History of offending behavior in first episode psychosis patients: A marker of specific clinical needs and a call for early detection strategies among young offenders

Marion-Veyron, Régis; Lambert, Martin; Cotton, Sue M; Schimmelmann, Benno Karl Edgar; Gravier, Bruno; McGorry, Patrick D; Conus, Philippe (2015). History of offending behavior in first episode psychosis patients: A marker of specific clinical needs and a call for early detection strategies among young offenders. Schizophrenia Research, 161(2-3), pp. 163-168. Elsevier 10.1016/j.schres.2014.09.078

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OBJECTIVES Previous literature suggests that early psychosis (EP) patients with a history of offending behavior (HOB) have specific clinical needs. The aims of this study were to assess: (1) the prevalence of HOB in a representative sample of EP; (2) the premorbid and baseline characteristics of patients with HOB, and (3) the potential differences in short-term outcome of such patients when compared to patients without HOB. METHODS The Early Psychosis Prevention and Intervention Centre (EPPIC) admitted 786 EP patients between 1998 and 2000. Data were collected from patients' files using a standardized questionnaire. Data of 647 patients could be analyzed. RESULTS HOB patients (29% of the sample) were more likely to be male with lower level of premorbid functioning and education, have used illicit substances and have attempted suicide. They presented with a more complex clinical picture and had poorer 18-month outcome. Most importantly, they had a significantly longer duration of untreated psychosis. CONCLUSIONS On the basis of the high prevalence and specific features of EP patients with HOB, our study confirms a need for additional research in this domain and for the development of specific treatment strategies. Most importantly, it suggests a need for the promotion of early detection strategies among the populations of young offenders, considering that some of them may be going through the early phases of a psychotic disorder and that reduction of treatment delay and provision of well adapted interventions may have a significant impact at numerous levels in such patients

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy

UniBE Contributor:

Schimmelmann, Benno Karl Edgar

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0920-9964

Publisher:

Elsevier

Language:

English

Submitter:

Nicole Jansen

Date Deposited:

27 Jan 2015 10:34

Last Modified:

11 Nov 2015 11:38

Publisher DOI:

10.1016/j.schres.2014.09.078

PubMed ID:

25468182

Uncontrolled Keywords:

Duration of untreated psychosis, Early psychosis, Offending behavior, Outcome

BORIS DOI:

10.7892/boris.62103

URI:

https://boris.unibe.ch/id/eprint/62103

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