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Differential effects of Vietnam combat experiences vs. criminality on dangerous behavior by Vietnam veterans with schizophrenia.

Psychiatric patients with Vietnam combat experience have often been described as violent, and it has been hypothesized that their violence may be due either to Vietnam combat experiences or longstanding psychopathic tendencies, including criminality before entering the service. Criminal and military history of Vietnam era veterans diagnosed schizophrenic by DSM-III criteria were examined in relation to inpatient measures of assault. Seventy subjects were examined, of which 27 were in Vietnam and 19 of these 27 in combat. By using multiple regression techniques, it was determined that certain violent tendencies in schizophrenic Vietnam era veterans are better related to their war experiences than premorbid criminal behavior.

Adult↗

History of drug abuse and dangerous behavior in inpatient schizophrenics.

The alcohol and drug use histories of 85 schizophrenic inpatients were examined in relation to measures of dangerousness while in hospital (physical and verbal assaults and episodes of seclusion and restraint). Stepwise multiple regression analyses showed significant relationships between each dangerousness measure and certain drug abuse history factors. Assault was most closely related to a drug abuse factor containing a history of blackout episodes and assaultiveness while drinking, whereas seclusion and restraint were most closely related to histories of becoming "loud" while on drugs. Overall measures of dangerousness appear to relate best to histories of becoming loud or assaultive while taking drugs.

Adult↗

Family conflict, psychopathology, and dangerous behavior by schizophrenic inpatients.

Data supporting the hypothesis that history of severe discipline and parental conflict in childhood is related to current violence were obtained in a study of 100 schizophrenic inpatients. In addition to a relation between inpatient violence and degree of schizophrenic symptoms, inpatient assaults and other dangerousness measures were positively and significantly correlated with severity of parental discipline, especially involving the father, and with degree of family conflict, particularly fights between parents and others outside the home.

Conflict, Psychological↗

The prediction of dangerous behavior in emergency civil committment.

The authors compared the records of 59 psychiatric patients involutarily committed to a Veterans Administration hospital on an emergency basis with those of a control group of 59 psychiatric patients with respect to the number of assaults noted during the first 45 days of hospitalization. The committed group had a .41 probability and the control group a .08 probability of committing an assault. The difference between the two groups was mainly accounted for by assaults that occurred during the first 10 days of hospitalization. The occurrence of an actual act of battery before admission did not predict assault in the hospital to a greater degree than did a verbal threat. The authors conclude that short-term clinical predictions of dangerousness predict assaultiveness in the hospital to a significant degree.

Adult↗

Potentially dangerous behavior in the mentally ill: attitudes of journalists and medical students toward compulsory admission.

Compulsory admission is a critical measure that may lead to stigmatization of patients. The authors investigated what medical students and journalists consider legitimate conditions for compulsory admission. The most frequently quoted conditions in both groups were violent attempts against others. About one third of each group considered continuous neglect as a reason. Students significantly more often than journalists advocated for civil commitment in the case of suicide attempts and violent attempts. Medical students with personal contact with mentally disordered persons advocated significantly more often for coercive measures in the case of suicide attempts. Comparing journalists and medical students having personal contact with mentally disordered persons revealed that medical students significantly more often supported commitment. Journalists displayed a more liberal attitude toward the mentally ill than did medical students.

Adult↗

Dangerous behavior by Viet Nam veterans with schizophrenia.

The military histories of 80 Viet Nam era veterans diagnosed as schizophrenic by DSM-III criteria were examined in relation to measures of dangerous and violent acts. Thirty of the subjects had been in Viet Nam, and 20 of these had been in combat. A stepwise multiple regression analysis indicated that high scores on several inpatient and outpatient measures of violence and dangerousness were significantly related to combat experience in Viet Nam and particularly to either killing or witnessing killings of the enemy. It appears that violence-related activities learned in Viet Nam continue to influence the behavior of schizophrenic patients.

Adult↗