title: Violent behavior of patients living in psychiatric residential facilities: a comparison of male patients with different violence histories.
abstract: People with severe mental disorders and a history of violence are often seen as a difficult-to-manage segment of the population. In addition, this group is usually characterized by a high risk of crime recidivism, and poor compliance with community and aftercare programs. To investigate a sample of male patients living in Residential Facilities (RFs) with a history of violent behavior against people and to compare their characteristics with those of never-violent residents; to analyze the associations between aggressive behaviors in the last two years and a history of previous violence; and, to assess the predictors of aggressive behaviors. This study is part of a prospective observational cohort study which involved 23 RFs in Northern Italy. A comprehensive set of sociodemographic, clinical, and treatment-related information was gathered, and standardized assessments were administered to each participant. Also a detailed assessment of aggressive behaviors in the past two years was carried out. The study involved 268 males: 81 violent and 187 never-violent. Compared to never-violent patients, violent patients were younger, with a higher proportion of personality disorders, and have displayed an increased number of aggressive behaviors in the last two years. The presence of a history of violent behavior in the past significantly increases the probability of committing aggressive acts in the future.
authors: IRCCS St John of God Fatebenefratelli, Brescia, Italy.
authors: Valentina
authors: V
authors: Candini
authors: IRCCS St John of God Fatebenefratelli, Brescia, Italy; Dynamic and Clinic Unit, Faculty of Medicine and Surgery, University of Brescia, Italy.
authors: Chiara
authors: C
authors: Buizza
authors: IRCCS St John of God Fatebenefratelli, Brescia, Italy.
authors: Clarissa
authors: C
authors: Ferrari
authors: Rehabilitation hospital Beata Vergine della Consolata, Torino, Italy.
authors: Maria Elena
authors: ME
authors: Boero
authors: Hospital Sacro Cuore di Gesù, Pavia, Italy; Hospital Villa Sant'Ambrogio, Milano, Italy.
authors: Gian Marco
authors: GM
authors: Giobbio
authors: Hospital Villa Sant'Ambrogio, Milano, Italy.
authors: Nicoletta
authors: N
authors: Goldschmidt
authors: Hospital Villa Sant'Ambrogio, Milano, Italy.
authors: Stefania
authors: S
authors: Greppo
authors: IRCCS St John of God Fatebenefratelli, Brescia, Italy.
authors: Laura
authors: L
authors: Iozzino
authors: Hospital Sacro Cuore di Gesù, Pavia, Italy.
authors: Paolo
authors: P
authors: Maggi
authors: Rehabilitation hospital Beata Vergine della Consolata, Torino, Italy.
authors: Anna
authors: A
authors: Melegari
authors: Medical Statistics & Information Technology, Fatebenefratelli Association for Research, Isola Tiberina, Rome, Italy.
authors: Patrizio
authors: P
authors: Pasqualetti
authors: IRCCS St John of God Fatebenefratelli, Brescia, Italy.
authors: Giuseppe
authors: G
authors: Rossi
authors: IRCCS St John of God Fatebenefratelli, Brescia, Italy. Electronic address: gdegirolamo@fatebenefratelli.it.
authors: Giovanni
authors: G
authors: de Girolamo
mesh_terms: D000293:Adolescent; D000328:Adult; D000374:Aggression / Q000523:psychology*; D003155:Community Mental Health Centers; D006801:Humans; D007558:Italy / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012112:Residential Facilities; D012307:Risk Factors; D014754:Violence / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Aggressive behavior; Mental illness; Predictors; Recidivism; Residential facility; Violence