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Schizophrenia and substance abuse

J Smith1, S Hucker

  • 1Fromeside Clinic, Bristol.

The British Journal of Psychiatry : the Journal of Mental Science
|July 1, 1994
PubMed
Summary

Schizophrenia patients who abuse drugs or alcohol may face a higher risk of violence. Further longitudinal studies are needed to understand the connection between schizophrenia, substance abuse, and violent behavior.

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Area of Science:

  • Psychiatry
  • Addiction Medicine
  • Criminology

Background:

  • Elevated rates of drug and alcohol abuse are observed in individuals with serious mental illness.
  • Schizophrenia patients show particular vulnerability to substance abuse complications.
  • Antisocial behavior, including violence, is a significant concern in this population.

Purpose of the Study:

  • To examine the association between schizophrenia, substance abuse, and violence.
  • To explore potential explanations for this link.

Main Methods:

  • Literature search using Medline database.
  • Supplemented with manual literature searches.

Main Results:

  • A limited number of studies directly addressed violence in substance-abusing schizophrenic patients.
  • Over 80 relevant papers were identified to explore the link between dangerous behavior and substance abuse in schizophrenia.

Conclusions:

  • Circumstantial evidence suggests an increased risk of violent behavior in schizophrenic patients with substance abuse issues.
  • Longitudinal studies are necessary to elucidate the underlying mechanisms.

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