SynthesisThe British journal of psychiatry : the journal of mental science2025
Personality disorders, violence and antisocial behaviour: updated systematic review and meta-regression analysis.
Synthesis in The British journal of psychiatry : the journal of mental science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Personality Disorder Diagnoses in Outpatient Forensic Mental Health: A Comprehensive Prevalence Study in the Netherlands.Personality and mental health · 2026Article
- Divergent disinhibition profiles linked to externalizing psychopathology.Journal of psychopathology and clinical science · 2026Article
- The Independent and Combined Roles of Attentional and Interpretative Biases in Antisocial Behavior, Trait Aggression and Aggressive Responses Under Provocation.Aggressive behavior · 2026Article
- Article
- Risk factors of aggressive behavior in female patients with schizophrenia.Frontiers in psychiatry · 2026Article
- Implicit and explicit self-concepts of forgiveness in women with borderline personality disorder.Borderline personality disorder and emotion dysregulation · 2025Article
- Low cholesterol and risk of violence in forensic inpatients with schizophrenia, personality disorder or dual diagnosis: same or different?European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Accumulated lifetime violence load and interpersonal problems among suicidal women with emotionally unstable personality disorder.Frontiers in psychiatry · 2025Article
- Psychopathy is a neglected public health problem.Frontiers in psychiatry · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundLinks between personality disorders and antisocial outcomes has not examined individual personality disorders, and the contribution of comorbidities remain uncertain. Previous systematic reviews are dated.
aimsTo synthesise evidence from observational studies on the risk of antisocial outcomes and recidivism associated with personality disorders.
methodWe searched six bibliographic databases (up to March 2024) for observational studies examining the risk of antisocial behaviour, interpersonal violence and recidivism in individuals diagnosed with personality disorders, compared to controls. We explored sources of heterogeneity using subgroup analyses and meta-regression.
resultsWe identified 21 studies involving 83 418 individuals with personality disorders from 10 countries examining antisocial and violent outcomes (Aim 1), and 39 studies of 14 131 individuals from 13 countries with recidivism (or repeat offending) as the outcome (Aim 2). We found increased risks of violence among individuals with any personality disorder (odds ratio 4.5, 95% CI 3.0-6.7), particularly antisocial personality disorder (odds ratio 7.6, 95% CI 5.1-11.5) and borderline personality disorder (odds ratio 2.6, 95% CI 1.8-3.9). Individuals with any personality disorder (odds ratio 2.3, 95% CI 2.0-2.6) and antisocial personality disorder (odds ratio 2.8, 95% CI 1.6-4.9) also demonstrated an elevated risk of recidivism. Personality disorder types and comorbid substance use disorder were associated with between-study heterogeneity.
conclusionsThe assessment and management of personality disorders should be considered as part of violence prevention strategies. Improving identification and treatment of comorbid substance misuse may reduce adverse outcomes in individuals with personality disorders.
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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.