Evidence map›Paper›PMID 31758666›Full record

ArticleEarly intervention in psychiatry2020

Violent outcomes in first-episode psychosis: A clinical cohort study.

Daniel Whiting, Belinda R Lennox, Seena Fazel

Open access · greenAbstract read
In one paragraph

Article in Early intervention in psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Systematic review of risk factors for violence in psychosis: 10-year update.The British journal of psychiatry : the journal of mental science · 2025
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  11. The full spectrum of clinical stages of psychosis among mentally ill prisoners in New South Wales (NSW), Australia.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Daniel WhitingDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, England.ORCID 0000-0001-5323-364X
Belinda R LennoxDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, England.
Seena FazelDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, England.
Oxford Health NHS Foundation Trust · GB

Funding

Department of Health DRF-2018-11-ST2-069Wellcome Trust 202836Wellcome Trust 202836/Z/16/Z
6 · The paper itself

Abstract

aimViolence risk is an important part of a comprehensive clinical assessment in first-episode psychosis. This study addresses limitations of previous violent outcome research in first-episode psychosis, which has typically investigated selected cohorts or been restricted to violence occurring prior to service contact, with limited use of police data.

methodsFor individuals consecutively assessed by Early Intervention in Psychosis (EIP) services in two UK regions (n = 177), violent outcomes in the subsequent 12-months were collected using electronic patient records, supplemented by police data.

resultsOf individuals accepted by EIP services (n = 109), electronic medical records indicated around 1 in 4 (n = 28, 25.7%) perpetrated any physical violence, and 1 in 10 (n = 10, 9.2%) were arrested or charged for violent offences in the 12-months after first contact. Police data on all individuals assessed (n = 177) reported 1 in 7 (n = 26, 14.7%) were arrested or charged for violent offences in the 12-months after first contact.

conclusionsEIP services should consider integrating multi-agency sources of data to evaluate violent outcomes. The potential role of violence risk management should be further examined.

Indexed as

ViolenceAdolescentAdultAggressionCohort StudiesFemaleHumansMalePsychotic DisordersSchizophreniaYoung Adultaggressioncrimepsychosisschizophreniaviolence

Identifiers

PMID31758666
PMCPMC7237238
OpenAlexW2990019113

What OpenQuestion holds

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Registered trials

None linked

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.