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Crime and Psychosis

While today's news focuses on the current Archives of General Psychiatry article reporting 1 in 5 college aged students has a personality disorder, another article just released in the American Journal of Psychiatry deserves as much attention - probably more.

The article by Jacques Baillargeon and colleagues titled Psychiatric Disorders and Repeat Incarcerations: The Revolving Prison Door examines the link between mental illness and risk of multiple incarcerations.  Of note, the authors narrowly construe their definition of mental illness to include only four categories:  major depression, bipolar disorder, schizophrenia, and non-schizophrenic psychotic disorder.  Thus, they wisely excluded substance abuse disorders in their calculations which have greatly inflated the results of similar previous studies. The study included 79,211 inmates who began serving a sentence between September 1, 2006, and August 31, 2007.


The tables and graphs tell the story. Contrary to the prevailing wisdom of many advocacy groups, the study adds the emerging yet growing body of literature which suggests severe mental illnesses do indeed seem to be  associated with crime and violence (click to enlarge).

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