Early Violent Behavior Increases Chance of Post-Diagnosis Violence

I was just sent this article that posted on October 27, 2013, that I thought I’d share:
Early Violent Behavior Increases Chance of Post-Diagnosis Violence
It is on NAMI (National Alliance on Mental Illness) South Bay’s website. NAMI South Bay is an affiliate of National and State NAMI.
Individuals who engage in antisocial behavior before showing symptoms of schizophrenia are more likely to be violent when a first schizophrenia episode occurs, according to a new prospective study reported in JAMA Psychiatry. 
Here is the abstract in JAMA Psychiatry to Pathways to Violent Behavior During First-Episode Psychosis:
Accumulating evidence suggests there may be subgroups within psychosis, differing in terms of developmental processes and proximal factors associated with violent behavior.

Objective:  To determine whether there are subgroups of psychotic individuals characterized by different developmental trajectories to violent behavior.

Conclusions and Relevance:  There appear to be diverse pathways to violent behavior during FEP [first-episode psychosis]. Stable high premorbid delinquency from childhood onwards appears to directly increase the risk for violent behavior, independent of psychosis-related risk factors. In addition to tackling illness-related risks, treatments should directly address antisocial traits as a potent risk for violence during FEP.

From the NAMI article:
Said Paul Appelbaum, M.D., former APA president, the Dollard Professor of Psychiatry, Medicine, and Law at Columbia University, and chair of the APA Committee on Judicial Action, to Psychiatric News:

“These data have implications for violence prediction and treatment in patients with schizophrenia [and] suggest that treatment targeting psychotic symptoms in higher-risk patients may not be enough to prevent violent behavior—interventions aimed specifically at propensities for violence may be needed as well.”


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