Citation

Palmstierna T. Lakartidningen 2016; 113(49/50): 2242.

Vernacular Title

Risk för våld och kriminalitet vid personlighetssyndrom.

Affiliation

Karolinska Institutet Department of Clinical Neuroscience - Huddinge, Sweden Karolinska Institutet Department of Clinical Neuroscience - Huddinge, Sweden.

Copyright

(Copyright © 2016, Sveriges Lakarforbund)

DOI

unavailable

PMID

27959457

Abstract

The importance of personality disorders for violent and criminal behaviour is illustrated by their high prevalence in prison populations. Especially antisocial personality disorder and antisocial personality traits are linked to violence. During diagnostic assessment of personality disorders, violence risk screening is recommended. Cognitive behaviour treatment focused on violent behaviour has some effect in criminal populations, but the antisocial personality traits are resistant to treatment. Evidence for pharmacological treatment of repetitive aggressive behaviour is weak. But, bensodiazepines seem to increase the risk of violent behaviour among patients with personality disorders. Antisocial personality traits diminish over time. This spontaneous decrease can be delayed by comorbidity such as other personality disorder, substance use disorder, psychosis and attention deficit disorders. Therefore it is recommended to actively treat these comorbid conditions.

Language: sv

Vernacular Abstract

Vid personlighetssyndrom och förhöjd våldsrisk bör man behandla dels behandlingsbara komponenter i individens specifika personlighetssyndrom, dels samtidiga substansproblem, psykossymtom och uppmärksamhetsstörningar. Läkemedel som minskar impulskontroll, till exempel bensodiazepiner, ska inte användas. En social miljö där droger, kriminellt umgänge och närhet till potentiella våldsoffer kan undvikas är önskvärd.