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Outcomes of public concern in schizophrenia

  • Iain Kooyman (a1), Kimberlie Dean (a1), Samuel Harvey (a2) and Elizabeth Walsh (a2)

Abstract

Background

Schizophrenia is known to be associated with a range of adverse outcomes, which have an impact at the societal level and are therefore of public concern

Aims

To examine the epidemiology and methods for measuring six adverse outcomes in schizophrenia: violence, victimisation, suicide/self-harm, substance use, homelessness and unemployment

Method

Areview of the literature was carried out for each adverse outcome, with attention to critical appraisal of existing measurement tools

Results

Schizophrenia is associated strongly with all six outcomes, although research has mainly focused on violence. Each outcome acts as a risk factor for at least some of the other outcomes. There are few standardised or validated measures for these'hard' outcomes. Each measure has inherent biases but a growing trend is for these to be minimised by using multiple measures

Conclusions

Asingle instrument which systematically measures multiple societal outcomes of schizophrenia would be extremely useful for both clinical and research purposes

Copyright

Corresponding author

Dr Iain Kooyman, Department of Forensic Mental Health Science, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. Email: Iain.Kooyman@iop.kcl.ac.uk

Footnotes

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Declaration of interest

None.

Footnotes

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Outcomes of public concern in schizophrenia

  • Iain Kooyman (a1), Kimberlie Dean (a1), Samuel Harvey (a2) and Elizabeth Walsh (a2)
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