Schizophrenia research · 2025
Victimization and engagement with the legal system among individuals at clinical high risk (CHR) for psychosis.
СтатьяПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Du Ashley, Kennedy Leda, Addington Jean, Bearden Carrie E, Cannon Tyrone D, Carrion Ricardo, Keshavan Matcheri, Mathalon Daniel H, Perkins Diana O, Stone William, Walker Elaine F, Woods Scott W, Cadenhead Kristin S
Аннотация
BACKGROUND: Despite findings of more victimization and legal issues in individuals with psychotic illness, little is known about this history among youth at clinical high-risk for psychosis (CHR). Further, it is unclear whether certain demographic, clinical, functional, or diagnostic patterns exist among CHR youth who report victimization and/or crime/legal engagement.
METHODS: Participants (N = 684 CHR, N = 95 healthy controls) were part of the North American Prodromal Longitudinal Study-3 (NAPLS-3). CHR participants were grouped according to whether they endorsed/did not endorse a history of being a victim of crime or being engaged with crime (committed, accused or convicted)/the legal system. Differences in clinical symptoms, functioning, diagnoses, and life-risk factors were examined in each of the groups. Follow-up binary logistic regressions were employed to assess variables associated with victimization and crime/legal engagement.
RESULTS: CHR youth were significantly more likely to report being a victim or perpetrator of crime compared to healthy controls and those with this history were more likely to have multiple risk factors for violence and comorbid mental illness. Grandiosity was significantly associated with both a history of victimization and crime/legal engagement while other symptoms were at a trend level. Age and historical risk factors were the most strongly associated with later victimization and engagement with the legal system, even when controlling for attenuated psychosis symptoms.
DISCUSSION: Risk factors among CHR youth with a legal history closely resemble those faced in the general population. These findings speak to the importance of assessment and intervention for youth with historical/environmental adversity and legal history.
METHODS: Participants (N = 684 CHR, N = 95 healthy controls) were part of the North American Prodromal Longitudinal Study-3 (NAPLS-3). CHR participants were grouped according to whether they endorsed/did not endorse a history of being a victim of crime or being engaged with crime (committed, accused or convicted)/the legal system. Differences in clinical symptoms, functioning, diagnoses, and life-risk factors were examined in each of the groups. Follow-up binary logistic regressions were employed to assess variables associated with victimization and crime/legal engagement.
RESULTS: CHR youth were significantly more likely to report being a victim or perpetrator of crime compared to healthy controls and those with this history were more likely to have multiple risk factors for violence and comorbid mental illness. Grandiosity was significantly associated with both a history of victimization and crime/legal engagement while other symptoms were at a trend level. Age and historical risk factors were the most strongly associated with later victimization and engagement with the legal system, even when controlling for attenuated psychosis symptoms.
DISCUSSION: Risk factors among CHR youth with a legal history closely resemble those faced in the general population. These findings speak to the importance of assessment and intervention for youth with historical/environmental adversity and legal history.