Personality disorder and violence in the national household population of Britain. Issue 5 (3rd September 2017)

• Record Type: Journal Article
• Authors: Coid, Jeremy W.; Gonzalez, Rafael; Igoumenou, Artemis; Zhang, Tian; Yang, Min; Bebbington, Paul
• Is Part Of: Journal of forensic psychiatry & psychology. Volume 28:Issue 5(2017)
• Page Start: 620
• Page End: 638
• Publication Date: 2017-09-03
• Subjects: Violence -- risk -- population -- personality disorder; Forensic psychiatry -- Periodicals; Forensic psychology -- Periodicals; 614.1
• DOI: 10.1080/14789949.2016.1152590
• Languages: English
• ISSNs: 1478-9949

Abstract

Abstract: Background : Antisocial personality disorder (ASPD) is strongly associated with violence but the effects of other personality disorder (PD) categories are uncertain. Purpose : To investigate associations between 10 DSM-IV PD categories and effects of co-occurring disorders on self-reported violence. Method : Cross-sectional survey of 8397 adults aged 16–74 years in households in Great Britain. Results : ASPD contributed strongly to the burden of violence in the British population. Paranoid and obsessive–compulsive PD made additional independent contributions, and narcissistic PD contributed to intimate partner violence. The prevalence of violence correlated with the number of PD categories. Comorbid alcohol dependence further increased the risk. Conclusions : Risk of violence increases with increasing severity of PD, measured by the number of PD categories, and with co-occurring alcohol dependence. Not all PD categories are associated with violence, and avoidant PD was protective. Identification of targets for future interventions may be obscured using a classification based solely on severity.