ArticleBMJ (Clinical research ed.)1999
Mental disorder and clinical care in people convicted of homicide: national clinical survey.
Article in BMJ (Clinical research ed.), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed.
- Crime-scene and offender characteristics in conventional and nonconventional stranger homicides committed by male offenders in Sweden.Medicine, science, and the law · 2025Article
- Homicide by men diagnosed with schizophrenia: national case-control study.BJPsych open · 2020Article
- Femicide in Turkey between 2000 and 2010.PloS one · 2017Article
- Mental disorders and vulnerability to homicidal death: Swedish nationwide cohort study.BMJ (Clinical research ed.) · 2013Article
- Suicide in high security hospital patients.Social psychiatry and psychiatric epidemiology · 2011Article
- Prevalence of state firearm mortality and mental health care resources.Journal of community health · 2009Article
- Mental disorders of male parricidal offenders: a study of offenders in forensic psychiatric examination in Finland during 1973-2004.Social psychiatry and psychiatric epidemiology · 2009Article
- Mental illness in people who kill strangers: longitudinal study and national clinical survey.BMJ (Clinical research ed.) · 2004Article
- Suicide within 12 months of contact with mental health services. Local data vary from national data.BMJ (Clinical research ed.) · 1999Article
- Suicide and homicide by people with mental illness.BMJ (Clinical research ed.) · 1999Article
- Suicide within 12 months of contact with mental health services: national clinical survey.BMJ (Clinical research ed.) · 1999Article
- Suicide attempts among men and women with partner violence according to borderline personality status.Innovations in clinical neuroscienceArticle
Corrections and comments
- Commented on by
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo estimate the rate of mental disorder in those convicted of homicide and to examine the social and clinical characteristics of those with a history of contact with psychiatric services.
designNational clinical survey.
settingEngland and Wales. SUBJECTS: Eighteen month sample of people convicted of homicide.
main outcome measuresOffence related and clinical information collected from psychiatric court reports on people convicted of homicide. Detailed clinical data collected on those with a history of contact with psychiatric services.
results718 homicides were reported to the inquiry between April 1996 and November 1997. Of the 500 cases for whom psychiatric reports were retrieved, 220 (44%; 95% confidence interval 40% to 48%) had a lifetime history of mental disorder, while 71 (14%; 11% to 17%) had symptoms of mental illness at the time of the homicide. Of the total sample, 102 (14%; 12% to 17%) were confirmed to have been in contact with mental health services at some time, 58 (8%; 6% to 10%) in the year before the homicide. The commonest diagnosis was personality disorder (20 cases, 22%; 13% to 30%). Alcohol and drug misuse were also common. Only 15 subjects (18%; 10% to 26%) were receiving intensive community care, and 60 (63%; 53% to 73%) were out of contact at the time of the homicide.
conclusionsThere are substantial rates of mental disorder in people convicted of homicide. Most do not have severe mental illness or a history of contact with mental health services. Inquiry findings suggest that preventing loss of contact with services and improving the clinical management of patients with both mental illness and substance misuse may reduce risk, but clinical trials are needed to examine the effectiveness of such interventions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.