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Psychiatric and neurological disorders in late adolescence and risk of
convictions for violent crime in men
#MMPMID26597299
Moberg T
; Stenbacka M
; Tengström A
; Jönsson EG
; Nordström P
; Jokinen J
BMC Psychiatry
2015[Nov]; 15
(?): 299
PMID26597299
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BACKGROUND: The relationship between mental illness and violent crime is complex
because of the involvement of many other confounding risk factors. In the present
study, we analysed psychiatric and neurological disorders in relation to the risk
of convictions for violent crime, taking into account early behavioural and
socio-economic risk factors. METHODS: The study population consisted of 49,398
Swedish men, who were thoroughly assessed at conscription for compulsory military
service during the years 1969-1970 and followed in national crime registers up to
2006. Five diagnostic groups were analysed: anxiety-depression/neuroses,
personality disorders, substance-related disorders, mental retardation and
neurological conditions. In addition, eight confounders measured at conscription
and based on the literature on violence risk assessment, were added to the
analyses. The relative risks of convictions for violent crime during 35 years
after conscription were examined in relation to psychiatric diagnoses and other
risk factors at conscription, as measured by odds ratios (ORs) and confidence
intervals (CIs) from bivariate and multivariate logistic regression analyses.
RESULTS: In the bivariate analyses there was a significant association between
receiving a psychiatric diagnosis at conscription and a future conviction for
violent crime (OR?=?3.83, 95 % CI?=?3.47-4.22), whereas no significant
association between neurological conditions and future violent crime (OR?=?1.03,
95 % CI?=?0.48-2.21) was found. In the fully adjusted multivariate logistic
regression model, mental retardation had the strongest association with future
violent crime (OR?=?3.60, 95 % CI?=?2.73-4.75), followed by substance-related
disorders (OR?=?2.81, 95 % CI?=?2.18-3.62), personality disorders (OR?=?2.66, 95
% CI?=?2.21-3.19) and anxiety-depression (OR?=?1.29, 95 % CI?=?1.07-1.55). Among
the other risk factors, early behavioural problem had the strongest association
with convictions for violent crime. CONCLUSIONS: Mental retardation,
substance-related disorders, personality disorders and early behavioural problems
are important predictors of convictions for violent crime in men.
|Adolescent
[MESH]
|Aged
[MESH]
|Crime/*psychology/statistics & numerical data
[MESH]
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