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Related Experiment Video

Updated: May 5, 2026

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
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Explanations for violent behaviour--an interview study among forensic in-patients.

Susanna Radovic1, Pontus Höglund2

  • 1Centre for Ethics, Law and Mental Health, University of Gothenburg, Sweden; Department of Philosophy, Linguistics and Theory of Science, University of Gothenburg, Sweden.

International Journal of Law and Psychiatry
|December 10, 2013
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Summary

Forensic psychiatric patients rarely attributed criminal actions to mental disorders. Most cited drug abuse and social factors as primary causes for their violent or sexual crimes.

Keywords:
CauseCrimeMental disorderQualitative research

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Area of Science:

  • Forensic Psychiatry
  • Criminology
  • Psychopathology

Background:

  • Epidemiological studies link mental disorders (e.g., schizophrenia, bipolar disorder) with increased violence risk.
  • This elevated risk is often mediated by substance abuse and socioeconomic factors.
  • Understanding patient perspectives on causality is crucial for effective forensic psychiatric care.

Purpose of the Study:

  • To explore how individuals sentenced to forensic psychiatric care in Sweden construe the causes of their violent or sexual crimes.
  • To investigate the role of mental disorder versus other factors in their self-reported causality.

Main Methods:

  • Qualitative study involving semi-structured interviews with 46 participants.
  • Participants were patients in six Swedish forensic psychiatric clinics.
  • Thematic analysis was used to analyze interview data.

Main Results:

  • A significant portion of participants did not believe their mental disorder contributed to their criminal actions.
  • Drug abuse was frequently cited as a contributing cause.
  • Social factors were also commonly identified as causal elements.

Conclusions:

  • Patient perceptions of causality in forensic psychiatric populations differ from epidemiological findings.
  • Self-reported causes emphasize substance abuse and social determinants over psychopathology.
  • Future interventions should consider these patient-reported factors.