation Trust, London, UK.
authors.forename: Fern
authors.initials: F
authors.lastname: Day
authors.affiliation: Psychosis Clinical Academic Group, South London and Maudsley NHS Foundation Trust, London, UK.
authors.forename: Nicky
authors.initials: N
authors.lastname: Reynolds
authors.affiliation: Psychosis Clinical Academic Group, South London and Maudsley NHS Foundation Trust, London, UK.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Iacoponi
authors.affiliation: Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.|Psychosis Clinical Academic Group, South London and Maudsley NHS Foundation Trust, London, UK.
authors.forename: Philippa A
authors.initials: PA
authors.lastname: Garety
authors.affiliation: Psychosis Clinical Academic Group, South London and Maudsley NHS Foundation Trust, London, UK.|Department of Health Service and Population Research, King's College London, London, UK.
authors.forename: Thomas K J
authors.initials: TK
authors.lastname: Craig
authors.affiliation: Psychosis Clinical Academic Group, South London and Maudsley NHS Foundation Trust, London, UK.|Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: Philip
authors.initials: P
authors.lastname: McGuire
authors.affiliation: Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.|Psychosis Clinical Academic Group, South London and Maudsley NHS Foundation Trust, London, UK.
authors.forename: Lucia
authors.initials: L
authors.lastname: Valmaggia
authors.affiliation: Department of Psychiatry, Trinity College Dublin, Dublin, Ireland.
authors.forename: Paddy
authors.initials: P
authors.lastname: Power
mesh_terms: D000293:Adolescent; D000328:Adult; D015897:Comorbidity; D003415:Crime / Q000523:psychology* / Q000706:statistics & numerical data; D019548:Crime Victims / Q000523:psychology* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D061345:Early Medical Intervention; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D013287:Illicit Drugs; D008131:London; D008297:Male; D011618:Psychotic Disorders / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D057566:Self Report; D013223:Statistics as Topic; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D016896:Treatment Outcome; D014754:Violence / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D013287:Illicit Drugs
keywords: comorbidity, crime victim; early intervention; outcome; psychotic disorder