A 10-year follow-up study of violent victimization in first episode psychosis: Risk and protective factors

作者：Langeveld Johannes^*; Bjorkly Stal; Evensen Julie; Joa Inge; Johannessen Jan Olav; Larsen Tor Ketil; Melle Ingrid; Opjordsmoen Stein; Ros**erg Jan Ivar; Rund Bjorn Rishovd; Simonsen Erik; Vaglum Per; ten Velden Wenche; McGlashan Tom; Friis Svein

来源：Psychiatry Research, 2018, 259: 545-549.

DOI：10.1016/j.psychres.2017.11.013

Violent victimization in persons with severe mental illness has long-term adverse consequences. Little is known about the long-term prevalence of victimization in first episode psychosis, or about factors affecting victimization throughout the course of illness.
To assess the prevalence of violent victimization during a 10-year follow-up period in a group of first episode psychosis (FEP) patients, and to identify early predictors and risk factors for victimization.
A prospective design was used with comprehensive assessments of violent victimization, treatment variables and functioning at baseline and during 10-year follow-up. A clinical epidemiological sample of FEP patients (n = 298) was studied.
FEP patients in our study were at a 3.5 times greater risk of victimization as compared to the normal population. During the 10-year follow-up period, 23% of.subjects fell victim to one or more violent assaults. Victimized patients were younger and reported less occupational activity. At 10-year follow-up, victimization was associated with more concomitant drug use, alcohol misuse and violent behavior, but not with a worse clinical or functional outcome.
Treatment programs should focus on risk factors for victimization and develop behavioral alternatives to mitigate risk in FEP patients.

• 出版日期2018-1