Co-occurring mental health and substance use problems in offenders: implications for risk assessment.

Abstract:

:We undertook a secondary data analysis to study issues relevant to co-occurring mental health and substance disorder in a combined sample of offenders (N = 3,197). Using the Personality Assessment Inventory, we compared the frequency of depressive, traumatic stress, and personality disorder symptom elevations across offenders with and without substance problems, identified the extent to which co-occurring problems were accompanied by risk factors for suicide and aggression, and tested for gender differences. Offenders with substance problems were more likely than others to have increased mental health problems and risk factors for suicide or aggression. Women with substance problems, compared with men, had higher depression, traumatic stress, and borderline features, in addition to lower antisocial features. The frequency with which suicide and aggression risk factors were associated with mental health problems was generally similar across men and women. Measurement issues relevant to co-occurring disorder and risk assessment are discussed.

journal_name

Psychol Assess

journal_title

Psychological assessment

authors

Ruiz MA,Douglas KS,Edens JF,Nikolova NL,Lilienfeld SO

doi

10.1037/a0024623

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

77-87

issue

1

eissn

1040-3590

issn

1939-134X

pii

2011-15470-001

journal_volume

24

pub_type

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