Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Buckley, P. F. Articles by Camlin-Shingler, K. Search for Related Content PubMed Citation Articles by Buckley, P. F. Articles by Camlin-Shingler, K. Schizophrenia Spectrum Disorders Other Violence/Aggression Cognition

Insight and Its Relationship to Violent Behavior in Patients With Schizophrenia

OBJECTIVE: Lack of insight affects the management of schizophrenia. The interrelationship between lack of insight and illness attributes in patients with schizophrenia who commit violent acts is important and underresearched. METHOD: One hundred fifteen violent patients with schizophrenia in a jail or court psychiatric clinic were evaluated on measures of symptoms, illness severity, insight into illness, and the legal consequences of their illness ("forensic insight"). A sample of nonviolent patients served as a comparison group. RESULTS: Compared with the nonviolent cohort, violent patients were more symptomatic, had poorer functioning, and had a more prominent lack of insight. Deficits of insight into illness coexisted with a lack of forensic insight, which was also associated with psychosis. CONCLUSIONS: Patients with schizophrenia who commit violent acts have insight deficits, including lack of awareness of the legal implications of their behavior. Targeted interventions to improve insight and treatment compliance in this population are warranted.

This article has been cited by other articles:

				E. B. Elbogen and S. C. Johnson The Intricate Link Between Violence and Mental Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions Arch Gen Psychiatry, February 1, 2009; 66(2): 152 - 161. [Abstract] [Full Text] [PDF]

				D. P. Cohen, M. S. Akhtar, A. Siddiqui, C. Shelley, C. Larkin, A. Kinsella, E. O'Callaghan, and A. Lane Aggressive incidents on a psychiatric intensive care unit The Psychiatrist, December 1, 2008; 32(12): 455 - 458. [Abstract] [Full Text] [PDF]

				M. Price and D. M. Norris National Instant Criminal Background Check Improvement Act: Implications for Persons With Mental Illness J Am Acad Psychiatry Law, March 1, 2008; 36(1): 123 - 130. [Abstract] [Full Text] [PDF]

				T. M. Lincoln, E. Lullmann, and W. Rief Correlates and Long-Term Consequences of Poor Insight in Patients With Schizophrenia. A Systematic Review Schizophr Bull, November 1, 2007; 33(6): 1324 - 1342. [Abstract] [Full Text] [PDF]

				E. B. Elbogen, S. Mustillo, R. van Dorn, J. W. Swanson, and M. S. Swartz The Impact of Perceived Need for Treatment on Risk of Arrest and Violence Among People With Severe Mental Illness Criminal Justice and Behavior, February 1, 2007; 34(2): 197 - 210. [Abstract] [PDF]

				D. M. Norris, M. Price, T. Gutheil, and W. H. Reid Firearm Laws, Patients, and the Roles of Psychiatrists Am J Psychiatry, August 1, 2006; 163(8): 1392 - 1396. [Abstract] [Full Text] [PDF]

				D. ANTONIUS Insight and Aggression in Schizophrenia Am J Psychiatry, November 1, 2005; 162(11): 2195 - 2195. [Full Text] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 2004 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us