Violent outcomes in first-episode psychosis: A clinical cohort study
View/Open
Date
2019-11Author
Whiting, Daniel
Lennox, Belinda
Fazel, Seena
Metadata
Show full item recordCitation
Whiting, D, Lennox, BR, Fazel, S. Violent outcomes in first‐episode psychosis: A clinical cohort study. Early Intervention in Psychiatry. 2019; 1– 4.
Abstract
Aim
Violence risk is an important part of a comprehensive clinical assessment in first‐episode psychosis. This study addresses limitations of previous violent outcome research in first‐episode psychosis, which has typically investigated selected cohorts or been restricted to violence occurring prior to service contact, with limited use of police data.
Methods
For individuals consecutively assessed by Early Intervention in Psychosis (EIP) services in two UK regions (n = 177), violent outcomes in the subsequent 12‐months were collected using electronic patient records, supplemented by police data.
Results
Of individuals accepted by EIP services (n = 109), electronic medical records indicated around 1 in 4 (n = 28, 25.7%) perpetrated any physical violence, and 1 in 10 (n = 10, 9.2%) were arrested or charged for violent offences in the 12‐months after first contact. Police data on all individuals assessed (n = 177) reported 1 in 7 (n = 26, 14.7%) were arrested or charged for violent offences in the 12‐months after first contact.
Conclusions
EIP services should consider integrating multi‐agency sources of data to evaluate violent outcomes. The potential role of violence risk management should be further examined.
Description
The article attached to this record is the Author(s) pre- print version. This is the pre-peer reviewed version of the following article: Whiting, D, Lennox, BR, Fazel, S. Violent outcomes in first‐episode psychosis: A clinical cohort study. Early Intervention in Psychiatry. 2019; 1– 4., which has been published in final form at https://doi.org/10.1111/eip.12901 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.