Slamanig, R;
Reisegger, A;
Winkler, H;
de Girolamo, G;
Carra, G;
Crocamo, C;
Fangerau, H;
... Wancata, J; + view all
(2021)
A Systematic Review of Non-pharmacological Strategies to Reduce the Risk of Violence in Patients With Schizophrenia Spectrum Disorders in Forensic Settings.
Frontiers in Psychiatry
, 12
, Article 618860. 10.3389/fpsyt.2021.618860.
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Abstract
Background: The purpose of this systematic review is to systematically investigate which non-pharmacological interventions are effective in reducing violence risk among patients with schizophrenia spectrum disorders (SSD) in forensic settings. Methods: Six electronic data bases were searched. Two researchers independently screened 6,003 abstracts resulting in 143 potential papers. These were analyzed in detail by two independent researchers yielding 10 articles that could be used. Results: Of the 10 articles, four were non-randomized controlled trials, three were pre-post studies without controls, and one was observational. Only two studies applied a randomized controlled trial design. Cognitive behavioral treatment programs were investigated in three studies. A broad range of other interventions were studied. Often outcome measures were specific to each study and sample sizes were small. Frequently, important methodological information was missing from the papers. It was not possible to carry out a meta-analysis due to the heterogeneity of the study designs and outcome measures. Conclusion: Because of methodological limitations it is difficult to draw firm conclusions about the effectiveness of non-pharmacological interventions to reduce the risk of violence in patents with SSD in forensic psychiatry settings. Studies applying better methods in terms of study design, sample sizes and outcome measures are urgently needed.
| Type: | Article |
|---|---|
| Title: | A Systematic Review of Non-pharmacological Strategies to Reduce the Risk of Violence in Patients With Schizophrenia Spectrum Disorders in Forensic Settings |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.3389/fpsyt.2021.618860 |
| Publisher version: | http://dx.doi.org/10.3389/fpsyt.2021.618860 |
| Language: | English |
| Additional information: | Copyright © 2021 Slamanig, Reisegger, Winkler, de Girolamo, Carrà, Crocamo, Fangerau, Markiewicz, Heitzman, Salize, Picchioni and Wancata. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
| Keywords: | Psychiatry, schizophrenia, forensic psychiatry, non-pharmacological interventions, psychological interventions in forensic settings, violence, systematic review, THERAPY, AGGRESSION, CHALLENGES, PSYCHIATRY, OFFENDERS, BEHAVIOR, CARE |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10140270 |
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