Family Histories of Mental Illness and Violence in State Patients

dc.contributor.advisorRoffey, M
dc.contributor.advisorKaliski, Sean
dc.contributor.advisorRamesar, S
dc.contributor.authorVogts, Elizabeth
dc.date.accessioned2022-03-22T10:32:56Z
dc.date.available2022-03-22T10:32:56Z
dc.date.issued2021
dc.date.updated2022-03-22T07:38:35Z
dc.description.abstractBackground: It is known that both severe mental illness and violence have genetic components. Multiple genes play a role in the cause of violent behaviour. Violence is one of the leading causes of death for young people in South Africa and yet little is known about its prevalence in state patients and their family members. Aim: This study aimed to investigate the prevalence of violence and mental illness in the families of state patients, to what extend these coincide and to compare schizophrenia and mood psychosis in that context. Setting: The study included 60 state patients' folders, all of whom were diagnosed with a psychotic disorder, in accordance with DSM5 criteria. The subjects were divided into two groups: those who have committed violence and those who have not committed violence. Method: Patients' folders were selected by purposive sampling. These folders were then reviewed by the researcher and a questionnaire was completed. Results: Violent patients had more first-generation relatives with violent convictions (68.2%), compared to 36.4% of non-violent patients. Only 3.3% of non-violent patients witnessed domestic violence, whereas 13.3% of violent patients witnessed domestic violence. A significantly higher proportion of patients with bipolar disorder had been convicted of physical assault (p=0.035). 17.6% of violent schizophrenia patients had a family history of violence and mental illness, compared to 18.2% of violent patients with mood psychoses which is not statistically significant. Conclusion: It was found that violence runs in families and that mental illness and violence was prevalent in the described group. Of further concern was that more violent patients witnessed domestic violence compared to non-violent patients, emphasising the idea that the cause of violence is multifactorial (genetic, environmental), and that identification of not only high-risk patients but also high-risk families need to be implemented.
dc.identifier.apacitationVogts, E. (2021). <i>Family Histories of Mental Illness and Violence in State Patients</i>. (). ,Faculty of Health Sciences ,Department of Psychiatry and Mental Health. Retrieved from http://hdl.handle.net/11427/36199en_ZA
dc.identifier.chicagocitationVogts, Elizabeth. <i>"Family Histories of Mental Illness and Violence in State Patients."</i> ., ,Faculty of Health Sciences ,Department of Psychiatry and Mental Health, 2021. http://hdl.handle.net/11427/36199en_ZA
dc.identifier.citationVogts, E. 2021. Family Histories of Mental Illness and Violence in State Patients. . ,Faculty of Health Sciences ,Department of Psychiatry and Mental Health. http://hdl.handle.net/11427/36199en_ZA
dc.identifier.ris TY - Master Thesis AU - Vogts, Elizabeth AB - Background: It is known that both severe mental illness and violence have genetic components. Multiple genes play a role in the cause of violent behaviour. Violence is one of the leading causes of death for young people in South Africa and yet little is known about its prevalence in state patients and their family members. Aim: This study aimed to investigate the prevalence of violence and mental illness in the families of state patients, to what extend these coincide and to compare schizophrenia and mood psychosis in that context. Setting: The study included 60 state patients' folders, all of whom were diagnosed with a psychotic disorder, in accordance with DSM5 criteria. The subjects were divided into two groups: those who have committed violence and those who have not committed violence. Method: Patients' folders were selected by purposive sampling. These folders were then reviewed by the researcher and a questionnaire was completed. Results: Violent patients had more first-generation relatives with violent convictions (68.2%), compared to 36.4% of non-violent patients. Only 3.3% of non-violent patients witnessed domestic violence, whereas 13.3% of violent patients witnessed domestic violence. A significantly higher proportion of patients with bipolar disorder had been convicted of physical assault (p=0.035). 17.6% of violent schizophrenia patients had a family history of violence and mental illness, compared to 18.2% of violent patients with mood psychoses which is not statistically significant. Conclusion: It was found that violence runs in families and that mental illness and violence was prevalent in the described group. Of further concern was that more violent patients witnessed domestic violence compared to non-violent patients, emphasising the idea that the cause of violence is multifactorial (genetic, environmental), and that identification of not only high-risk patients but also high-risk families need to be implemented. DA - 2021_ DB - OpenUCT DP - University of Cape Town KW - Violence KW - Schizophrenia KW - Mood psychoses KW - State patients KW - Genetics KW - South Africa LK - https://open.uct.ac.za PY - 2021 T1 - Family Histories of Mental Illness and Violence in State Patients TI - Family Histories of Mental Illness and Violence in State Patients UR - http://hdl.handle.net/11427/36199 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/36199
dc.identifier.vancouvercitationVogts E. Family Histories of Mental Illness and Violence in State Patients. []. ,Faculty of Health Sciences ,Department of Psychiatry and Mental Health, 2021 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/36199en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Psychiatry and Mental Health
dc.publisher.facultyFaculty of Health Sciences
dc.subjectViolence
dc.subjectSchizophrenia
dc.subjectMood psychoses
dc.subjectState patients
dc.subjectGenetics
dc.subjectSouth Africa
dc.titleFamily Histories of Mental Illness and Violence in State Patients
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMMed
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