Abstract
Original language | English |
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Article number | 17857 |
Journal | Sci. Rep. |
Volume | 9 |
Issue number | 1 |
DOIs | |
Publication status | Published - 2019 |
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Self-harm behaviour and externally-directed aggression In psychiatric outpatients: a multicentre, prospective study (viormed-2 study) : Scientific Reports. / Scocco, P.; Macis, A.; Ferrari, C.; Bava, M.; Bianconi, G.; Bulgari, V.; Candini, V.; Carrà, G.; Cavalera, C.; Clerici, M.; Conte, G.; Cricelli, M.; Teresa Ferla, M.; Iozzino, L.; Stefana, A.; de Girolamo, G.
In: Sci. Rep., Vol. 9, No. 1, 17857, 2019.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Self-harm behaviour and externally-directed aggression In psychiatric outpatients: a multicentre, prospective study (viormed-2 study)
T2 - Scientific Reports
AU - Scocco, P.
AU - Macis, A.
AU - Ferrari, C.
AU - Bava, M.
AU - Bianconi, G.
AU - Bulgari, V.
AU - Candini, V.
AU - Carrà, G.
AU - Cavalera, C.
AU - Clerici, M.
AU - Conte, G.
AU - Cricelli, M.
AU - Teresa Ferla, M.
AU - Iozzino, L.
AU - Stefana, A.
AU - de Girolamo, G.
N1 - Export Date: 10 February 2020 Correspondence Address: de Girolamo, G.; Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio FatebenefratelliItaly; email: gdegirolamo@fatebenefratelli.eu Funding details: Regione Lombardia, CUP E42I14000280002 Funding text 1: ?e VIORMED-2 (Violence Risk and Mental Disorder 2) project was funded by the Health Authority of Regione Lombardia, Italy, grant CUP E42I14000280002 for “Disturbi mentali gravi e rischio di violenza: uno studio prospettico in Lombardia” with Decreto D.G. Salute N.6848, date16.7.2014. ?e funder of the study had no role in design, data collection, data analysis, writing of the report, or the decision to submit for publication.%? p? aeper was also supported by the Italian Ministry of Health, Ricerca Corrente. ?e VIORMED-2 Group also includes: Giovanni Conte, M.D., Giulia Gamba, M. D., Assunta Martinazzoli, M. D., Giuliana Mina, M. D., Alessandra Ornaghi, M. D., Bruno Travasso, M. D. ?e authors wish to thank the following clinicians who provided valuable help for the realization of the project: Paola Artioli, M. D., Silvia Astori, M. D., Emanuele Barbieri, M. S. N., Annalisa Bergamini, M. D., Francesca Bettini, M. D., Monica Bon 4glio,M. D., Silvia Bonomi, M. D., Stefania Borghetti, M. D, Giulia Brambilla, M. D., Paolo Cacciani, M. D., Pierluigi Castiglioni, M. D., Giorgio Cerati, M. D., Andrea Cesareni, M. D., Ezio Cigognetti, M. D., Massimo Clerici, M. D., Fabio Consonni, M. D., Alessia Delalio, M. D., Giacomo Deste, M. D., Emanuela Ferrari, M.D., Silvio Lancini, M. S. Ed., Luca Micheletti, M. D., Donato Morena, M. D., Antonio Musazzi, M. D., Paola Vittorina Negri, M. D., Roberta Paleari, M. D., Ivano Panelli, M. S. N., Cristina Pedretti, M.S.N., Rosa Perrone, M. D., Monica Petrachi, M. D., Elisabetta Polotti, M. D., Francesco Restaino, M. D., Enrico Rossella, M. D., Emilio Sacchetti, M. D., Daniele Salvadori, M. D., Jacopo Santambrogio, M. D., Simona Scaramucci, M. D., Pasquale Scognamiglio, M. D., Giuseppina Secchi, M. D., Joyce Severino, M. D., Valentina Stanga, M. D., Cesare Turrina, M. D., Alessandra Vecchi, M. D., Alessandra Zanolini, M. S. Ed. References: Angermeyer, M.C., Schizophrenia and violence (2000) Acta Psychiatr. Scand. Suppl., 407, pp. 63-67; Gelder, M., Mayou, R., Cowen, P., (2001) Shorter Oxford Textbook of Psychiatry; O’Donnell, O., House, A., Waterman, M., The co-occurrence of aggression and self-harm: Systematic literature review (2015) J Aff Dis., 175, pp. 325-350; Conner, K.R., Violence, alcohol, and completed suicide: A case-control study (2001) Am. J. Psychiatry., 158, pp. 1701-1705. , COI: 1:STN:280:DC%2BD3MrjtF2ntw%3D%3D, PID: 11579005; Mann, J.J., Waternaux, C., Haas, G.L., Malone, K.M., Toward a clinical model of suicidal behavior in psychiatric patients (1999) Am. J. 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PY - 2019
Y1 - 2019
N2 - The aim of the project was to investigate differences between outpatients with Severe Mental Disorders (SMDs) with and without a history of Self-Harm behaviour (SHb) and/or Violent behaviour against other people (Vb) in relation to: (a) socio-demographic and clinical characteristics, (b) violent behaviour during a 1-year FU, (c) predictors of SHb and Vb during the FU. Outpatients with SMDs, with and without a history of Vb were enrolled. They were divided in four groups: patients with lifetime Vb (V), patients with both Vb and SHb (V-SH), patients with only SHb (SH) and patients with no history of SHb and Vb (control group, CONT). The frequency and severity of SHb and Vb during the FU were assessed every two weeks by the MOAS. Overall 246 patients were enrolled. BPRS-E Depression item, the SLOF Social acceptability, the BDHI Indirect Aggression, the BIS Motor Impulsiveness and the STAXI-2 Control-Out showed significant correlations with all the four groups (p <0.030). V and V-SH patient groups reached higher scores in all MOAS sub-scales. Age among the SH group and BPRS-E affect-anxiety subscale among the V group significantly predicted aggression against people. In people with SMDs a history of SHb or Vb is associated with different medium-term outcomes. © 2019, The Author(s).
AB - The aim of the project was to investigate differences between outpatients with Severe Mental Disorders (SMDs) with and without a history of Self-Harm behaviour (SHb) and/or Violent behaviour against other people (Vb) in relation to: (a) socio-demographic and clinical characteristics, (b) violent behaviour during a 1-year FU, (c) predictors of SHb and Vb during the FU. Outpatients with SMDs, with and without a history of Vb were enrolled. They were divided in four groups: patients with lifetime Vb (V), patients with both Vb and SHb (V-SH), patients with only SHb (SH) and patients with no history of SHb and Vb (control group, CONT). The frequency and severity of SHb and Vb during the FU were assessed every two weeks by the MOAS. Overall 246 patients were enrolled. BPRS-E Depression item, the SLOF Social acceptability, the BDHI Indirect Aggression, the BIS Motor Impulsiveness and the STAXI-2 Control-Out showed significant correlations with all the four groups (p <0.030). V and V-SH patient groups reached higher scores in all MOAS sub-scales. Age among the SH group and BPRS-E affect-anxiety subscale among the V group significantly predicted aggression against people. In people with SMDs a history of SHb or Vb is associated with different medium-term outcomes. © 2019, The Author(s).
U2 - 10.1038/s41598-019-53993-7
DO - 10.1038/s41598-019-53993-7
M3 - Article
VL - 9
JO - Sci. Rep.
JF - Sci. Rep.
SN - 2045-2322
IS - 1
M1 - 17857
ER -