Risk factors for socially dangerous actions in patients with paranoid schizophria

Background . The definition of risk factors for dangerous actions in mental disorders is relevant in psychiatry. The aim . Study of risk factors for socially dangerous actions (SDA) in patients with paranoid schizophrenia. Materials and methods . Clinical-psychopathological, clinical-anamnestic, and psychometric (PANSS scale) methods were used. The study examined male patients (average age 41.3 ± 12.8 years) with paranoid schizophrenia, an episodic type of course, undergoing compulsory inpatient treatment. Results . In 72.7 % of cases, SDA was committed by patients under the influence of psychotic experiences with hallucinatory-delusional (22.7 %), delusional (50 %) syndromes, in 27.3 % of cases – with negative symptoms and severe behavioral disorders. Minor injury to health and crimes against persons unknown to patients were more common in the group with negative symptoms (p = 0.042 and p = 0.012, significant differennces – s.d.), рpatients with delusional syndrome were s.d. more likely to be single (p = 0.035). The accentuation of the emotionally unstable type, alcohol consumption, and psychoactive substances were s.d. more common in patients with negative symptoms (p = 0.008, p = 0.011); alcohol dependence syndrome, of the middle stage, with a hallucinatory-delusional seizure structure (p = 0.042). According to the PANSS scale, in the group with hallucinatory delusional syndrome, s.d. among positive syndromes was 71.4 %. In patients with delusional syndrome and negative symptoms, the reliability among negative syndromes was 71.4 % and 51.7 %, respectively. Conclusions . Identification of risk factors for the formation of socially dangerous actions in patients with schizophrenia helps to prevent dangerous actions.