Encyclopedia of Personality and Individual Differences

Living Edition
| Editors: Virgil Zeigler-Hill, Todd K. Shackelford

Schizophrenia and Crime

Living reference work entry

Later version available View entry history

DOI: https://doi.org/10.1007/978-3-319-28099-8_2315-1


The comorbid relationship between schizophrenia and crime may prove difficult to accept by some researchers, practitioners, and the public alike. However, over the last 50 years, accumulating evidence from several follow-up studies and retrospective studies of birth cohorts, patients, and incarcerated populations globally, have established the schizophrenia and crime link. This chapter reviews the growing empirical evidence to date on the risk-factors and cures associated with schizophrenia, crime, and for both of these conditions. By understanding the etiology of this comorbid relationship, we can reduce the stigma that is associated with these disabling conditions and importantly, begin to direct more resources into developing preventive interventions for individuals at-risk for developing these disabling conditions.


Schizophrenia-spectrum disorders Schizophrenia Psychosis Homicide Violence Mental health Crime Developmental 
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  1. Abu-Akel, A., & Abushua’leh, K. (2004). ‘Theory of mind’ in violent and nonviolent patients with paranoid schizophrenia. Schizophrenia Research, 69, 45–53.CrossRefGoogle Scholar
  2. Allardyce, J., & Boydell, J. (2006). Environment and schizophrenia: Review: The wider social environment and schizophrenia. Schizophrenia Bulletin, 32, 592–598.CrossRefGoogle Scholar
  3. Arseneault, L., Moffitt, T. E., Caspi, A., Taylor, P. J., & Silva, P. A. (2000). Mental disorders and violence in a total birth cohort: Results from the Dunedin study. Archives of General Psychiatry, 57, 979–986.CrossRefGoogle Scholar
  4. Blanchard, J. J., Brown, S. A., Horan, W. P., & Sherwood, A. R. (2000). Substance use disorders in schizophrenia: review, integration, and a proposed model. Clinical psychology review, 20(2), 207–234.CrossRefGoogle Scholar
  5. Brekke, J. S., Prindle, C., Bae, S. W., & Long, J. D. (2001). Risks for individuals with schizophrenia who are living in the community. Psychiatric Services, 52, 1358–1366.CrossRefGoogle Scholar
  6. Brennan, P. A., & Alden, A. (2006). Schizophrenia and violence: The overlap. Crime and schizophrenia: Causes and cures (pp. 15–27). Nova Science Publishers.Google Scholar
  7. Coid, B., Lewis, S. W., & Reveley, A. M. (1993). A twin study of psychosis and criminality. British Journal of Psychiatry, 162, 87–92.CrossRefGoogle Scholar
  8. Corbett, M., Duggan, C., & Larkin, E. (1998). Substance misuse and violence: A comparison of special hospital inpatients diagnosed with either schizophrenia or personality disorder. Criminal behaviour and mental health, 8(4), 311–321.Google Scholar
  9. Eronen, M., Tiihonen, J., & Hakola, P. (1996). Schizophrenia and homicidal behavior. Schizophrenia Bulletin, 22, 83–89.CrossRefGoogle Scholar
  10. Fazel, S., & Danesh, J. (2002). Serious mental disorder in 23 000 prisoners: A systematic review of 62 surveys. Lancet, 359(9306), 545–550.CrossRefGoogle Scholar
  11. Fazel, S., & Grann, M. (2004). Psychiatric morbidity among homicide offenders: A Swedish population study. American Journal of Psychiatry, 161, 2129–2131.CrossRefGoogle Scholar
  12. Fazel, S., Gulati, G., Linsell, L., Geddes, J. R., & Grann, M. (2009a). Schizophrenia and violence: Systematic review and meta-analysis. PLoS Medicine, 6(8), e1000120.CrossRefGoogle Scholar
  13. Fazel, S., Långström, N., Hjern, A., Grann, M., & Lichtenstein, P. (2009b). Schizophrenia, substance abuse, and violent crime. JAMA, 301, 2016–2023.CrossRefGoogle Scholar
  14. Fleischman, A., Werbeloff, N., Yoffe, R., Davidson, M., & Weiser, M. (2014). Schizophrenia and violent crime: a population-based study. Psychological medicine, 44(14), 3051–3057.CrossRefGoogle Scholar
  15. Goethals, K. R., Vorstenbosch, E. C., & van Marle, H. J. (2008). Diagnostic comorbidity in psychotic offenders and their criminal history: A review of the literature. International Journal of Forensic Mental Health, 7, 147–156.CrossRefGoogle Scholar
  16. Gottlieb, P., Gabrielsen, G., & Kramp, P. (1987). Psychotic homicides in Copenhagen from 1959 to 1983. Acta Psychiatrica Scandinavica, 76, 285–292.CrossRefGoogle Scholar
  17. Gourion, D. (2006). Schizophrenia and violence: A common developmental pathway? In A. Raine (Ed.), Crime and schizophrenia: Causes and cures (pp. 203–217). New York: Nova Publishers.Google Scholar
  18. Hodgins, S. (2008). Violent behaviour among people with schizophrenia: A framework for investigations of causes, and effective treatment, and prevention. Philosophical Transactions of the Royal Society, B: Biological Sciences, 363(1503), 2505–2518.CrossRefGoogle Scholar
  19. Hor, K., & Taylor, M. (2010). Suicide and schizophrenia: A systematic review of rates and risk factors. Journal of Psychopharmacology, 24, 81–90.CrossRefGoogle Scholar
  20. Kraepelin, E. (1913). Psychiatrie. (8th ed.). Leipzig: Barth.Google Scholar
  21. Lam, B. Y. H., Yang, Y., Raine, A., & Lee, T. M. C. (2015). Neural mediator of the schizotypy–antisocial behavior relationship. Translational Psychiatry, 5, e669.CrossRefGoogle Scholar
  22. Lam, B. Y., Raine, A., & Lee, T. M. (2016). Effect of theory of mind and peer victimization on the schizotypy–aggression relationship. NPJ Schizophrenia, 2, 16001.CrossRefGoogle Scholar
  23. Large, M. M., & Nielssen, O. (2011). Violence in first-episode psychosis: A systematic review and meta-analysis. Schizophrenia Research, 125, 209–220.CrossRefGoogle Scholar
  24. Large, M. M., Smith, G., & Nielssen, O. (2009). The relationship between the rate of homicide by those with schizophrenia and the overall homicide rate: A systematic review and meta-analysis. Schizophrenia Research, 112, 123–129.CrossRefGoogle Scholar
  25. Lewis, D. O., Yeager, C. A., Gidlow, B., & Lewis, M. (2001). Six adoptees who murdered: Neuropsychiatric vulnerabilities and characteristics of biological and adoptive parents. The Journal of the American Academy of Psychiatry and the Law, 29, 390–397.PubMedGoogle Scholar
  26. Lindqvist, P., & Allebeck, P. (1990). Schizophrenia and crime: A longitudinal follow-up of 644 schizophrenics in Stockholm. The British Journal of Psychiatry, 157, 345–350.CrossRefGoogle Scholar
  27. Liu, J., Wong, K. K. Y., Dong, F., Raine, A., & Tuvblad, C. (2019). The Schizotypal Personality Questionnaire–Child (SPQ-C): Psychometric properties and relations with multi-informant ratings of behavior problems. Psychiatry Research.Google Scholar
  28. McGrath, J., Saha, S., Chant, D., & Welham, J. (2008). Schizophrenia: A concise overview of incidence, prevalence, and mortality. Epidemiologic Reviews, 30, 67–76.CrossRefGoogle Scholar
  29. Meyer, B. J., Byrne, M. K., Collier, C., Parletta, N., Crawford, D., Winberg, P. C., et al. (2015). Baseline omega-3 index correlates with aggressive and attention deficit disorder behaviours in adult prisoners. PLoS One, 10, e0120220.CrossRefGoogle Scholar
  30. Miles, H., Johnson, S., Amponsah-Afuwape, S., Finch, E., Leese, M., & Thornicroft, G. (2003). Characteristics of subgroups of individuals with psychotic illness and a comorbid substance use disorder. Psychiatric Services, 54(4), 554–561.CrossRefGoogle Scholar
  31. Murphy, D. (1998). Theory of mind in a sample of men with schizophrenia detained in a special hospital: its relationship to symptom profiles and neuropsychological tests. Criminal Behaviour and Mental Health, 8(S1), 13–26.Google Scholar
  32. Narayan, V. M., Narr, K. L., Kumari, V., Woods, R. P., Thompson, P. M., Toga, A. W., & Sharma, T. (2007). Regional cortical thinning in subjects with violent antisocial personality disorder or schizophrenia. American Journal of Psychiatry, 164, 1418–1427.CrossRefGoogle Scholar
  33. Naudts, K., & Hodgins, S. (2005). Neurobiological correlates of violent behavior among persons with schizophrenia. Schizophrenia Bulletin, 32, 562–572.CrossRefGoogle Scholar
  34. Pontius, A. (2004). Violence in schizophrenia versus limbic psychotic trigger reaction: Prefrontal aspects of volitional action. Aggression and Violent Behavior, 9(5), 503–521.Google Scholar
  35. Putkonen, A., Kotilainen, I., Joyal, C. C., & Tühonen, J. (2004). Comorbid personality disorders and substance use disorders of mentally ill homicide offenders: A structured clinical study on dual and triple diagnoses. Schizophrenia Bulletin, 30, 59–72.CrossRefGoogle Scholar
  36. Raine, A. (2015). Crime and schizophrenia: Causes and cures. New York: Nova Publishers.Google Scholar
  37. Raine, A., Lencz, T., & Mednick, S. A. (Eds.). (1995). Schizotypal personality. Cambridge, UK: Cambridge University Press.Google Scholar
  38. Raine, A., Venables, P. H., Dalais, C., Mellingen, K., Reynolds, C., & Mednick, S. A. (2001). Early educational and health enrichment at age 3–5 years is associated with increased autonomic and central nervous system arousal and orienting at age 11 years: Evidence from the Mauritius Child Health Project. Psychophysiology, 38, 254–266.CrossRefGoogle Scholar
  39. Raine, A., Portnoy, J., Liu, J., Mahoomed, T., & Hibbeln, J. R. (2015). Reduction in behavior problems with omega-3 supplementation in children aged 8–16 years: A randomized, double-blind, placebo-controlled, stratified, parallel-group trial. Journal of Child Psychology and Psychiatry, 56, 509–520.CrossRefGoogle Scholar
  40. Schug, R. A., & Raine, A. (2009). Comparative meta-analyses of neuropsychological functioning in antisocial schizophrenic persons. Clinical Psychology Review, 29, 230–242.CrossRefGoogle Scholar
  41. Smith, J., & Hucker, S. (1994). Schizophrenia and substance abuse. The British Journal of Psychiatry, 165, 13–21.CrossRefGoogle Scholar
  42. Steinert, T., Voellner, A., & Faust, V. (1998). Violence and schizophrenia: Two types of criminal offenders. The European journal of psychiatry.Google Scholar
  43. Walsh, E., Buchanan, A., & Fahy, T. (2002). Violence and schizophrenia: Examining the evidence. The British Journal of Psychiatry, 180, 490–495.CrossRefGoogle Scholar
  44. Wicks, S., Hjern, A., Gunnell, D., Lewis, G., & Dalman, C. (2005). Social adversity in childhood and the risk of developing psychosis: A national cohort study. American Journal of Psychiatry, 162, 1652–1657.CrossRefGoogle Scholar
  45. Wong, K. K. Y. (2015). Paranoia and social mistrust in UK and Hong Kong children. Doctoral dissertation, University of Cambridge.Google Scholar
  46. Wong, K. K., Freeman, D., & Hughes, C. (2014). Suspicious young minds: paranoia and mistrust in 8-to 14-year-olds in the UK and Hong Kong. The British Journal of Psychiatry, 205(3), 221–229.CrossRefGoogle Scholar
  47. Wong, K. K. Y., & Raine, A. (2018). Developmental aspects of schizotypy and suspiciousness: A review. Current Behavioral Neuroscience Reports, 5, 94–101.Google Scholar
  48. Wong, K. K. Y., Raine, A., & Venables, P. (2018). The effect of being left home alone at age 3 years on schizotypy and antisocial behavior at ages 17 and 23 years. Journal of Psychiatric Research, 105, 103–112.Google Scholar
  49. Yang, Y., & Raine, A. (2009). Prefrontal structural and functional brain imaging findings in antisocial, violent, and psychopathic individuals: a meta-analysis. Psychiatry Research: Neuroimaging, 174(2), 81–88.Google Scholar
  50. Zhou, H. Y., Wong, K. K. Y., Shi, L. J., Cui, X. L., Qian, Y., Jiang, W. Q., … & Cheung, E. F. (2018). Suspiciousness in young minds: Convergent evidence from non-clinical, clinical and community twin samples. Schizophrenia Research, 199, 135–141.Google Scholar

Authors and Affiliations

  1. 1.Department of Psychology and Human DevelopmentInstitute of Education, University of College LondonLondonUK

Section editors and affiliations

  • Virgil Zeigler-Hill
    • 1
  1. 1.Oakland UniversityRochesterUSA