TY - JOUR
PY - 2018//
TI - Criminal victimization and psychotic experiences: cross-sectional associations in 35 low- and middle-income countries
JO - Acta psychiatrica Scandinavica
A1 - DeVylder, J. E.
A1 - Kelleher, I.
A1 - Oh, H.
A1 - Link, B. G.
A1 - Yang, L. H.
A1 - Koyanagi, A.
SP - 44
EP - 54
VL - 138
IS - 1
N2 - OBJECTIVE: Criminal victimization has been associated with elevated risk for psychotic symptoms in the United Kingdom, but has not been studied in low- and middle-income countries (LMICs). Understanding whether crime exposure may play a role in the social etiology of psychosis could help guide prevention and intervention efforts.
METHOD: We tested the hypothesis that criminal victimization would be associated with elevated odds of psychotic experiences in 35 LMICs (N = 146 999) using cross-sectional data from the World Health Organization World Health Survey. Multivariable logistic regression analyses were used to test for associations between criminal victimization and psychotic experiences.
RESULTS: Victimization was associated with greater odds of psychotic experiences, OR (95% CI) = 1.72 (1.50-1.98), and was significantly more strongly associated with psychotic experiences in non-urban, OR (95% CI) = 1.93 (1.60-2.33), compared to urban settings, OR (95% CI) = 1.48 (1.21-1.81). The association between victimization and psychosis did not change across countries with varying aggregated levels of criminal victimization.
CONCLUSIONS: In the largest ever study of victimization and psychosis, the association between criminal victimization and psychosis appears to generalize across a range of LMICs and, therefore, across nations with a broad range of crime rates, degree of urban development, average per capita income, and racial/ethnic make-up.
© 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Language: en
LA - en SN - 0001-690X UR - http://dx.doi.org/10.1111/acps.12889 ID - ref1 ER -