Sz. Kaliski et T. Zabow, VIOLENCE, SENSATION SEEKING, AND IMPULSIVITY IN SCHIZOPHRENICS FOUND UNFIT TO STAND TRIAL, Bulletin of the American Academy of Psychiatry and the Law, 23(1), 1995, pp. 147-155
Many studies have confirmed an association between violent behavior, i
mpulsivity, and sensation seeking in nonpsychotic subjects. Schizophre
nic patients (n = 49) who had been found unfit to stand trial were inv
estigated for violence, according to index offenses and longitudinal h
istories (before and after admission) for violence. Those charged with
violent offenses were significantly more often married with children,
and were equally likely to direct their assaultiveness to strangers,
acquaintances, and family members. The nature of the index offense see
med to be a good indicator of general violent propensity. No significa
nt differences were found on Barratt's Impulsivity Scale and Zuckerman
's Sensation Seeking Scale, except that schizophrenic patients with ne
gative histories of violence scored higher on the thrill and adventure
subscale. No pattern of substance abuse differentiated the groups. Pa
tients charged with violent offenses more often presented with persecu
tory delusions, but this did not extend to those whose histories were
positive for repetitive violence. Although impulsivity and sensation s
eeking do not seem to cause violent behavior in this group, psychopath
ology can also only be regarded as a necessary but not sufficient dete
rminant.