Risk factors for socially dangerous actions in patients with paranoid schizophria
https://doi.org/10.29413/ABS.2025-10.3.17
Abstract
Background. The definition of risk factors for dangerous actions in mental disorders is relevant in psychiatry.
The aim. Study of risk factors for socially dangerous actions (SDA) in patients with paranoid schizophrenia.
Materials and methods. Clinical-psychopathological, clinical-anamnestic, and psychometric (PANSS scale) methods were used. The study examined male patients (average age 41.3 ± 12.8 years) with paranoid schizophrenia, an episodic type of course, undergoing compulsory inpatient treatment.
Results. In 72.7 % of cases, SDA was committed by patients under the influence of psychotic experiences with hallucinatory-delusional (22.7 %), delusional (50 %) syndromes, in 27.3 % of cases – with negative symptoms and severe behavioral disorders. Minor injury to health and crimes against persons unknown to patients were more common in the group with negative symptoms (p = 0.042 and p = 0.012, significant differennces – s.d.), рpatients with delusional syndrome were s.d. more likely to be single (p = 0.035). The accentuation of the emotionally unstable type, alcohol consumption, and psychoactive substances were s.d. more common in patients with negative symptoms (p = 0.008, p = 0.011); alcohol dependence syndrome, of the middle stage, with a hallucinatory-delusional seizure structure (p = 0.042).
According to the PANSS scale, in the group with hallucinatory delusional syndrome, s.d. among positive syndromes was 71.4 %. In patients with delusional syndrome and negative symptoms, the reliability among negative syndromes was 71.4 % and 51.7 %, respectively.
Conclusions. Identification of risk factors for the formation of socially dangerous actions in patients with schizophrenia helps to prevent dangerous actions.
About the Authors
L. A. Ivanova
Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Lyudmila A. Ivanova – Сand. Sc. (Мed.), docent of the department of psychiatry and narcology
Yubileiny microdistrict, 100, Irkutsk 664049
E. E. Tuaeva
Irkutsk regional clinical psychiatric hospital №1
Russian Federation
Russian Federation
Ekaterina E. Tuaeva – psychiatrist of the compulsory department № 12
Yubileiny microdistrict, 11 A, Irkutsk, 664059
N. Yu. Rozhkova
Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Nina U. Rozhkova – a senior lecturer at the Department of Pedagogical and Information Technologies
Yubileiny microdistrict, 100, Irkutsk 664049
References
1. Polubinskaya SV, Makushkina OA. Prediction of the risk of dangerous actions by persons with mental disorders: foreign experience and Russian perspectives. Social’naya i klinicheskaya psihiatriya. 2016; 26 (3): 97-100. (In Russ.)
2. Makushkina OA, Kotov VP, Mal’ceva MM, Golland VB, Yahimovich LA, Muganceva LA. The system of prevention of public danger of mentally ill people in Russia in 2006-2013 (dynamics of indicators and effectiveness analysis): Analytical review. M.: FMICPN named by VP Serbskogo” Minzdrava Rossii, 2015. (In Russ.).
3. Dmitrieva TB, Polozhij BS. Ethnocultural psychiatry. М.: Yurajt, 2024. (In Russ.).
4. Mal’ceva MM. Psychopathological mechanisms of socially dangerous actions of patients with mental disorders. Rukovodstvo po sudebnoj psixiatrii. Pod red. A.A. Tkachenko. 2-e izd.,pererab. idop. M.: Yurajt, 2015. (In Russ.).
5. Oskolkova SN, Fastovcev GA. Forensic psychiatric examinationin schizophrenia, schizotypal disorders and chronic delusional psychoses. Handbook of Forensic Psychiatry. Edited by A.A. Tkachenko. 2nd edition, revised and enlarged. M.: Yurajt, 2015. (In Russ.).
6. Al`kina VO. Prognostic assessment of the risk of socially dangerous actions in patients with schizophrenia. Psixiatriya. 2024; 22(4): 11-12. (In Russ.).
7. Makushkina OA, Aldonina SM. Protective factors in structured risk assessment of dangerous behaviour in persons with mental disorders. Russian Psychiatric Journal. 2018; (4): 4–14. (In Russ.).
8. Huang ZH, Wang F, Chen ZL, Xiao YN, Wang QW, Wang SB, et al. Risk factors for violent behaviors in patients with schizophrenia: 2-year follow-up study in primary mental health care in China. Psychiatry. 2023; 13: 947987. doi: 10.3389/fpsyt.2022.947987
9. Golenkov AV. Clinical and social characteristics of patients with schizophrenia who have committed socially dangerous offenses against life and health. Rossijskij psihiatricheskij zhurnal. 2015; 5: 17-23. (In Russ.).
10. Hmara NV, Skugarevskij OA. The phenomenon of aggression in people with schizophrenia. Problemy zdorov’yai ekologii. 2021; 18(2): 66–70. (In Russ.). doi: 10.51523/2708-6011.2021-18-2-10
11. Leposaviс L, Dimitrijeviс D, Dordeviс S, Leposaviс I, Balkoski GN. Comorbidity of harmful use of alcohol in population of schizophrenic patients. Psychiatr Danub. 2015; 27(1): 84-9.
12. Whiting D, Gulati G, Geddes JR, Fazel S. Association of schizophrenia spectrum disorders and violence perpetration in adults and adolescents from 15 countries: a systematic review and meta-analysis. JAMA Psychiatry. 2022; 79(2): 120-132. doi: 10.1001/jamapsychiatry.2021.3721
13. Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull. 1987; 13(2): 261-76. doi: 10.1093/schbul/13.2.261
14. Mosolov SN. Psychometric assessment scales for schizophrenia symptoms and the concept of positive and negative disorders. M.: Novyj cvet, 2001. (In Russ.).
15. Makushkina OA. Assessment of the risk of socially dangerous behavior of people with mental disorders. Social’naya i klinicheskaya psihiatriya. 2017; 27(3): 49-55. (In Russ.).
Review
For citations:
Ivanova L.A., Tuaeva E.E., Rozhkova N.Yu. Risk factors for socially dangerous actions in patients with paranoid schizophria. Acta Biomedica Scientifica. 2025;10(3):164-177. (In Russ.) https://doi.org/10.29413/ABS.2025-10.3.17
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