Characteristics of violence and aggression in patients with schizophrenia in Hospital Kota Bharu

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Date
2002
Authors
Ali, Omar
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Publisher
Universiti Sains Malaysia
Abstract
Violent behaviour among individuals with severe mental illness has become an important focus in community-based psychiatry. In recent years more findings have found an association between mental illness and violent behaviour especially in patients with schizophrenia. There are a few risk factors to violence behaviour that are important towards risk management and effective rehabilitation management of such patients. To compare the violent and the nonviolent patients of schizophrenia on the demography, clinical variables and psychopathology. This is a cross sectional study of inpatients admitted to the psychiatric wards at Hospital Kota Bharu. There were 43 subjects in the violent group and 22 subjects in the nonviolent group. Complementary data were also gathered from the medical records and from the relatives. The violent schizophrenia patients have significant association with being male, residing in rural areas, having a shorter duration of illness, noncompliance to medications, having substance abuse problem, and with previous records of criminality. The above factors may signal a higher risk of violent behaviour among schizophrenia. An effective management strategy at reducing of such risk factors may require an integration of community service, substance abuse management and optimal antipsychotic treatment.
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Keywords
Violent behaviour, schizophrenia.
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