The Experts below are selected from a list of 201 Experts worldwide ranked by ideXlab platform
Katherine J. Holzer - One of the best experts on this subject based on the ideXlab platform.
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Homicidal Ideation among children and adolescents evidence from the 2012 2016 nationwide emergency department sample
The Journal of Pediatrics, 2020Co-Authors: Michael G Vaughn, Jason T. Carbone, Matt Delisi, Katherine J. HolzerAbstract:Objective To assess the prevalence and behavioral, sociodemographic, and psychiatric/psychological correlates of Homicidal Ideation among a sample of children and adolescents. Study design We employed descriptive and multivariate logit models of Homicidal Ideation using data from the 2012-2016 Nationwide Emergency Department Sample from the Healthcare Cost and Utilization Project. This study was conducted with data from emergency departments in the US, and we used a sample of (N = 17 041 346) children and adolescents between the ages of 5 and 17 years. Results Pediatric Homicidal Ideation is rare with a prevalence estimate of 0.09%; however, its prevalence increases substantially from age 5 years to age 15 years when it peaks, and then declines through the end of adolescence. Conduct disorders conferred 1483% increased odds, attention deficit hyperactivity disorder conferred 616% increased odds, and other behavioral and emotional disorders increased a 2-fold to nearly 4-fold increased liability for Homicidal Ideation net the effects of sex, age, urban residence, insurance status, and zip code median household income. Conclusion In the wake of homicide tragedies, it is often the case that numerous behavioral and clinical red flags were present in the developmental history of the perpetrator, but these were overlooked. Identifying children and adolescents who present with Homicidal Ideation is a crucial pediatric and public health matter that can inform prevention and behavioral interventions that forestall lethal violence.
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Homicidal Ideation and Forensic Psychopathology: Evidence From the 2016 Nationwide Emergency Department Sample (NEDS)
Journal of Forensic Sciences, 2019Co-Authors: Jason T. Carbone, Michael G Vaughn, Katherine J. Holzer, Matthew DelisiAbstract:Homicide is the most serious and costly criminal offense and better forensic and criminological understanding of Homicidal Ideation as a potential psychobehavioral precursor to Homicidal conduct is critical. Using data from the 2016 Nationwide Emergency Department Sample (NEDS) from the Healthcare Cost and Utilization Project (HCUP) distributed by the Agency for Healthcare Research and Quality (AHRQ), we found 64,910 cases of Homicidal Ideation among a sample of 25.6 + million-a prevalence of 0.25%. Numerous conditions conferred increased substantially the likelihood of Homicidal Ideation including antisocial personality disorder (2406%), schizoaffective disorder (1821%), borderline personality disorder (1557%), paranoid personality disorder (1,504%), schizophrenia (1,143%), obsessive-compulsive personality disorder (921%), brief psychotic disorder (771%), unspecified psychosis (737%), avoidant personality disorder (596%), and schizoid personality disorder (571%), delusional disorder (546%), and other psychotic disorder (504%). Homicidal Ideation is comorbid with serious psychiatric and behavioral problems and has important implications for offender typologies and Homicidality.
Curt D Furberg - One of the best experts on this subject based on the ideXlab platform.
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Prescription Drugs Associated with Reports of Violence Towards Others
2013Co-Authors: Thomas J Moore, Joseph Glenmullen, Curt D FurbergAbstract:Context: Violence towards others is a seldom-studied adverse drug event and an atypical one because the risk of injury extends to others. Objective: To identify the primary suspects in adverse drug event reports describing thoughts or acts of violence towards others, and assess the strength of the association. Methodology: From the Food and Drug Administration (FDA) Adverse Event Reporting System (AERS) data, we extracted all serious adverse event reports for drugs with 200 or more cases received from 2004 through September 2009. We identified any case report indicating homicide, Homicidal Ideation, physical assault, physical abuse or violence related symptoms. Main Outcome Measures: Disproportionality in reporting was defined as a) 5 or more violence case reports, b) at least twice the number of reports expected given the volume of overall reports for that drug, c) a x2 statistic indicating the violence cases were unlikely to have occurred by chance (p,0.01). Results: We identified 1527 cases of violence disproportionally reported for 31 drugs. Primary suspect drugs included varenicline (an aid to smoking cessation), 11 antidepressants, 6 sedative/hypnotics and 3 drugs for attention deficit hyperactivity disorder. The evidence of an association was weaker and mixed for antipsychotic drugs and absent for all but 1 anticonvulsant/mood stabilizer. Two or fewer violence cases were reported for 435/484 (84.7%) of all evaluable drug
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thoughts and acts of aggression violence toward others reported in association with varenicline
Annals of Pharmacotherapy, 2010Co-Authors: Thomas J Moore, Joseph Glenmullen, Curt D FurbergAbstract:Background:Thoughts and acts of aggression/violence toward others have been reported in postmarketing surveillance of varenicline, an aid to smoking cessation.Objective:To identify the common characteristics of these thoughts and acts of aggression/violence toward others and assess the likely relationship to varenicline treatment.Methods:We obtained 78 adverse event reports from the Food and Drug Administration MedWatch database containing medical terms describing possible acts or thoughts of aggression/violence; 4 additional cases were reported in clinical trials, and 3 others came from the published literature. We used psychiatric diagnostic criteria and an adverse event causality assessment tool to identify 26 case reports for study.Results:The selected cases described 10 events with assault, 9 cases of Homicidal Ideation, and 7 cases of other thoughts or acts of aggression/violence. The most frequent common characteristics were (1) inexplicable and unprovoked event, (2) the victim was anyone nearby, (...
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Prescription drugs associated with reports of violence towards others.
Public Library of Science (PLoS), 2026Co-Authors: Thomas J Moore, Joseph Glenmullen, Curt D FurbergAbstract:CONTEXT: Violence towards others is a seldom-studied adverse drug event and an atypical one because the risk of injury extends to others. OBJECTIVE: To identify the primary suspects in adverse drug event reports describing thoughts or acts of violence towards others, and assess the strength of the association. METHODOLOGY: From the Food and Drug Administration (FDA) Adverse Event Reporting System (AERS) data, we extracted all serious adverse event reports for drugs with 200 or more cases received from 2004 through September 2009. We identified any case report indicating homicide, Homicidal Ideation, physical assault, physical abuse or violence related symptoms. MAIN OUTCOME MEASURES: Disproportionality in reporting was defined as a) 5 or more violence case reports, b) at least twice the number of reports expected given the volume of overall reports for that drug, c) a χ2 statistic indicating the violence cases were unlikely to have occurred by chance (p
Luc Bourgon - One of the best experts on this subject based on the ideXlab platform.
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Homicidal Ideation with intent during a manic episode triggered by antidepressant medication in a man with brain injury
Bipolar Disorders, 2008Co-Authors: Marie-josé Dealberto, Josie Marino, Luc BourgonAbstract:BACKGROUND: Mood disorders are more frequent after brain injury and both depressive and manic episodes are associated in these patients with an increased risk of aggression. Antidepressant medications are associated with a risk of manic induction. CASE REPORT: We describe a case of Homicidal Ideation with intent during the onset of a manic episode in a patient with prior brain injury on antidepressant medication at low dosage. The manic episode could have been secondary to brain injury and/or triggered by antidepressant medications. This case raises the possibility of the sensitizing role of brain injury for antidepressant-induced mania. CONCLUSIONS: Further studies are needed to assess the role of brain injury as a risk factor for antidepressant-induced mania. Physicians should be cautious when prescribing antidepressants to patients with prior brain injury and inform them and their relatives of the possibility of a switch into mania. Language: en
Danny Sullivan - One of the best experts on this subject based on the ideXlab platform.
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managing risks of violence in a youth mental health service a service model description
Early Intervention in Psychiatry, 2012Co-Authors: Rosemary Purcell, Richard Fraser, Catherine Greenwoodsmith, Gennady Baksheev, Jennifer Mccarthy, David Reid, Anthea Lemphers, Danny SullivanAbstract:Aim: There is a significant relationship between experiencing a severe mental illness, particularly psychosis, and exhibiting violent or offending behaviour. Reducing, if not preventing, the risks of violence among patients of mental health services is clinically warranted, but models to address this are limited. Methods: We provide a rationale for, and service description of, a pilot forensic satellite clinic embedded within an early intervention service for patients with emerging psychosis, mood disorder and/or personality disorders. The core elements of the programme and its implementation are described, and demographic, clinical and risk data are presented for the patients assessed during the clinic's pilot phase. Results: A total of 54 patients were referred, 45 of whom were subsequently assessed via primary or secondary consultation. The majority of patients were male, with psychosis (40%) or major depressive disorder (31%) as the most common diagnoses. Illicit substance use in the sample was common, as was previous aggression (81%) and prior criminal offences (51%). Most referrals related to assessing and managing violent behaviour (64%) and violent/Homicidal Ideation (38%). On the basis of the risk assessments, 71% of patients were rated as medium to high risk of offending. Conclusion: Assessing and managing risks of violent offending among young patients are both clinically indicated for a proportion of patients and feasible via a forensic outreach model. Given the proliferation of early psychosis services worldwide, the issue of managing, and ideally preventing, patient risk of violence will almost certainly have wide application. However, a comprehensive evaluation of this model is required to ultimately determine the effectiveness of this approach for improving patient outcomes. Language: en
Siobhan Odwyer - One of the best experts on this subject based on the ideXlab platform.
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like death is near expressions of suicidal and Homicidal Ideation in the blog posts of family caregivers of people with dementia
Systems Research and Behavioral Science, 2019Co-Authors: Joel G Anderson, Alexis Eppes, Siobhan OdwyerAbstract:Background: The challenges of providing care for someone with Alzheimer’s disease and related dementias (ADRD) have been associated with increased stress, poor mental and physical health, social isolation, and financial distress. More recently, caregiving has been associated with high rates of suicidal and Homicidal Ideation, but the research on these phenomena is limited. The present study analyzed a sample of blogs written by family caregivers of people with ADRD to explore thoughts of suicide and homicide expressed by these caregivers. Methods: Blogs written by self-identified informal caregivers of people with ADRD were identified using a systematic search method and data were analyzed using a qualitative thematic analysis. Results: Five themes related to thoughts of suicide and homicide by caregivers and people with ADRD were derived from the analysis: (1) end-of-life care; (2) thoughts of death and euthanasia by the person with ADRD; (3) surrogate decision making; (4) thoughts of suicide by the caregiver; and (5) thoughts of homicide and euthanasia by the caregiver. Conclusions: The results capture the reality of suicidal and Homicidal thoughts among family caregivers of people with ADRD, supporting calls for more research on these complex topics and highlighting the need for changes to clinical practice to prevent thoughts from becoming behaviors or actions.
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Homicidal Ideation in family carers of people with dementia
Aging & Mental Health, 2016Co-Authors: Siobhan Odwyer, Wendy Moyle, Tara Taylor, Jennifer Creese, Melanie J ZimmergembeckAbstract:Objective: Family carers of people with dementia have higher than average rates of suicidal Ideation, but there has been no research on Homicidal Ideation in this population. The aim of this study was to explore thoughts of homicide in family carers of people with dementia.Method: A descriptive qualitative approach was taken. Twenty-one Australian carers (7 men, 14 women) participated in individual, in-depth interviews and the transcripts were analysed thematically.Results: Seven themes were identified in the data – active thoughts of homicide; understanding Homicidal thoughts in others; passive thoughts of death; euthanasia; Homicidal thoughts in other caregiving situations; abuse; and disclosing thoughts of harm. Two of the 21 participants had actively contemplated the homicide of their care recipient, four expressed a passive desire for the care recipient's death, and four reported physically or verbally abusing the care recipient. Only one carer had previously disclosed these experiences.Conclusion: H...