Impact of crime victimization on initial presentation to an early intervention for psychosis service and 18-month outcomes.
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Authors
Fisher, Helen L
Roberts, Anna
Day, Fern
Reynolds, Nicky
Iacoponi, Eduardo
Garety, Philippa A
Craig, Thomas K J
McGuire, Philip
Valmaggia, Lucia
Power, Paddy
Issue Date
2015-01-13
Type
Journal Article
Language
en
Keywords
comorbidity, crime victim , early intervention , outcome , psychotic disorder
Alternative Title
Abstract
To investigate the clinical and social correlates of a lifetime history of crime victimization among first-episode psychosis patients at entry to an Early Intervention Service and following 18 months of specialist care.
Face-to-face interviews were conducted with 149 individuals who presented to an Early Intervention Service for the first time with psychosis in the London borough of Lambeth, UK. A range of demographic and clinical measures were completed including self-reported history of victimization along with the type of crime and its subjective effect on the patient. Clinical and functional outcomes at 18-month follow up were ascertained from clinical case notes by a psychiatrist.
A large proportion of patients (n = 64, 43%) reported a history of crime victimization. This was associated with significantly higher levels of depression and substance misuse at initial presentation. Being a victim of a crime was not significantly associated with poorer clinical or functional outcomes after 18 months of specialist care. However, non-significant differences were found for those who reported crime victimization in terms of their increased use of illegal substances or having assaulted someone else during the follow-up period.
Past experience of being a victim of crime appears to be common in patients presenting for the first time with psychosis and is associated with increased likelihood of comorbidity. Thus, Early Intervention Services should consider screening for past victimization and be prepared to deal with comorbid problems. The impact of crime victimization on clinical and functional outcomes requires investigation over a longer period of time.
Face-to-face interviews were conducted with 149 individuals who presented to an Early Intervention Service for the first time with psychosis in the London borough of Lambeth, UK. A range of demographic and clinical measures were completed including self-reported history of victimization along with the type of crime and its subjective effect on the patient. Clinical and functional outcomes at 18-month follow up were ascertained from clinical case notes by a psychiatrist.
A large proportion of patients (n = 64, 43%) reported a history of crime victimization. This was associated with significantly higher levels of depression and substance misuse at initial presentation. Being a victim of a crime was not significantly associated with poorer clinical or functional outcomes after 18 months of specialist care. However, non-significant differences were found for those who reported crime victimization in terms of their increased use of illegal substances or having assaulted someone else during the follow-up period.
Past experience of being a victim of crime appears to be common in patients presenting for the first time with psychosis and is associated with increased likelihood of comorbidity. Thus, Early Intervention Services should consider screening for past victimization and be prepared to deal with comorbid problems. The impact of crime victimization on clinical and functional outcomes requires investigation over a longer period of time.
Description
Citation
Fisher, H. L., Roberts, A., Day, F., Reynolds, N., Iacoponi, E., Garety, P. A., Craig, T. K., McGuire, P., Valmaggia, L., & Power, P. (2017). Impact of crime victimization on initial presentation to an early intervention for psychosis service and 18-month outcomes. Early intervention in psychiatry, 11(2), 123–132. https://doi.org/10.1111/eip.12219
Publisher
License
© 2015 Wiley Publishing Asia Pty Ltd.
Journal
Early intervention in psychiatry
Volume
11
Issue
2
PubMed ID
ISSN
1751-7893