TY - JOUR PY - 2019// TI - Violent outcomes in first-episode psychosis: a clinical cohort study JO - Early intervention in psychiatry A1 - Whiting, Daniel A1 - Lennox, Belinda R. A1 - Fazel, Seena SP - ePub EP - ePub VL - ePub IS - ePub N2 - AIM: Violence risk is an important part of a comprehensive clinical assessment in first-episode psychosis. This study addresses limitations of previous violent outcome research in first-episode psychosis, which has typically investigated selected cohorts or been restricted to violence occurring prior to service contact, with limited use of police data.

METHODS: For individuals consecutively assessed by Early Intervention in Psychosis (EIP) services in two UK regions (n = 177), violent outcomes in the subsequent 12-months were collected using electronic patient records, supplemented by police data.

RESULTS: Of individuals accepted by EIP services (n = 109), electronic medical records indicated around 1 in 4 (n = 28, 25.7%) perpetrated any physical violence, and 1 in 10 (n = 10, 9.2%) were arrested or charged for violent offences in the 12-months after first contact. Police data on all individuals assessed (n = 177) reported 1 in 7 (n = 26, 14.7%) were arrested or charged for violent offences in the 12-months after first contact.

CONCLUSIONS: EIP services should consider integrating multi-agency sources of data to evaluate violent outcomes. The potential role of violence risk management should be further examined.

© 2019 John Wiley & Sons Australia, Ltd.

Language: en

LA - en SN - 1751-7885 UR - http://dx.doi.org/10.1111/eip.12901 ID - ref1 ER -