Mental disorders and medical conditions associated with causing injury or death: A population-based study

PSYCHIATRY RESEARCH

卷:287

Article

Husky, Mathilde M.^1,4  Fernandez, Victor Alvarez^1,4  Tapia, Geraldine^1,4  Oprescu, Florin^2,4  Navarro-Mateu, Fernando^3,4  Kovess-Masfety, Viviane^3,4 

[1] Univ Bordeaux, Lab Psychol EA4139, 3 Ter,Pl Victoire, F-33076 Bordeaux, France

[2] Univ Sunshine Coast, Sunshine Coast, Qld, Australia

[3] CIBER Esp, UDIF SM, Serv Murciano Salud, IMIB Arrixaca, Madrid, Spain

[4] Univ Paris 05, Sorbonne Paris Cite, EA 4057, Paris, France

关键词: Traumatic events;    PTSD;    Causing harm;    Epidemiology;    Health conditions;   

DOI  :  10.1016/j.psychres.2020.112899

来源: Elsevier

【 摘 要 】

The aim of the present study is to examine mental disorders and medical conditions associated with causing harm to another person in the general adult population. The sample (n= 22,138) was drawn from a cross-sectional survey designed to characterize mental health needs in France. Twelve-month DSM-IV axis I mental disorders and medical conditions, and lifetime occurrence of potentially traumatic events were assessed with the Composite International Diagnostic Interview-SF Overall, 2% (n = 430) of the sample reported having injured or killed someone. Causing harm was associated with male gender, lower education level, and being unemployed. The great majority (85%) of those who caused harm had experienced two or more additional potentially traumatic events. When adjusting for gender, employment status, education and number of events experienced, causing harm was associated with certain anxiety disorders, drug dependence and lifetime suicide attempt but not with major depression or post-traumatic stress disorder. Furthermore, causing harm was not associated with medical conditions in multivariate analyses. These results highlight the need for clinicians to be particularly attentive to the psychological burden that may be experienced by those who have harmed or killed someone.

【 授权许可】

Free