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Psychiatric symptoms and risk of victimisation: a population-based study from Southeast London

Epidemiology and psychiatric sciences, 2019-04, Vol.28 (2), p.168-178 [Peer Reviewed Journal]

Copyright © Cambridge University Press 2018 ;Copyright © Cambridge University Press 2018 This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (the “License”) (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Cambridge University Press 2018 2018 Cambridge University Press ;ISSN: 2045-7960 ;EISSN: 2045-7979 ;DOI: 10.1017/S2045796018000537 ;PMID: 30196801

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Title:
Psychiatric symptoms and risk of victimisation: a population-based study from Southeast London
Author: Bhavsar, V. ; Dean, K. ; Hatch, S. L. ; MacCabe, J. H. ; Hotopf, M.
Subjects: Adolescent ; Adult ; Age Distribution ; Aggression ; Alcoholic beverages ; Crime Victims - psychology ; Crime Victims - statistics & numerical data ; Cross-Sectional Studies ; Exposure ; Female ; Health Surveys ; Households ; Humans ; Liability ; London - epidemiology ; Mathematical models ; Mental depression ; Mental disorders ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Personality Disorders - diagnosis ; Personality Disorders - epidemiology ; Population studies ; Population-based studies ; Post traumatic stress disorder ; Posttraumatic stress disorder ; Prevalence ; Prospective Studies ; Psychiatry ; Public health ; Regression analysis ; Risk Factors ; Sex Distribution ; Socioeconomic Factors ; Special ; Special Articles ; Statistical analysis ; Stress Disorders, Post-Traumatic - diagnosis ; Stress Disorders, Post-Traumatic - epidemiology ; Victimization ; Violence ; Violence - psychology ; Violence - statistics & numerical data
Is Part Of: Epidemiology and psychiatric sciences, 2019-04, Vol.28 (2), p.168-178
Description: AimsAlthough violence is a vital public health problem, no prospective studies have tested for subsequent vulnerability to violence, as a victim or witness, in members of the general population with a range of psychiatric symptoms, or evaluated the importance of higher symptom burden on this vulnerability. We used successive waves of a household survey of Southeast London, taken 2 years apart, to test if association exists between psychiatric symptoms (symptoms of psychosis, common mental disorders, post-traumatic stress disorder and personality disorder) and later victimisation, in the form of either witnessing violence or being physically victimised, in weighted logistic regression models. Statistical adjustment was made for prior violence exposure, sociodemographic confounders, substance/alcohol use and violence perpetration. Sensitivity analyses were stratified by violence perpetration, sex and history of mental health service use. After adjustments, psychiatric symptoms were prospectively associated with reporting any subsequent victimisation (odds ratio (OR) 1.88, 95% confidence interval (CI) 1.25-2.83), a two times greater odds of reporting witnessed violence (OR 2.24, 95% CI 1.33-3.76) and reporting physical victimisation (OR 1.76, 95% CI 1.01-3.06). One more symptom endorsed was accompanied by 47% greater odds of subsequent victimisation (OR 1.47, 95% CI 1.16-1.86). In stratified analyses, statistical associations remained evident in non-perpetrators, and among those without a history of using mental health services, and were similar in magnitude in both men and women. Psychiatric symptoms increase liability to victimisation compared with those without psychiatric symptoms, independently of a prior history of violence exposure and irrespective of whether they themselves are perpetrators of violence. Clinicians should be mindful of the impact of psychiatric symptoms on vulnerability to victimisation, including among those with common psychiatric symptoms and among those who are not considered at risk of perpetrating violence.
Publisher: Cambridge, UK: Cambridge University Press
Language: English;Italian
Identifier: ISSN: 2045-7960
EISSN: 2045-7979
DOI: 10.1017/S2045796018000537
PMID: 30196801
Source: ProQuest One Psychology
Open Access: PubMed Central
Journals@Ovid Open Access Journal Collection Rolling
AUTh Library subscriptions: ProQuest Central
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Psychiatric symptoms and risk of victimisation: a population-based study from Southeast London

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