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Table 3 Associations between symptoms recorded in the assessment of mental state at the time of examination and active psychotic state in cases of violent crime, stratified by schizophrenia and other psychotic disorders, n = 191, risk ratios (RR) estimated by generalized linear mixed model

From: Are symptoms assessed differently for schizophrenia and other psychoses in legal insanity evaluations of violent crimes?

 

Time of examination

 

Schizophrenia

 

Other psychotic disordersc

Symptoms

Active psychotic statea

RRb

95%CI

Active psychotic state

RR

95% CI

Yes

No

Yes

No

P1 Delusions

Present

60 (88.2)

8 (11.8)

2.02**

19 (61.3)

12 (38.7)

18.4***

Not/no infod

14 (43.8)

18 (56.3)

[1.35–3.01]

2 (3.3)

58 (96.7)

[4.40–76.7]

P2 Conceptual disorganization

Present

49 (87.5)

7 (12.5)

1.54**

9 (64.3)

5 (35.7)

4.13***

Not/no info

25 (56.8)

19 (43.2)

[1.19–1.99]

12 (15.6)

65 (84.4)

[2.19–7.77]

P3 Hallucina-tory behavior

Present

47 (90.4)

5 (9.6)

1.61***

8 (80.0)

2 (20.0)

4.98***

Not/no info

27 (55.2)

21 (43.8)

[1.25–2.07]

13 (16.0)

68 (84.0)

[2.87–8.65]

Psychotic symptomse

Present

55 (88.7)

7 (11.3)

1.77**

14 (66.7)

7 (33.3)

6.67***

Not/no info

19 (50.0)

19 (50.0)

[1.28–2.46]

7 (10.0)

63 (90.0)

[2.81–15.8]

Impaired level of functione

Present

44 (84.6)

8 (15.4)

1.35*

7 (29.2)

17 (70.8)

1.40

Not/no info

30 (62.5)

18 (37.5)

[1.05–1.75]

14 (20.9)

53 (79.1)

[0.61–3.20]

  1. aThis refers to the conclusion of whether the defendant had an active psychotic state of illness (equivalent to legal insanity) at the time of the mental examination (MSE). bRR = Risk ratio. cAll other diagnoses from F2 and F3-chapters, including SIPD, see Table 1. dThis category includes symptoms recorded as absent, and symptoms not mentioned. eThese are general terms used by the forensic experts in their description of the defendants’ mental state
  2. *p < 0.05, **p < 0.01, ***p < 0.001