ArticleBMJ (Clinical research ed.)2013
Mental disorders and vulnerability to homicidal death: Swedish nationwide cohort study.
Article in BMJ (Clinical research ed.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.
- The Role of Socioeconomic Position in the Association Between Mental Disorders and Mortality: A Systematic Review and Meta-Analysis.JAMA psychiatry · 2024Pooled it
- The association between violence exposure and general and cause-specific mortality in people using mental health services: cohort study.BJPsych open · 2026Article
- Aberrant deaths: a conundrum in domestic homicide reviews.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026Article
- Article
- Article
- Mortality rate in patients in a long-term psychiatric care facility in Johannesburg.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024Article
- Homicide in the context of psychosis: analysis of prior service utilisation and age at onset of illness and violence.BJPsych open · 2023Article
- Mortality in Schizophrenia-Spectrum Disorders: Recent Advances in Understanding and Management.Healthcare (Basel, Switzerland) · 2022Article
- Could Expanding and Investing in First-Episode Psychosis Services Prevent Aggressive Behaviour and Violent Crime?Frontiers in psychiatry · 2022Review
- Characterising mental health and addictions and assault-related health care use in the year prior to death: a population-based linked cohort study of homicide victims.International journal of population data science · 2021Article
- Childbearing and mortality among women with personality disorders: nationwide registered-based cohort study.BJPsych open · 2020Article
- The association between neighbourhood characteristics and physical victimisation in men and women with mental disorders.BJPsych open · 2020Article
- Risk of Subjection to Violence and Perpetration of Violence in Persons With Psychiatric Disorders in Sweden.JAMA psychiatry · 2020Article
- Multiple adverse outcomes following first discharge from inpatient psychiatric care: a national cohort study.The lancet. Psychiatry · 2019Article
- Suicide Methods and Specific Types of Accidental Death and Fatal Poisoning Among Discharged Psychiatric Patients: A National Cohort Study.The Journal of clinical psychiatry · 2018Article
- Association of Schizoid and Schizotypal Personality disorder with violent crimes and homicides in Greek prisons.Annals of general psychiatry · 2018Article
- Reducing the Mortality Gap in People With Severe Mental Disorders: The Role of Lifestyle Psychosocial Interventions.Frontiers in psychiatry · 2018Review
- Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2017Article
- A hierarchical causal taxonomy of psychopathology across the life span.Psychological bulletin · 2017Review
- Crime Victims' Demographics Inconsistently Relate to Self-Reported Vulnerability.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2017Article
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveTo determine the risk of people with mental disorders being victims of homicide.
designNational cohort study.
settingSweden.
participantsEntire adult population (n = 7,253,516).
main outcome measuresHomicidal death during eight years of follow-up (2001-08); hazard ratios for the association between mental disorders and homicidal death, with adjustment for sociodemographic confounders; potential modifying effect of comorbid substance use.
results615 homicidal deaths occurred in 54.4 million person years of follow-up. Mortality rates due to homicide (per 100,000 person years) were 2.8 among people with mental disorders compared with 1.1 in the general population. After adjustment for sociodemographic confounders, any mental disorder was associated with a 4.9-fold (95% confidence interval 4.0 to 6.0) risk of homicidal death, relative to people without mental disorders. Strong associations were found irrespective of age, sex, or other sociodemographic characteristics. Although the risk of homicidal death was highest among people with substance use disorders (approximately ninefold), the risk was also increased among those with personality disorders (3.2-fold), depression (2.6-fold), anxiety disorders (2.2-fold), or schizophrenia (1.8-fold) and did not seem to be explained by comorbid substance use. Sociodemographic risk factors included male sex, being unmarried, and low socioeconomic status.
conclusionsIn this large cohort study, people with mental disorders, including those with substance use disorders, personality disorders, depression, anxiety disorders, or schizophrenia, had greatly increased risks of homicidal death. Interventions to reduce violent death among people with mental disorders should tackle victimisation and homicidal death in addition to suicide and accidents, which share common risk factors.
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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.