A 10-year follow-up study of violent victimization in first episode psychosis: risk and protective factors

TY - JOUR

T1 - A 10-year follow-up study of violent victimization in first episode psychosis

T2 - risk and protective factors

AU - Langeveld, Johannes

AU - Bjørkly, Stål

AU - Evensen, Julie

AU - Joa, Inge

AU - Johannessen, Jan Olav

AU - Larsen, Tor Ketil

AU - Melle, Ingrid

AU - Opjordsmoen, Stein

AU - Røssberg, Jan Ivar

AU - Rund, Bjørn Rishovd

AU - Simonsen, Erik

AU - Vaglum, Per

AU - Velden, Wenche Ten

AU - McGlashan, Tom

AU - Friis, Svein

N1 - Copyright © 2017 Elsevier B.V. All rights reserved.

PY - 2018/1

Y1 - 2018/1

N2 - Violent victimization in persons with severe mental illness has long-term adverse consequences. Little is known about the long-term prevalence of victimization in first episode psychosis, or about factors affecting victimization throughout the course of illness. To assess the prevalence of violent victimization during a 10-year follow-up period in a group of first episode psychosis (FEP) patients, and to identify early predictors and risk factors for victimization. A prospective design was used with comprehensive assessments of violent victimization, treatment variables and functioning at baseline and during 10-year follow-up. A clinical epidemiological sample of FEP patients (n = 298) was studied. FEP patients in our study were at a 3.5 times greater risk of victimization as compared to the normal population. During the 10-year follow-up period, 23% of subjects fell victim to one or more violent assaults. Victimized patients were younger and reported less occupational activity. At 10-year follow-up, victimization was associated with more concomitant drug use, alcohol misuse and violent behavior, but not with a worse clinical or functional outcome. Treatment programs should focus on risk factors for victimization and develop behavioral alternatives to mitigate risk in FEP patients.

AB - Violent victimization in persons with severe mental illness has long-term adverse consequences. Little is known about the long-term prevalence of victimization in first episode psychosis, or about factors affecting victimization throughout the course of illness. To assess the prevalence of violent victimization during a 10-year follow-up period in a group of first episode psychosis (FEP) patients, and to identify early predictors and risk factors for victimization. A prospective design was used with comprehensive assessments of violent victimization, treatment variables and functioning at baseline and during 10-year follow-up. A clinical epidemiological sample of FEP patients (n = 298) was studied. FEP patients in our study were at a 3.5 times greater risk of victimization as compared to the normal population. During the 10-year follow-up period, 23% of subjects fell victim to one or more violent assaults. Victimized patients were younger and reported less occupational activity. At 10-year follow-up, victimization was associated with more concomitant drug use, alcohol misuse and violent behavior, but not with a worse clinical or functional outcome. Treatment programs should focus on risk factors for victimization and develop behavioral alternatives to mitigate risk in FEP patients.

KW - Journal Article

U2 - 10.1016/j.psychres.2017.11.013

DO - 10.1016/j.psychres.2017.11.013

M3 - Journal article

C2 - 29172178

SN - 0165-1781

VL - 259

SP - 545

EP - 549

JO - Psychiatry Research

JF - Psychiatry Research

ER -