ArticleSchizophrenia research2025
Victimization and engagement with the legal system among individuals at clinical high risk (CHR) for psychosis.
Article in Schizophrenia research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundDespite 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.
methodsParticipants (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.
resultsCHR 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.
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