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Violence and psychiatric morbidity in a national household population: a report from the British Household Survey

Coid, J; Yang, M; Roberts, A; Ullrich, S; Moran, P; Bebbington, P; Brugha, T; ... Singleton, N; + view all (2006) Violence and psychiatric morbidity in a national household population: a report from the British Household Survey. American Journal of Epidemiology , 164 (12) pp. 1199-1208. 10.1093/aje/kwj339. Green open access

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Abstract

This study measured the prevalence of self-reported violence and associations with psychiatric morbidity in a national household population, based on a cross-sectional survey in 2000 of 8,397 respondents in Great Britain. Diagnoses were derived from computer-assisted interviews, with self-reported violent behavior over the previous 5 years. The 5-year prevalence of nonlethal violence in Britain was 12% (95% confidence interval: 11, 13). The risk of violence was substantially increased by alcohol dependence (odds ratio = 2.72, 95% confidence interval: 1.85, 3.98), drug dependence (odds ratio = 2.63, 95% confidence interval: 1.45, 4.74), and antisocial personality disorder (odds ratio = 6.12, 95% confidence interval: 3.87, 9.66). Low prevalences of these conditions (7%, 4%, and 4%, respectively) contrasted with their relatively high proportions of attributed risk of violence (23%, 15%, and 15%). Hazardous drinking was associated with 56% of all reported violent incidents. Screening positive for psychosis did not independently increase risk (odds ratio = 3.20, 95% confidence interval: 0.35, 29.6). The study concluded that psychiatric morbidity makes a significant public health impact on violence exerted primarily by persons with any personality disorder, substance dependence, and hazardous drinking. Population interventions for violent behavior are appropriate for hazardous drinking as are targeted interventions for substance dependence and antisocial personality disorder. Despite public concern, the risks of violence from persons with severe mental illness were very low.

Type: Article
Title: Violence and psychiatric morbidity in a national household population: a report from the British Household Survey
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/aje/kwj339
Publisher version: http://dx.doi.org/10.1093/aje/kwj339
Language: English
Additional information: This is a pre-copyedited, author-produced PDF of an article accepted for publication in American Journal of Epidemiology following peer review. The version of record Coid, Jeremy; Yang, Min; Roberts, Amanda; Ullrich, Simone; Moran, Paul; Bebbington, Paul; Brugha, Traolach; (2006) Violence and psychiatric morbidity in a national household population: a report from the British Household Survey. American Journal of Epidemiology: Advance Access , 164 (12) pp. 1199-1208., is available online at: http://dx.doi.org/10.1093/aje/kwj339.
Keywords: antisocial, personality disorder, cross-sectional studies, morbidity, risk, substance-related disorders, violence
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
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > IoN RLW Inst of Neurological Sci
URI: https://discovery.ucl.ac.uk/id/eprint/166119
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