title: Sociodemographic, clinical and childhood correlates of adult violent victimisation in a large, national survey sample of people with psychotic disorders.
abstract: OBJECTIVE
  Our aim was to establish the 12-month prevalence of violent victimisation in a large sample of adults with psychotic disorders (N = 1825), compare this to population estimates, and examine correlates of violent victimisation.
  
  
  METHODS
  The Australian national psychosis survey used a two-phase design to draw a representative sample of adults aged 18-64 years with psychotic disorders. Interview questions included psychopathology, cognition, sociodemographics, substance use, criminality, and childhood and adult victimisation. Multivariable logistic regression models were used to examine the independent contributions of known risk factors, clinical profile and childhood abuse, on risk of violent victimisation. Differences between men and women were examined.
  
  
  RESULTS
  Among adults with psychotic disorders, 12-month prevalence of any victimisation was 38.6% (males 37.4%, females 40.5%), and of violent victimisation was 16.4% (males 15.2%; females 18.3%). Violent victimisation was 4.8 times higher than the population rate of 3.4% (6.5 times higher for women; 3.7 times higher for men). Significant correlates of violent victimisation were established sociodemographic and behavioural risk factors predicting victimisation in the general community: younger age, residence in the most disadvantaged neighbourhoods, homelessness, lifetime alcohol abuse/dependence, and prior criminal offending. Among clinical variables, only mania and self-harm remained significant in the multivariable model. Childhood abuse was independently associated with violent victimisation.
  
  
  CONCLUSIONS
  Rates of violent victimisation are high for people with psychotic disorders, especially women, compared to population rates. Greater exposure to sociodemographic and behavioural risks may render them particularly vulnerable to victimisation. Social cognition as a valuable treatment target is discussed.
authors.affiliation: Neuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia. vera.morgan@uwa.edu.au.|Centre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia. vera.morgan@uwa.edu.au.|The University of Western Australia School of Psychiatry and Clinical Neurosciences, Level 3 Medical Research Foundation Building, Rear 50 Murray Street, Perth, WA, 6000, Australia. vera.morgan@uwa.edu.au.
authors.forename: Vera A
authors.initials: VA
authors.lastname: Morgan
authors.affiliation: School of Population Health, University of Western Australia, Perth, Australia.|Faculty of Law, University of Tasmania, Hobart, Australia.
authors.forename: Frank
authors.initials: F
authors.lastname: Morgan
authors.affiliation: Discipline of Psychiatry, University of Adelaide, Adelaide, Australia.
authors.forename: Cherrie
authors.initials: C
authors.lastname: Galletly
authors.affiliation: Neuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia.
authors.forename: Giulietta
authors.initials: G
authors.lastname: Valuri
authors.affiliation: Neuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia.
authors.forename: Sonal
authors.initials: S
authors.lastname: Shah
authors.affiliation: Centre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia.
authors.forename: Assen
authors.initials: A
authors.lastname: Jablensky
mesh_terms: D000293:Adolescent; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000706:statistics & numerical data*; D001315:Australia / Q000453:epidemiology; D019548:Crime Victims / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D015995:Prevalence; D011618:Psychotic Disorders / Q000453:epidemiology*; D012307:Risk Factors; D017678:Sex Distribution; D011795:Surveys and Questionnaires; D014754:Violence / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Childhood abuse; Criminal offending; Schizophrenia; Sex differences; Victimisation