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  • 1. Ahlm, Kristin
    et al.
    Lindqvist, Per
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap. Karolinska institutet.
    Saveman, Britt-Inger
    Björnstig, Ulf
    Suicidal drowning deaths in northern Sweden 1992-2009: The role of mental disorder and intoxication2015Ingår i: Journal of Forensic and Legal Medicine, ISSN 1752-928X, E-ISSN 1878-7487, Vol. 34, s. 168-172Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Suicides by drowning have received limited attention by researchers. A recent finding that almost one-third of all drowning deaths in Sweden were classified as suicide instigated this study. We identified 129 cases of suicide by drowning in Northern Sweden and analyzed the circumstances and the psychiatric history prior to the suicide. Information was obtained from autopsy, police and medical records, as well as from the National Inpatient Register. One-third of the suicide victims had previously attempted suicide and half of the victims had been hospitalized due to mental health problems. One-third of these had left the hospital less than one week before the suicide. Alcohol and psychoactive drugs were present in 16% and 62% of the cases, respectively. A history of mental disorder and previous suicide attempt (s), especially by drowning, is an ominous combination necessitating efficient clinical identification, treatment and follow-up if a complete suicide is to be prevented.

  • 2. Dunn, Emma
    et al.
    Felthous, Alan R.
    Gagné, Pierre
    Harding, Tim
    Kaliski, Sean
    Kramp, Peter
    Lindqvist, Per
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap. Karolinska institutet.
    Nedopil, Norbert
    Ogloff, James R. P.
    Skipworth, Jeremy
    Thomson, Lindsay
    Yoshikawa, Kazuo
    Forensic psychiatry and its interfaces outside the UK and Ireland2014Ingår i: Forensic psychiatry: clinical, legal and ethical issues / [ed] Gunn, John C & Taylor, Pamela J, Boca Raton, FL: CRC Press, 2014, 2, s. 112-146Kapitel i bok, del av antologi (Refereegranskat)
  • 3.
    Durbeej, N.
    et al.
    Karolinska institutet.
    Gumpert, C. H.
    Karolinska institutet.
    Alm, C.
    Karolinska institutet.
    Eriksson, Å.
    Karolinska institutet.
    Berman, A. H.
    Karolinska institutet.
    Kristiansson, M.
    Karolinska institutet.
    Lindqvist, Per
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap. Karolinska institutet.
    Palmstierna, T.
    Karolinska institutet.
    S13-01 - Substance abuse treatment as a predictor of criminal recidivism among psychiatrically examined Swedish offenders2010Ingår i: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 25, nr Supplement 1, s. 32-32Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Substance abuse is clearly associated with criminal recidivism among offenders with and without mental disorder. Treatment for substance abuse correlates with lower rates of re-offending among participants in outpatient-based as well as institution-based substance abuse treatment programs. However, for offenders with mental disorder, research on the possible preventive effect of substance abuse treatment on criminal recidivism is sparse. This paper reports from on an ongoing naturalistic and prospective interview study on the relationship between post-release outpatient substance abuse treatment and re-offending. Methods: The Stockholm county sample comprises 246 offenders of both genders subjected to a forensic psychiatric assessment, who screened positive for substance abuse problems. Eighty-five percent (n=210) agreed to participate in the study. Baseline data and follow-up interview data, collected immediately on release from incarceration (prison/forensic hospital) and 6 and 12 months later, include self-reported substance abuse, treatment involvement and criminality. By February 2010, data will be available from the first follow-up for 150 participants, from the second follow-up for 80 individuals and from the third follow-up for 10 subjects. Results and conclusions: The focus of the presentation will be recidivism comparisons between substance abuse treatment utilizers and those who decline treatment. Data on ongoing levels of substance abuse, mental health problems and offending will serve as dependent variables. Additional analyses will present perceived benefit from and reasons for accepting or rejecting treatment.

  • 4.
    Durbeej, N.
    et al.
    Karolinska institutet.
    Hellner Gumpert, C.
    Karolinska institutet.
    Alm, C.
    Karolinska institutet.
    Eriksson, Å.
    Karolinska institutet.
    Hephzibah Berman, A.
    Karolinska institutet.
    Kristiansson, M.
    Karolinska institutet.
    Lindqvist, Per
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap. Karolinska institutet.
    Palmstierna, T.
    Karolinska institutet.
    P02-54 - Is outpatient-based substance abuse treatment a predictor of re-offending and other outcomes among Swedish offenders subjected to psychiatric assessment?2010Ingår i: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 25, nr Supplement 1, s. 674-674Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: Substance abuse is associated with criminal recidivism. Substance abuse treatment has been found to correlate negatively with re-offending among treatment utilizers. However, for offenders with mental health problems and substance abuse, research on how substance abuse treatment affects re-offending is sparse. Objectives: The study aimed to examine the relationship between self-reported outpatient-based substance abuse treatment and self-reported a) re-offending, b) substance use and c) psychiatric problems among offenders with mental health and substance use problems. Methods: Data were gathered from a naturalistic follow-up study with 208 participants, subjected to a court-ordered psychiatric assessment. This analysis covers 91 individuals who were followed-up after an average study period of 17 months. Among these, 68% had been sentenced to institutional imprisonment or forensic psychiatric care. Results: Offences, substance use and psychiatric problems declined between baseline and follow-up. However, the reduction was not associated with self-reported treatment utilization. Among participants who were sentenced to non-institutional corrections, more individuals had utilized outpatient-based treatment compared to individuals who were sentenced to imprisonment or forensic psychiatric care. Conclusions: A definitive conclusion about the effect of treatment is difficult to draw. For instance, self-reported data may not reflect actual treatment consumption. However, one interpretation is that participants naturally recovered over time. Institutional correction might also have resulted in positive outcomes equivalent to outpatient-based treatment.

  • 5.
    Lindqvist, Per
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap.
    Människan i den slutna psykiatriska vården2012Bok (Övrig (populärvetenskap, debatt, mm))
  • 6.
    Sturup, Joakim
    et al.
    Karolinska Institutet, Stockholm.
    Kristiansson, Marianne
    Karolinska Institutet, Stockholm.
    Lindqvist, Per
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap.
    Violent behaviour by general psychiatric patients in Sweden - validation of Classification of Violence Risk (COVR) software.2011Ingår i: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 188, nr 1, s. 161-5Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The objectives of the study are to report the 20-week base rate of violent behaviour in the community among a general psychiatric patient population from Stockholm and to establish the validity of a violence risk assessment software program, Classification of Violence Risk (COVR), in a European setting. Three hundred and thirty one patients at two psychiatric hospitals in Stockholm were interviewed upon discharge. Telephone interviews with the patients and collaterals were conducted 10 and 20 weeks later. The violent behaviour was also measured through a national criminal register. The allocation of patients into different risk groups according to COVR software was compared with the occurrence of actual acts of violence during the follow-up. The base rate of violent behaviour was 5.7% and a ROC-analysis showed that the AUC for COVR was 0.77. Since there were few patients in the high risk groups, the 95% confidence interval for the proportion of violent patients was wide. The base rate of violent behaviour is relatively low in Sweden and prediction is therefore difficult. The predictive validity of COVR software is comparable to other risk assessment tools.

  • 7.
    Sturup, Joakim
    et al.
    Karolinska Inst, Div Social & Forens Psychiat; Natl Board Forens Med, Dept Forens Psychiat Stockholm.
    Lindqvist, Per
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap. Karolinska Inst, Div Social & Forens Psychiat.
    Homicide offenders 32 years later: a Swedish population-based study on recidivism2014Ingår i: CBMH. Criminal behaviour and mental health, ISSN 0957-9664, E-ISSN 1471-2857, Vol. 24, nr 1, s. 5-17Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The literature on recidivism by homicide offenders is scarce despite its importance for individuals and for society.

    Aims: To establish the rate of seriously violent re-offending among homicide offenders and identify risk factors for such recidivism.

    Methods: A 1970s incident cohort of all homicide offenders, sane and insane, from two regions of Sweden (N=153) was followed up until 2007 using data from the national crime register.

    Results: Ten per cent of the cohort (n=15) re-offended. The mean time from index offence to recidivism was 9.4 years. Five people (3%) committed a further homicide, and it was established that another five (3%) offenders had killed before the index offence. Prospective risk factors for violent recidivism were young age, psychotic disorder, male victim, acquainted victim and intoxicated victim.

    Conclusions: The prevalence of repeated homicide is higher than previously reported. Victim variables and mental disorder in conjunction with substance abuse appear to be two domains of particular significance for recidivism. 

  • 8.
    Sturup, Joakim
    et al.
    National Board of Forensic Medicine, Department of Forensic Psychiatry in Stockholm, Stockholm, Sweden; Department of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden.
    Lindqvist, Per
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap. Karolinska Institute, Department of Clinical Neurosceince , Huddinge , Sweden.
    Psychosis and homicide in Sweden: a time trend analysis 1987-20062014Ingår i: International Journal of Forensic Mental Health, ISSN 1499-9013, E-ISSN 1932-9903, Vol. 13, nr 1, s. 1-7Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Few studies have examined temporal changes in the contribution of psychosis to homicide offending. This research examines whether the incidence and the proportion of people with schizophrenia spectrum disorders, compared to all homicide offenders, have changed over a 20-year period in Sweden. All homicide offenders in Sweden from 1987 through 2006 were identified in the National Register for Criminal Convictions and linked on an individual level to the Central Archive of the National Board of Forensic Medicine, where data concerning individuals subjected to a forensic psychiatric examination in Sweden are registered. Offenders with a diagnosis of a schizophrenia spectrum disorder (F20-F29) formed the subgroup of offenders with psychosis. While the overall incidence of homicide did not change over time, both the incidence and the proportion of offenders with schizophrenia spectrum disorders decreased somewhat in relation to all homicide offenders. Although offenders with a schizophrenia spectrum disorder still comprise a disproportionately large share of all homicide offenders, their contribution to the overall incidence of homicide is at least not increasing in Sweden. Yet, it remains a significant problem that needs to be addressed by clinicians and researchers.

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