Full access
Articles
Published Online: July 2013

Violent Behavior and Gender of Swedish Psychiatric Patients: A Prospective Clinical Study

Joakim Sturup, Ph.D., John Monahan, Ph.D., and Marianne Kristiansson, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 64, Number 7
https://doi.org/10.1176/appi.ps.201200266
Track CitationsAdd to favorites
PDF/EPUBFormats

Abstract

Objective

This study was designed to investigate the base rate of violent behavior, the predictive validity of the Classification of Violence Risk (COVR) software, and specific risk factors for violence among nonforensically involved psychiatric patients in Sweden.

Methods

On discharge from two psychiatric hospitals in Stockholm, 331 patients were interviewed. Telephone interviews with the patients and supportive others, as well as data from a national criminal register, were used to measure violent behavior 20 weeks after discharge. After the baseline interview, patients were assigned to different risk groups by the COVR software. Predicted risk was compared with the occurrence of actual acts of violence during the follow-up.

Results

Gender differences in base rates of violent behavior among the general psychiatric population were not found during the 20 weeks of follow-up after discharge. Violent behavior was significantly predicted by young age of males and by level of anger, violent thoughts, and victimization of females. The predictive validity of the COVR software was comparable between females (area under the curve [AUC]=.78) and males (AUC=.76).

Conclusions

Violent behavior was uncommon for all patients. Although several risk factors were significantly associated with violence by each gender, the COVR software could predict violence equally well for both genders.

Formats available

You can view the full content in the following formats:

View PDF/EPUBView Full Text

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services

Cover: The Artists' Parents in the Store, by Sidney Goodman, 1973–1975. Oil on canvas, 58½ × 77 inches. Collection of the Butler Institute of American Art, Youngstown, Ohio.

Psychiatric Services
Volume 64 • Number 7 • July 2013
Pages: 688 - 693
PubMed: 23584635

History

Published in print: July 2013
Published online: 15 October 2014

Authors

Details

Joakim Sturup, Ph.D.
Dr. Sturup and Dr. Kristiansson are affiliated with the Division of Social and Forensic Psychiatry, Karolinska Institutet, Box 4044, 14104, Huddinge, Sweden (e-mail: [email protected]). Dr. Monahan is with the University of Virginia School of Law, Charlottesville.
View all articles by this author
John Monahan, Ph.D.
Dr. Sturup and Dr. Kristiansson are affiliated with the Division of Social and Forensic Psychiatry, Karolinska Institutet, Box 4044, 14104, Huddinge, Sweden (e-mail: [email protected]). Dr. Monahan is with the University of Virginia School of Law, Charlottesville.
View all articles by this author
Marianne Kristiansson, Ph.D.
Dr. Sturup and Dr. Kristiansson are affiliated with the Division of Social and Forensic Psychiatry, Karolinska Institutet, Box 4044, 14104, Huddinge, Sweden (e-mail: [email protected]). Dr. Monahan is with the University of Virginia School of Law, Charlottesville.
View all articles by this author

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format
Citation style
Style
Copy to clipboard
Tips for downloading citations

View Options

View options

PDF/EPUB

View PDF/EPUB

Full Text

View Full Text

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login
Item saved, go to cart
Purchase Options

Purchase this article to access the full text.

PPV Articles - Psychiatric Services

PPV Articles - Psychiatric Services

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Media

Figures

Other

Tables

Share

Share

Share article link

Share

×

As described within the American Psychiatric Association (APA)'s Privacy Policy and Terms of Use, this website utilizes cookies, including for the purpose of offering an optimal online experience and services tailored to your preferences. Please read the entire Privacy Policy and Terms of Use. By closing this message, browsing this website, continuing the navigation, or otherwise continuing to use the APA's websites, you confirm that you understand and accept the terms of the Privacy Policy and Terms of Use, including the utilization of cookies.