Cristin-prosjekt-ID: 576808
Sist endret: 29. januar 2019 12:20

Cristin-prosjekt-ID: 576808
Sist endret: 29. januar 2019 12:20
Prosjekt

Violence in severe mental disorders - sTOP

prosjektleder

Unn Kristin H. Haukvik
ved Psykoseforskning, seksjon (NORMENT/KG Jebsen OUS) ved Oslo universitetssykehus HF

prosjekteier / koordinerende forskningsansvarlig enhet

  • Oslo universitetssykehus HF

Klassifisering

Vitenskapsdisipliner

Medisinske fag • Psykiatri, barnepsykiatri • Psykologi • Biologisk psykologi • Klinisk psykologi

Emneord

Sosial psykologi • Neurovitenskap / nevrovitenskap • Klinisk psykologi

HRCS-helsekategori

  • Mental helse

HRCS-forskningsaktivitet

  • 1 Underbyggende Forskning
  • 2 Årsaksforhold

Kategorier

Prosjektkategori

  • Grunnforskning

Tidsramme

Aktivt
Start: 19. april 2017 Slutt: 1. januar 2050

Beskrivelse Beskrivelse

Tittel

Violence in severe mental disorders - sTOP

Populærvitenskapelig sammendrag

Most persons with severe mental disorders will never commit a violent act. Still, the small but significant increase in violence risk stigmatizes a whole group of patients.

According to Norwegian penal law, offenders cannot be held legally responsible for actions committed in a state of psychosis.

In clinical practice, current and future violence risk are evaluated. Such evaluations are difficult and raises several concerns:

  • Why are people with psychosis at increased risk of committing violence?
  • What characterizes psychotic violence? 
  • How can we best predict violence among persons with severe mental disorders?

Background

Psychotic disorders, such as schizophrenia and bipolar disorder, affect about 3 % of the population worldwide.

Psychosis is a risk factor for committing1 and to be victimized by2 violence. Adverse environmental factors such as substance abuse, low socio-economic status, and childhood abuse or neglect increases risk for both violence and psychotic disorders3, 4.

The association between psychosis and violence remains after controlling for known environmental risk factors1, 3, indicating that the environment alone cannot explain the increased violence risk in psychosis.

Moreover, although psychosis symptoms such as delusions are associated with violence5, 6, the vast majority of persons with psychosis have never committed a violent act. 

Violence and anti-social behaviour have been linked to alterations in specific brain circuits7, 8, and persons with psychosis show subtle brain abnormalities9-11, but such neurobiological differences are found on group level only, and cannot be used to explain the behaviour of individuals.

In order to better understand psychotic violence, the influences of social, psychological and biological factors must be taken into account. Only by combining the three areas of research can we gain a comprehensive understanding of psychotic violence, and counter reductionist explanations and stigmatizing beliefs.

Objectives for our research

  1. Study the neurobiological, psychological, and social trajectories of violence among persons with severe mental disorders and develop a bio-psycho-social model for psychotic and non-psychotic violence that is clinically meaningful.
  2. Study the stability of the neurobiology, symptom profiles, and influence of social factors on psychotic and non-psychotic violence over time.

Our long-term aim is to use this knowledge to give better treatment and improve diagnostic procedures and violence risk evaluations which can contribute to improve the legal rights of psychotic and non-psychotic offenders while ensuring the protection of society and reducing stigma.

prosjektdeltakere

prosjektleder

Unn Kristin H. Haukvik

  • Tilknyttet:
    Prosjektleder
    ved Psykoseforskning, seksjon (NORMENT/KG Jebsen OUS) ved Oslo universitetssykehus HF
  • Tilknyttet:
    Lokalt ansvarlig
    ved Enhet voksenpsykiatri ved Universitetet i Oslo

Hilde Dahl

  • Tilknyttet:
    Lokalt ansvarlig
    ved PH - Brøset psykiatriske avdeling ved St. Olavs Hospital HF

Ragnhild Johansen

  • Tilknyttet:
    Prosjektdeltaker
    ved PH - Brøset psykiatriske avdeling ved St. Olavs Hospital HF

Christine Friestad

  • Tilknyttet:
    Lokalt ansvarlig
    ved Kriminalomsorgens høgskole og utdanningssenter KRUS
  • Tilknyttet:
    Lokalt ansvarlig
    ved Sikkerhets-, fengsels-, rettspsyk., HSØ kompetansesenter ved Oslo universitetssykehus HF
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Resultater Resultater

Imaging violence in schizophrenia: A systematic review and critical discussion of the MRI literature.

Fjellvang, Maria; Grøning, Linda; Haukvik, Unn Kristin H.. 2018, Frontiers in Psychiatry. HAUKELAND, UIO, OUS, UIBVitenskapelig oversiktsartikkel/review
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