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Alcohol use disorder as a risk factor for violent offending in a sample of female forensic-psychiatric inpatients

Published online by Cambridge University Press:  01 September 2022

I. Franke ,
J. Streb ,
M. Dudeck ,
J. Mayer ,
I. Steiner  and
V. Wolf
I. Franke*
Affiliation:
Ulm University, Forensic Psychiatry And Psychotherapy, Guenzburg, Germany
J. Streb
Affiliation:
Ulm University, Forensic Psychiatry And Psychotherapy, Guenzburg, Germany
M. Dudeck
Affiliation:
Ulm University, Forensic Psychiatry And Psychotherapy, Guenzburg, Germany
J. Mayer
Affiliation:
kbo-Isar-Amper-Clinics Taufkirchen (Vils), Department Of Forensic Psychiatry And Psychotherapy, Taufkirchen (Vils), Germany
I. Steiner
Affiliation:
kbo-Isar-Amper-Clinics Taufkirchen (Vils), Department Of Forensic Psychiatry And Psychotherapy, Taufkirchen (Vils), Germany
V. Wolf
Affiliation:
kbo-Isar-Amper-Clinics Taufkirchen (Vils), Department Of Forensic Psychiatry And Psychotherapy, Taufkirchen (Vils), Germany
*
*Corresponding author.

Abstract

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Introduction

Female gender is associated with a lower risk for aggressive behaviour and violent offending. Well established risk factors for aggressive behaviour are alcohol and other substance use, but previous studies focused mainly on male offenders and the general population. However, for therapeutic and prognostic reasons it is important to understand pathways to female offending.

Objectives

To examine a sample of female forensic-psychiatric inpatients regarding the association of alcohol (AUD) and other substance use disorders (SUD) with violent offending (homicide, assault, robbery).

Methods

We conducted a retrospective cohort study of 334 female patients discharged before 01.01.2019 from a secure psychiatric hospital in Germany.

Results

In total, 72% of the patients with AUD committed a violent crime, leading to admission to secure psychiatric treatment. In comparison a statistically significant lower rate (19%) of the SUD group was convicted of violent offending. Over 70% of the participants with AUD had a family history of AUD, and over 83% experienced physical violence in adulthood. We found no group differences (AUD vs. SUD) regarding aggressive behaviour during inpatient treatment.

Conclusions

According to our results, AUD compared to other SUD, is a significant risk factor for violent offending in women. A family background with AUD and a history of physical abuse might function as a risk factor for both: developing an AUD and violent offending. The comparable rates of aggression in both groups during inpatient treatment suggest that abstinence is a protective factor.

Disclosure

No significant relationships.

Keywords

female offendingviolenceTreatmentalcohol
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S348
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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