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Homicidal Ideation and Forensic Psychopathology: Evidence From the 2016 Nationwide Emergency Department Sample (NEDS)
Author(s) -
Carbone Jason T.,
Holzer Katherine J.,
Vaughn Michael G.,
DeLisi Matthew
Publication year - 2020
Publication title -
journal of forensic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.715
H-Index - 96
eISSN - 1556-4029
pISSN - 0022-1198
DOI - 10.1111/1556-4029.14156
Subject(s) - borderline personality disorder , psychiatry , antisocial personality disorder , schizoaffective disorder , schizophrenia (object oriented programming) , psychology , suicidal ideation , clinical psychology , delusional disorder , personality disorders , psychopathology , avoidant personality disorder , personality , poison control , medicine , psychosis , suicide prevention , injury prevention , medical emergency , social psychology
Homicide is the most serious and costly criminal offense and better forensic and criminological understanding of homicidal ideation as a potential psychobehavioral precursor to homicidal conduct is critical. Using data from the 2016 Nationwide Emergency Department Sample ( NEDS ) from the Healthcare Cost and Utilization Project ( HCUP ) distributed by the Agency for Healthcare Research and Quality ( AHRQ ), we found 64,910 cases of homicidal ideation among a sample of 25.6 + million—a prevalence of 0.25%. Numerous conditions conferred increased substantially the likelihood of homicidal ideation including antisocial personality disorder (2406%), schizoaffective disorder (1821%), borderline personality disorder (1557%), paranoid personality disorder (1,504%), schizophrenia (1,143%), obsessive–compulsive personality disorder (921%), brief psychotic disorder (771%), unspecified psychosis (737%), avoidant personality disorder (596%), and schizoid personality disorder (571%), delusional disorder (546%), and other psychotic disorder (504%). Homicidal ideation is comorbid with serious psychiatric and behavioral problems and has important implications for offender typologies and homicidality.