A cross sectional study of prevalence and correlates of current and past risks in schizophrenia

Background: The growing burden of chronic often untreated mental illness has increased the importance of risk assessment in people suffering from major mental disorders. Aims: The present study was undertaken to obtain prevalence of various risks and predictive factors for self-harm, violence and various other risks among randomly recruited schizophrenia subjects (N = 270) on the basis of past history of their disorder. Method: Using a rigorous translation, back translation and acceptability process, a specially constructed semi-structured assessment interview, based on a prior NHS Trust risk assessment interview along with the Diagnostic Interview for Genetic Studies (DIGS), detailed information was obtained for various risks. Results: Risk of violence (historical) was reported among 65.55%, and risk of self-neglect among 53.33%, risk to others (47.41%), risk of coming to harm (24.07%), self-harm (22.59%), risk from others (11.85%), fire risk (2.96%). Risk of violence (historical) and risk to others was related to 'ever' having emotions related to harm and self-harm, 'current' emotions related to violence and poor compliance to treatment. Conclusion: Regular risk assessment is essential to assess emotions related to violence and nonadherence to treatment. Assessment of risk helps clinicians predict the risks involved in management and in timely intervention. (C) 2015 Elsevier B.V. All rights reserved.