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2015 ; 10
(7
): e0132558
Nephropedia Template TP
gab.com Text
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English Wikipedia
Does Traumatic Brain Injury Lead to Criminality? A Whole-Population Retrospective
Cohort Study Using Linked Data
#MMPMID26172545
Schofield PW
; Malacova E
; Preen DB
; D'Este C
; Tate R
; Reekie J
; Wand H
; Butler T
PLoS One
2015[]; 10
(7
): e0132558
PMID26172545
show ga
BACKGROUND: Traumatic brain injury (TBI) may be a risk factor for criminal
behaviour however multiple factors potentially confound the association. METHODS:
Record linkage and Cox proportional hazards regression analyses were used to
examine the association between hospital-recorded TBI (n = 7,694) and subsequent
first criminal conviction in a retrospective cohort matched 1:3 with 22,905
unaffected community controls and full-sibling controls (n = 2,397).
Aboriginality, substance abuse, social disadvantage, and mental illness were
included in analyses as potential confounders. RESULTS: In multivariable models,
relative to general population controls, TBI was associated with any conviction
(males: Hazard Ratio (HR) = 1.58 (95% CI 1.46 to 1.72); females: HR = 1.52 (95%
CI 1.28 to 1.81)); and similar Hazard Ratios were obtained for the sibling
analyses in males (HR = 1.68 (95% CI 1.31-2.18)) and females (HR 1.27 (95% CI
0.71-2.29)). TBI was also associated with violent convictions relative to the
general population, (males: HR = 1.65 (95% CI 1.42 to 1.92); females HR = 1.73
(95% CI 1.21 to 2.47)), and in analyses with sibling controls in men (HR = 1.89
(95% CI 1.20-3.00)), but not in women (HR 0.73, 95% CI 0.29-1.81)). CONCLUSION:
The results support a modest causal link between TBI and criminality after
comprehensive adjustment for confounding. Reducing the rate of TBI, a major
public health imperative, might have benefits in terms of crime reduction.