C Christ1, M de Jonge2, C L H Bockting3, M J Kikkert2, D J F van Schaik4, A T F Beekman4, J J M Dekker5. 1. Department of Research, Arkin Mental Health Care, Klaprozenweg 111, Amsterdam 1033 NN, The Netherlands; Department of Psychiatry, VU University Medical Center/GGZ inGeest, The Netherlands; Amsterdam Public Health research institute, VUmc, Amsterdam, The Netherlands. Electronic address: carolien.christ@arkin.nl. 2. Department of Research, Arkin Mental Health Care, Klaprozenweg 111, Amsterdam 1033 NN, The Netherlands. 3. Academic Medical Center, Department Psychiatry, University of Amsterdam, Amsterdam, The Netherlands. 4. Department of Psychiatry, VU University Medical Center/GGZ inGeest, The Netherlands; Amsterdam Public Health research institute, VUmc, Amsterdam, The Netherlands. 5. Department of Research, Arkin Mental Health Care, Klaprozenweg 111, Amsterdam 1033 NN, The Netherlands; Vrije Universiteit Amsterdam, Department of Clinical Psychology, Amsterdam, The Netherlands.
Abstract
BACKGROUND: Depressed patients are at increased risk to fall victim to a violent crime compared to the general population. It remains unknown whether their increased risk persists after remission. This study compared victimization rates of remitted patients with both a random general population sample and a group of currently depressed patients. Furthermore, this study aimed to identify predictors of future violent victimization. METHODS: In this longitudinal study conducted in the Netherlands, 12-month prevalence rates of sexual assaults, physical assaults, and threats were assessed with the Safety Monitor in 140 currently remitted patients with recurrent depression, and compared to those of a weighted general population sample (N = 9.175) and a weighted sample of currently depressed outpatients (N = 102) using Chi-square tests. Logistic regression analyses were performed to identify baseline predictors of future victimization. RESULTS: The prevalence of violent victimization did not differ between remitted patients and the general population (12.1 vs. 11.7%). Remitted patients were significantly less likely to have been victimized over the past 12 months than currently depressed patients (12.1 vs. 35.5%). In remitted patients, living alone and low sense of mastery at baseline predicted future violent victimization. However, when combined in a multiple model, only living alone was independently associated with violent victimization (χ2 = 16.725, df = 2, p < .001, R2 = 0.221). LIMITATIONS: Our comparison of victimization rates across samples was cross-sectional. CONCLUSIONS: Since the increased risk of victimization appears to be specific for the acute depressive state, preventive interventions should target victimization in currently depressed patients. TRIAL REGISTRATION: Netherlands Trial Register (NTR): 2599.
BACKGROUND:Depressedpatients are at increased risk to fall victim to a violent crime compared to the general population. It remains unknown whether their increased risk persists after remission. This study compared victimization rates of remitted patients with both a random general population sample and a group of currently depressedpatients. Furthermore, this study aimed to identify predictors of future violent victimization. METHODS: In this longitudinal study conducted in the Netherlands, 12-month prevalence rates of sexual assaults, physical assaults, and threats were assessed with the Safety Monitor in 140 currently remitted patients with recurrent depression, and compared to those of a weighted general population sample (N = 9.175) and a weighted sample of currently depressed outpatients (N = 102) using Chi-square tests. Logistic regression analyses were performed to identify baseline predictors of future victimization. RESULTS: The prevalence of violent victimization did not differ between remitted patients and the general population (12.1 vs. 11.7%). Remitted patients were significantly less likely to have been victimized over the past 12 months than currently depressedpatients (12.1 vs. 35.5%). In remitted patients, living alone and low sense of mastery at baseline predicted future violent victimization. However, when combined in a multiple model, only living alone was independently associated with violent victimization (χ2 = 16.725, df = 2, p < .001, R2 = 0.221). LIMITATIONS: Our comparison of victimization rates across samples was cross-sectional. CONCLUSIONS: Since the increased risk of victimization appears to be specific for the acute depressive state, preventive interventions should target victimization in currently depressedpatients. TRIAL REGISTRATION: Netherlands Trial Register (NTR): 2599.
Authors: Marko Mikkola; Noora Ellonen; Markus Kaakinen; Iina Savolainen; Anu Sirola; Izabela Zych; Hye-Jin Paek; Atte Oksanen Journal: Int J Environ Res Public Health Date: 2022-09-25 Impact factor: 4.614