{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T08:18:17Z","timestamp":1789460297130,"version":"build-2803163510"},"reference-count":29,"publisher":"Royal College of Psychiatrists","issue":"5","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":6090,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2001,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Recent research has reported increased risk of aggressive incidents by individuals with psychotic illness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To examine acts of aggression in first-episode psychosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Subjects with a first-episode psychosis were ascertained from a defined catchment area (Nottingham, UK) and reassessed at 3 years (<jats:italic>n<\/jats:italic>=166) using clinical interview, informants, health care and forensic records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the subjects, 9.6% demonstrated at least one act of serious aggression (defined as weapon use, sexual assault or victim injury) during at least one psychotic episode and 23.5% demonstrated lesser acts of aggression (defined as all other acts of aggression). For all aggressive subjects (33.1%), unemployment (OR=3.6, 95%CI 1.6\u20138.0), comorbid substance misuse (OR=3.1, CI 1.1\u20138.8) and symptoms of overactivity at service contact (OR=6.9, CI 2.7\u201317.8) had independent effects on risk of aggression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We confirmed some previously reported demographic and clinical associations with aggression in first-episode psychosis but no relationship with specific psychotic symptoms or diagnostic groups was observed.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.178.5.433","type":"journal-article","created":{"date-parts":[[2002,8,29]],"date-time":"2002-08-29T21:36:18Z","timestamp":1030656978000},"page":"433-440","source":"Crossref","is-referenced-by-count":78,"title":["Aggressive incidents in first-episode psychosis"],"prefix":"10.1192","volume":"178","author":[{"given":"John","family":"Milton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shazad","family":"Amin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swaran P.","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glynn","family":"Harrison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Croudace","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Medley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Brewin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000270451_ref9","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.161.4.501"},{"key":"S0007125000270451_ref14","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1007\/BF00788184","article-title":"Aggressive and violent behaviour in a population of psychiatric inpatients","volume":"32","author":"Raja","year":"1997","journal-title":"Social Psychiatry and Psychiatric Epidemiology"},{"key":"S0007125000270451_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7193.1240"},{"key":"S0007125000270451_ref10","volume-title":"Schizophrenia: Manifestations, Incidence and Course in Different Cultures. 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