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Article
Early-onset substance abuse and community violence by outpatients with chronic mental illness
Systems and Psychosocial Advances Research Center Publications and Presentations
  • Carl E. Fulwiler, University of Massachusetts Medical School
  • Hillel Grossman, Tufts University School of Medicine
  • Catherine Forbes, Tufts University School of Medicine
  • Robin Ruthazer, Tufts University School of Medicine
UMMS Affiliation
Department of Psychiatry
Date
9-1-1997
Document Type
Article
Medical Subject Headings
*Activities of Daily Living; Adolescent; Adult; Alcoholism; Ambulatory Care; Causality; Child; Chronic Disease; Comorbidity; Female; Humans; Male; Massachusetts; Mental Disorders; Middle Aged; Outpatients; Risk; Substance-Related Disorders; Violence
Abstract
OBJECTIVE: This study examined the relationship between violence and substance abuse among patients with chronic mental illness living in the community. METHODS: All referrals over a one-year period to an urban assertive community treatment team were evaluated systematically with a standardized intake protocol. Thirty-seven patients with a history of violence in the community were compared with 27 patients without such a history on a variety of clinical and demographic variables. RESULTS: More than half of the patients (58 percent) had a history of violence in the community. The only significant differences between those with a history of violence and those without involved alcohol or drug use. The single best predictor of violence was the onset of alcohol or drug abuse in late childhood or early adolescence. CONCLUSIONS: In this sample, very early onset of substance abuse among people who developed mental illness was associated with the greatest risk of community violence. Thus at least some of the causal determinants of violence in this sample may precede the onset of adult mental illness.
Rights and Permissions
Citation: Psychiatr Serv. 1997 Sep;48(9):1181-5.
Related Resources
Link to Article in PubMed
PubMed ID
9285980
Citation Information
Carl E. Fulwiler, Hillel Grossman, Catherine Forbes and Robin Ruthazer. "Early-onset substance abuse and community violence by outpatients with chronic mental illness" Vol. 48 Iss. 9 (1997) ISSN: 1075-2730 (Linking)
Available at: http://works.bepress.com/carl_fulwiler/6/