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. 2021 Oct 8;16(10):e0258346. doi: 10.1371/journal.pone.0258346

Table 1. Included studies on the possible association of patient diagnosis and the development of aggression.

Author Diagnosis Risk for aggression
Schaefer et al., 2016 [97] Psychotic disorder OR = 2.08 (95% CI = 1.58–2.72) p < .05
Manic disorder OR = 4.22 (95% CI = 2.99–5.96) p < .05
Johnson et al., 2016 [98] Bipolar disorder in combination with positive drug screen for cannabis More episodes of aggression (p = .033)
Van Dongen, 2016 [96] Persecutory ideation Predictor for observed aggression on SDAS: B = 0.02 (β = 0.46, t(32) = 2.67, 0.12)
Cho et al., 2014 [52] Bipolar diagnosis 39.7% of aggressive patients had this diagnosis vs 27.7% in the non-aggressive group (χ2 = 8.9; df = 3 p < .05)
Van Dongen, 2012 [57] Persecutory ideation Risk for aggression: r = 0.47 (p = .01)
Delusional distress Risk for aggression: r = 0.44 (p = .003)
Kruger & Rosema, 2010 [61] Mental retardation More often diagnosed in violent patients (p = .0017)
Schizophrenia Smallest proportion of this diagnosis in violent patients (no statistics provided)
Disorganised behaviour Seen less in violent patients (p = .0214)
Biancosino et al., 2009 [65] Schizophrenia OR = 3.25 (95% CI = 1.11–9.57) p = .032
Bipolar disorder OR = 4.61 (95% CI = 1.51–14.06) p = .007
Personality disorder OR = 5.89 (95% CI = 1.9–18.23) p = .002
Mental retardation OR = 6.78 (95% CI = 1.32–34.91) p = .022
Bilgin, 2009 [100] Percentage of physically aggressive patients per diagnostic group:
Schizophrenia 34%
Alcohol-substance use disorder 22%
Bipolar disorder 24%
Carr et al., 2008 [66] Schizophrenia OR = 1.8
Depression OR = 0.57
Personality disorder AOR = 2.67
Abderhalden et al., 2007 [72] Schizophrenia OR = 2.10 (95% CI = 1.54–2.88) p < .001
Substance use disorder OR = 0.50 (95% CI = 0.33–0.76) p < .001
Gender and affective disorder OR = 0.68 (95% CI = 0.43–1.08) p = .101
Neurotic and personality disorder OR = 0.56 (95% CI = -.35–0.90) p = .002
Ketelsen et al., 2007 [69] Schizophrenia OR = 2.85 (95% CI = 1.94–4.20) p < .001
El-Badri & Melsop, 2006 [73] Percentage of aggressive patients per diagnostic group:
Schizophrenia 48%
Bipolar disorder 27%
Substance misuse 14%
Raja & Azzoni, 2005 [102] In violent group diagnoses that were more likely:
Schizophrenia χ2 = 14.9; df = 2; p < .001
Mania χ2 = 8.4; df = 2; p < .001
Mellesdal, 2003 [81] Schizophrenic disorder OR = 1.93 (95% CI = 1.29–2.90)
Chou et al., 2002 [104] Psychotic disorder OR = 2.07 (95% CI = 1.34–3.22)
Omerov et al., 2002 [103] Percentage of violent patients per diagnostic group:
Schizophrenia 36%
Other psychotic disorder 18%
Bipolar disorder 17%
Grassi et al., 2001 [87] Schizophrenia or delusional disorder More frequent diagnosis in violent patients: χ2 = 17.5; df = 2; p < .001
Soliman & Reza, 2001 [86] Diagnoses that were more likely to be in the violent group were:
dissocial and emotionally unstable personality disorders χ2 = 16.10; p < .001
personality disorder with non-schizophrenia diagnosis χ2 = 16.22; p < .001
non-alcohol substance use or dependence with nonschizophrenia diagnosis χ2 = 18.73; p < .001
Barlow et al., 2000 [91] Mental state was a causal factor in 65.71% of the cases
In group of 60 aggressive patients 53.3% had a presence of hallucinations or delusions
Schizophrenia OR = 1.96 (95% CI = 1.38–2.79)
Bipolar disorder OR = 2.81 (95% CI = 1.72–4.56)
Depression OR = 0.44 (95% CI = 0.26–0.74)
Adjustment disorder OR = 0.54 (95% CI = 0.33–0.87)

First colum is first author and year of publication and reference, SDAS: Social Dysfunction and Aggression Scale, OR: Odds Ratio, AOR: Adjusted Odds Ratio, CI: 95% Confidence Interval, B: regression coefficient, b: standardised regression coefficient, t: t-score, c2: Chi-square, df: degrees of freedom, r: correlation coefficient.