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A whole-of-population study of the prevalence and patterns of criminal offending in people with schizophrenia and other mental illness

Published online by Cambridge University Press:  13 December 2012

V. A. Morgan*
Affiliation:
Neuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences, The University of Western Australia, Perth, Australia
F. Morgan
Affiliation:
Crime Research Centre, The University of Western Australia, Perth, Australia
G. Valuri
Affiliation:
Neuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences, The University of Western Australia, Perth, Australia
A. Ferrante
Affiliation:
Crime Research Centre, The University of Western Australia, Perth, Australia
D. Castle
Affiliation:
School of Psychiatry and Clinical Neurosciences, The University of Western Australia, Perth, Australia St Vincent's Hospital, Melbourne, Australia Department of Psychiatry, The University of Melbourne, Melbourne, Australia
A. Jablensky
Affiliation:
Centre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences, The University of Western Australia, Perth, Australia
*
*Address for correspondence: Professor V. A. Morgan, Neuropsychiatric Epidemiology Research Unit M571, School of Psychiatry and Clinical Neurosciences, The University of Western Australia, 35 Stirling Highway, Crawley 6009, Western Australia. (Email: vera.morgan@uwa.edu.au)

Abstract

Background

Large epidemiological studies are needed to better understand the prevalence and profile of offending by people with mental illness. This study used a whole-of-population design to examine the prevalence, type and pattern of offending across all psychiatric diagnoses, including schizophrenia, compared to the general population.

Method

We used whole-of-population longitudinal record-linked data for a cohort of all Western Australians born 1955–1969 to determine arrest history over the period 1985–1996 and to ascertain recorded history of psychiatric illness. Of the cohort, 116 656 had been arrested and 40 478 were on the psychiatric case register.

Results

The period prevalence of arrest for people with any psychiatric illness was 32.1%. The highest arrest prevalence, by diagnostic category, was for substance use disorders (59.4%); the prevalence for schizophrenia was 38.7%. Co-morbid substance use disorders significantly increased risk of arrest in people with schizophrenia. The prevalence of mental illness among offenders was 11.1%: 6.5% of offenders had substance use disorders and 1.7% had schizophrenia. For the majority of offenders with a psychiatric illness, first arrest preceded first contact with mental health services; for schizophrenia only, this proportion was increasing over time. The mean percentage annual change in the number of arrests during 1985–1996 rose significantly for offenders with a psychiatric illness other than schizophrenia and dropped significantly for those with no mental illness. Compared to non-psychiatric offenders, offenders with schizophrenia were more likely to offend alone, to offend in open places and to target strangers.

Conclusions

Our findings open the way to an informed approach to the management of offenders with mental illness.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2012 

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References

ABS (1985). Australian National Classification of Offences. Catalogue no. 1234.0. Australian Bureau of Statistics: Canberra.Google Scholar
Burdekin, B, Guilfoyle, M, Hall, D (1993). Human Rights and Mental Illness. Report of the National Inquiry into the Human Rights of People with Mental Illness. Australian Government Publishing Service: Canberra.Google Scholar
Coid, J, Yang, M, Roberts, A, Ullrich, S, Moran, P, Bebbington, P, Brugha, T, Jenkins, R, Farrell, M, Lewis, G, Singleton, N (2006). Violence and psychiatric morbidity in a national household population – a report from the British Household Survey. American Journal of Epidemiology 164, 11991208.CrossRefGoogle Scholar
Fazel, S, Gulati, G, Linsell, L, Geddes, JR, Grann, M (2009 a). Schizophrenia and violence: systematic review and meta-analysis. PLoS Medicine 6, e1000120.CrossRefGoogle ScholarPubMed
Fazel, S, Langstrom, N, Hjern, A, Grann, M, Lichtenstein, P (2009 b). Schizophrenia, substance abuse, and violent crime. Journal of the American Medical Association 301, 20162023.CrossRefGoogle ScholarPubMed
Hodgins, S, Calem, M, Shimel, R, Williams, A, Harleston, D, Morgan, C, Dazzan, P, Fearon, P, Morgan, K, Lappin, J, Zanelli, J, Reichenberg, A, Jones, P (2011). Criminal offending and distinguishing features of offenders among persons experiencing a first episode of psychosis. Early Intervention in Psychiatry 5, 1523.CrossRefGoogle ScholarPubMed
Jablensky, A, Morgan, VA, Zubrick, S, Bower, C, Yellachich, L (2005). Pregnancy, delivery, and neonatal complications in a population cohort of women with schizophrenia and major affective disorders. American Journal of Psychiatry 162, 7991.CrossRefGoogle Scholar
Joyal, C, Dubreucq, J-L, Gendron, C, Millaud, F (2007). Major mental disorders and violence: a critical update. Current Psychiatry Reviews 3, 3350.CrossRefGoogle Scholar
Kelman, CW, Bass, AJ, Holman, CDJ (2002). Research use of linked health data – a best practice protocol. Australian and New Zealand Journal of Public Health 26, 251255.CrossRefGoogle Scholar
Large, MM, Nielssen, O (2011). Violence in first-episode psychosis: a systematic review and meta-analysis. Schizophrenia Research 125, 209220.CrossRefGoogle ScholarPubMed
Link, BG, Stueve, A (1995). Evidence bearing on mental illness as a possible cause of violent behavior. Epidemiologic Reviews 17, 172181.CrossRefGoogle ScholarPubMed
Loeber, R, Farrington, D, Waschbusch, D (1998). Serious and violent juvenile offenders. In Serious and Violent Juvenile Offenders: Risk Factors and Successful Interventions (ed. Loeber, R. and Farrington, D.), pp. 1329. Sage Publications: Thousand Oaks.Google Scholar
Lögdberg, B, Nilsson, L-L, Levander, MT, Levander, S (2004). Schizophrenia, neighbourhood, and crime. Acta Psychiatrica Scandinavica 110, 9297.CrossRefGoogle ScholarPubMed
Modestin, J, Ammann, R (1995). Mental disorders and criminal behaviour. British Journal of Psychiatry 166, 667675.CrossRefGoogle ScholarPubMed
Morgan, F, Gardner, J (1992). Juvenile Justice 1. Office of Crime Statistics: Adelaide.Google Scholar
Morgan, F, Morgan, VA, Clare, J, Valuri, G, Woodman, R, Ferrante, A, Castle, D, Jablensky, A (2008). Schizophrenia and offending: area of residence and the impact of social disorganisation and urbanicity. Trends and Issues in Crime and Criminal Justice 365, 16.Google Scholar
Morgan, VA, Valuri, GM, Croft, ML, Griffith, JA, Shah, S, Young, DJ, Jablensky, AV (2011). Cohort Profile: pathways of risk from conception to disease: the Western Australian schizophrenia high-risk e-Cohort. International Journal of Epidemiology 40, 14771485.CrossRefGoogle ScholarPubMed
Morgan, VA, Waterreus, A, Jablensky, A, Mackinnon, A, McGrath, JJ, Carr, V, Bush, R, Castle, D, Cohen, M, Harvey, C, Galletly, C, Stain, HJ, Neil, AL, McGorry, P, Hocking, B, Shah, S, Saw, S (2012). People living with psychotic illness in 2010: the second Australian national survey of psychosis. Australian and New Zealand Journal of Psychiatry 46, 735752.CrossRefGoogle ScholarPubMed
Munkner, R, Haastrup, S, Joergensen, T, Kramp, P (2003). The temporal relationship between schizophrenia and crime. Social Psychiatry and Psychiatric Epidemiology 38, 347353.CrossRefGoogle ScholarPubMed
Pescosolida, BA, Monahan, J, Link, BG, Stueve, A, Kikuzawa, S (1999). The public's view of the competence, dangerousness, and need for legal coercion of persons with mental health problems. American Journal of Public Health 89, 13391345.CrossRefGoogle Scholar
Regier, DA, Farmer, ME, Rae, DS, Locke, BZ, Keith, SJ, Judd, LL, Goodwin, FK (1990). Comorbidity of mental disorders with alcohol and other drug abuse. Journal of the American Medical Association 264, 25112518.CrossRefGoogle ScholarPubMed
Robertson, G (1988). Arrest patterns among mentally disordered offenders. British Journal of Psychiatry 153, 313316.CrossRefGoogle ScholarPubMed
Steadman, HJ, Mulvey, EP, Monahan, J, Robbins, PC, Appelbaum, PS, Grisso, T, Roth, LH, Silver, E (1998). Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Archives of General Psychiatry 55, 393401.CrossRefGoogle ScholarPubMed
Swanson, JW, Swartz, MS, Van Dorn, RA, Elbogen, EB, Wagner, HR, Rosenheck, RA, Stroup, TS, McEvoy, JP, Lieberman, JA (2006). A national study of violent behavior in persons with schizophrenia. Archives of General Psychiatry 63, 490499.CrossRefGoogle ScholarPubMed
Van Dorn, R, Volavka, J, Johnson, N (2012). Mental disorder and violence: is there a relationship beyond substance use? Social Psychiatry and Psychiatric Epidemiology 47, 487503.CrossRefGoogle Scholar
Wallace, C, Mullen, PE, Burgess, P (2004). Criminal offending in schizophrenia over a 25-year period marked by deinstitutionalization and increasing prevalence of comorbid substance use disorders. American Journal of Psychiatry 161, 716727.CrossRefGoogle Scholar
Walsh, E, Buchanan, A, Fahy, T (2002). Violence and schizophrenia: examining the evidence. British Journal of Psychiatry 180, 490495.CrossRefGoogle ScholarPubMed
WHO (1979). International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). World Health Organization: Geneva.Google Scholar
Wikstrom, P-OH, Loeber, R (2000). Do disadvantaged neigbourhoods cause well-adjusted children to become adolescent delinquents? A study of male juvenile serious offending, individual risk and protective factors, and neighborhood context. Criminology 38, 11091142.CrossRefGoogle Scholar
Wolfgang, M, Figlio, R, Sellin, T (1972). Delinquency in a Birth Cohort. University of Chicago Press: Chicago.Google Scholar