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Sociodemographic, clinical and childhood correlates of adult violent victimisation in a large, national survey sample of people with psychotic disorders

journal contribution
posted on 2023-05-18, 17:40 authored by Morgan, VA, Morgan, F, Galletly, C, Valuri, G, Shah, S, Jablensky, A
Purpose 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.

History

Publication title

Social Psychiatry and Psychiatric Epidemiology

Volume

51

Pagination

269-279

ISSN

0933-7954

Department/School

Faculty of Law

Publisher

Springer Medizin

Place of publication

Germany

Rights statement

Copyright 2015 Springer-Verlag

Repository Status

  • Restricted

Socio-economic Objectives

Rehabilitation and correctional services

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