RT Article
T1 Antipsychotic Overdosing and Polypharmacy in Schizophrenic Delinquents Explored
JF International journal of offender therapy and comparative criminology
VO 64
IS 9
SP 938
OP 952
A1 Günther, M. P.
A1 Kirchebner, J.
A1 Kling, S.
A1 Lau, Stephan
A2 Kirchebner, J.
A2 Kling, S.
A2 Lau, Stephan
LA English
YR 2020
UL https://krimdok.uni-tuebingen.de/Record/173855760X
AB A logistic regression model for 289 cases of schizophrenic offenders in a Swiss forensic hospital between 1995 and 2016 revealed the following factors for above average levels of antipsychotic overdosing and polypharmacy: Odds for overdosing increased in absence of a personality disorder (237%), for each point increase in emotional withdrawal (63.5%) and motor retardation (71.7%), and decreased for poor rapport (42.3%) recorded at admission. Odds for polypharmacy increased with complaints about physicians (157%), for each point increase in IQ (3.6%; range = 65-131, M = 92, SD = 14), reduction of the security level of the ward (36.8%; four levels), and for each point increase in poor attention (27.6%) at admission. It decreased with each previous conviction (10.9%; range = 1-21, M = 3, SD = 2), breaking of rules (46.4%) and the administration of compulsory measures (55.7%) on the ward, a poor legal prognosis (29.4%, four levels), and each point increase in grandiosity (40.3%), passive social withdrawal (42.3%), and depressive symptoms (38.7%) at admission.
K1 Antipsychotic dosing
K1 Forensic psychiatry
K1 Evidence-based treatment of schizophrenia
K1 Schizophrenic delinquents
K1 Antipsychotic polypharmacy
DO 10.1177/0306624X19895903