{"id":13254,"date":"2023-03-06T00:00:00","date_gmt":"2023-03-06T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/news-releases\/people-with-schizophrenia-more-likely-to-experience-interpersonal-violence-around-the-time-of-pregnancy-study-shows\/"},"modified":"2023-06-14T18:12:52","modified_gmt":"2023-06-14T22:12:52","slug":"people-with-schizophrenia-more-likely-to-experience-interpersonal-violence-around-the-time-of-pregnancy-study-shows","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/people-with-schizophrenia-more-likely-to-experience-interpersonal-violence-around-the-time-of-pregnancy-study-shows\/","title":{"rendered":"People with schizophrenia more likely to experience interpersonal violence around the time of pregnancy, study shows"},"content":{"rendered":"<p>Pregnant and postpartum people with schizophrenia have a more than a three-fold increase in the risk of an emergency department visit for assault and are more likely to self-report experiencing abuse in pregnancy, compared to their peers without schizophrenia, according to a new study.<\/p>\n<p>\nThe research, led by <strong>ICES<\/strong> and Women&#x2019;s College Hospital, found that about 1 in every 33 pregnant and postpartum individuals with schizophrenia experienced an emergency department (ED) visit for interpersonal violence, which can include physical, sexual, and\/or emotional abuse by someone known to them such as a family member, intimate partner, or acquaintance, or an unknown assailant. <\/p>\n<div>\n<div class=\"download-section alignwide infographic-download\" id=\"block_3164b04da24d0ce42e9ef9667b70a3e1\" data-style=\"deep-blue\">\n\t<div class=\"download-section-content\">\n\t\t\t\t<h2>\n\t\t\tInfographic\t\t<\/h2>\n\t\t\n\t\t\t<\/div>\n\t<div class=\"download-section-buttons\">\n\t\t\t\t\t\t<a class=\"download-section-buttons-primary\" href=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/05\/Leslie-Schizophrenia.png\" target=\"_blank\"\n\t\t\tdownload\t\t\taria-label=\"Download Infographic (opens in a new tab)\"\t\t>\n\t\t\tDownload Infographic\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" role=\"presentation\">\n<path d=\"M2.78003 18.8301C2.14282 18.8301 1.59713 18.603 1.14297 18.1488C0.688813 17.6947 0.46212 17.1494 0.462893 16.5129V13.0372H2.78003V16.5129H16.6829V13.0372H19V16.5129C19 17.1502 18.7729 17.6958 18.3188 18.15C17.8646 18.6042 17.3193 18.8308 16.6829 18.8301H2.78003ZM9.73145 14.1958L3.9386 8.40295L5.5606 6.72303L8.57288 9.73531V0.292969H10.89V9.73531L13.9023 6.72303L15.5243 8.40295L9.73145 14.1958Z\" fill=\"#151D5D\"\/>\n<\/svg>\n\t\t<\/a>\n\t\t\n\t\t\t\t\t\t\t\t\t\t<button type=\"button\" class=\"download-section-buttons-secondary\" data-infographic-popup-open=\"block_3164b04da24d0ce42e9ef9667b70a3e1-infographic-popup\" aria-haspopup=\"dialog\">\n\t\t\t\tClick to View\t\t\t<\/button>\n\t\t\t\t\t\t<\/div>\n\n\t\t<div class=\"infographic-popup\" id=\"block_3164b04da24d0ce42e9ef9667b70a3e1-infographic-popup\" role=\"dialog\" aria-modal=\"true\" aria-label=\"Infographic\" hidden>\n\t\t<div class=\"infographic-popup-overlay\" data-infographic-popup-close><\/div>\n\t\t<div class=\"infographic-popup-container\">\n\t\t\t<button type=\"button\" class=\"infographic-popup-close\" data-infographic-popup-close aria-label=\"Close infographic\">&times;<\/button>\n\t\t\t<img decoding=\"async\" class=\"infographic-popup-image\" src=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/05\/Leslie-Schizophrenia.png\" alt=\"Infographic\">\n\t\t<\/div>\n\t<\/div>\n\t<\/div>\n<\/div>\n<p>\nWhile research outside of pregnancy has estimated that 20.7% of women with schizophrenia experience physical or sexual violence&#x2014;a much greater risk than those without serious mental illness&#x2014;less is known about women&#x2019;s experiences of violence during pregnancy and the postpartum period. Violence during this period is a particular concern as it can affect not only the pregnant or postpartum person but also the developing fetus or infant.<\/p>\n<p>\nWe found a three-fold increased risk of an ED visit for interpersonal violence among pregnant and postpartum individuals with schizophrenia, which is concerning. On a positive note, we also found that the majority of people, both with and without schizophrenia, are screened for interpersonal violence during pregnancy,&#x201d; says lead author Kelly Leslie, a fourth-year psychiatry resident at the University of Toronto. &#x201c;This suggests there are many opportunities for healthcare providers to intervene and prevent harm to these patients and their children.&#x201d;<\/p>\n<p>\nResearchers used data from ICES, a non-profit research institute in Ontario, and included all people aged 15-49 who gave birth from 2004 to 2018. 4470 patients with schizophrenia and 1,798,175 without schizophrenia were compared.&#xa0;<\/p>\n<p>\nThe study, published in <em>CMAJ<\/em>, found that:<\/p>\n<ul class=\"list-style\">\n<li>About 3.1% of pregnant and postpartum individuals with schizophrenia had an ED visit for interpersonal violence perinatally, versus 0.4% of those without schizophrenia. This risk was similar during pregnancy and in the first year postpartum.<\/li>\n<li>Pregnant people with schizophrenia were equally likely to be screened for (74.3% vs. 73.8%), but more likely to self-report (10.2% vs. 2.4%), interpersonal violence.<\/li>\n<li>Among pregnant people who were screened and did not disclose interpersonal violence in pregnancy, schizophrenia was still associated with a 6-fold increase in the risk of experiencing an ED visit for interpersonal violence in pregnancy or postpartum.<\/li>\n<\/ul>\n<p>\nThese results are consistent with previous research suggesting that women with psychiatric disorders may under-disclose their concerns. There is some worry that if they disclose any social issues to physicians, such as interpersonal violence, there could be negative consequences (such as child apprehension or violent retaliation from the perpetrator). This could lead to false negative responses for interpersonal violence during screening.<\/p>\n<p>\n&#x201c;Our findings highlight the importance of completing interpersonal violence screening in a careful and sensitive manner,&#x201d; says senior author <a href=\"\/ices-scientists\/simone-vigod\/\">Simone Vigod<\/a>, senior scientist and head of the department of psychiatry at Women&#x2019;s College Hospital and senior adjunct scientist at ICES. &#x201c;We would encourage any healthcare professionals who have contact with this patient population to review best practice guidelines and facilitate appropriate violence screening and interventions.&#x201d;<\/p>\n<p>\nThe study, &#x201c;Risk of interpersonal violence during and after pregnancy among people with schizophrenia: a population-based cohort study&#x201d; was published in <em>CMAJ<\/em>.<\/p>\n<p><em><br \/>\nAuthor block: Leslie K, Barker LC, Brown HK, Simon Chen S, Dennis C-L, Ray JG, Saunders N, Taylor C, Vigod S.<\/em><\/p>\n<p>\n*If you or a loved one has been affected by physical or sexual violence, resources can be found here. To find a sexual assault centre near you, <a href=\"https:\/\/sexualassaultsupport.ca\/support\/\" title=\"opens external link\">follow this link<\/a>.*<\/p>\n<div><div class=\"about-ices-shortcode\"><p><strong>ICES<\/strong> is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter: <a href=\"https:\/\/twitter.com\/ICESOntario\" target=\"_blank\" rel=\"noopener\">@ICESOntario<\/a><\/p>\n<\/div><\/div>\n<p><strong><br \/>\nAbout Women&#x2019;s College Hospital<\/strong>&#xa0;<br \/>\nFor more than 100 years Women&#x2019;s College Hospital (WCH) has been developing revolutionary advances in healthcare. Today, WCH is a world leader in health equity and Canada&#x2019;s leading academic ambulatory hospital. It focuses on delivering innovative solutions that address Canada&#x2019;s most pressing issues related to population health, patient experience and system costs. A multidisciplinary research institute, the Women&#x2019;s College Research Institute (WCRI) is one of only a few hospital-based research institutes worldwide to focus on health equity. WCRI leads innovative, high impact health research that changes practice, changes policy, and changes lives. <a href=\"https:\/\/www.womenscollegehospital.ca\" title=\"opens external link\">www.womenscollegehospital.ca<\/a><\/p>\n<h2>\nFOR FURTHER INFORMATION PLEASE CONTACT:<\/h2>\n<p>\nMisty Pratt<br \/>\nSenior Communications Officer, ICES<br \/>\n<a href=\"mailto:Misty.Pratt@ices.on.ca\">Misty.Pratt@ices.on.ca<\/a><br \/>\n613-882-7065<\/p>\n<p>\nJordan Benadiba&#xa0;<br \/>\nManager, Public Affairs, WCH&#xa0;<br \/>\n<a href=\"mailto:Jordan.benadiba@wchospital.ca\">Jordan.benadiba@wchospital.ca<\/a><br \/>\n647 248 3680<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pregnant and postpartum people with schizophrenia have a more than a three-fold increase in the risk of an emergency department visit for assault and are more likely to self-report experiencing abuse in pregnancy, compared to their peers without schizophrenia, according to a new study. The research, led by ICES and Women&#x2019;s College Hospital, found that [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"class_list":["post-13254","news_release","type-news_release","status-publish","hentry"],"acf":{"infographic":[13299],"journal_article":[13149],"research_report":[],"atlas":[],"research_program":[6744],"site":[6733],"ices_scientist":[1116],"announce_or_event":[],"video":[],"iitn_type":false,"iitn_title":"Perinatal interpersonal violence risk higher in schizophrenia","iitn_short_title":"","iitn_source_link_url":"https:\/\/www.medscape.com\/viewarticle\/989457","iitn_source_link_text":"Medscape","sitecore_item_id":"603F5AD6-F919-40F6-ADB2-0B6D7892416B","sitecore_item_name":"People-with-schizophrenia-more-likely-to-experience-interpersonal-violence","sitecore_field_values":"{\n  \"Content\": \"<p>Pregnant and postpartum people with schizophrenia have a more than a three-fold increase in the risk of an emergency department visit for assault and are more likely to self-report experiencing abuse in pregnancy, compared to their peers without schizophrenia, according to a new study.<\/p>n<p>nThe research, led by <strong>ICES<\/strong> and Women&rsquo;s College Hospital, found that about 1 in every 33 pregnant and postpartum individuals with schizophrenia experienced an emergency department (ED) visit for interpersonal violence, which can include physical, sexual, and\/or emotional abuse by someone known to them such as a family member, intimate partner, or acquaintance, or an unknown assailant. <\/p>n<p><a href=\"~\/media\/710E03862E154AAFB0339F783C6D4FBD.ashx\" onclick=\"_gaq.push(['_trackEvent','Download', 'Leslie-Schizophrenia-Infographic-March2023', this.href]);\"><img height=\"464\" alt=\"Pregnant and postpartum individuals with schizophrenia have higher rates of emergency department visits for interpersonal violence\" width=\"350\" src=\"~\/media\/5425CE7987264022A3D9FCA373CAC965.ashx\" \/><\/a><span class=\"grey\" style=\"font-size: 12px; font-weight: bold; display: block; color: #5b5656;\">Click image to enlarge<\/span><\/p>n<p>nWhile research outside of pregnancy has estimated that 20.7% of women with schizophrenia experience physical or sexual violence&mdash;a much greater risk than those without serious mental illness&mdash;less is known about women&rsquo;s experiences of violence during pregnancy and the postpartum period. Violence during this period is a particular concern as it can affect not only the pregnant or postpartum person but also the developing fetus or infant.<\/p>n<p>nWe found a three-fold increased risk of an ED visit for interpersonal violence among pregnant and postpartum individuals with schizophrenia, which is concerning. On a positive note, we also found that the majority of people, both with and without schizophrenia, are screened for interpersonal violence during pregnancy,&rdquo; says lead author Kelly Leslie, a fourth-year psychiatry resident at the University of Toronto. &ldquo;This suggests there are many opportunities for healthcare providers to intervene and prevent harm to these patients and their children.&rdquo;<\/p>n<p>nResearchers used data from ICES, a non-profit research institute in Ontario, and included all people aged 15-49 who gave birth from 2004 to 2018. 4470 patients with schizophrenia and 1,798,175 without schizophrenia were compared.&nbsp;<\/p>n<p>nThe study, published in <em>CMAJ<\/em>, found that:<\/p>n<ul class=\"list-style\">n    <li>About 3.1% of pregnant and postpartum individuals with schizophrenia had an ED visit for interpersonal violence perinatally, versus 0.4% of those without schizophrenia. This risk was similar during pregnancy and in the first year postpartum.<\/li>n    <li>Pregnant people with schizophrenia were equally likely to be screened for (74.3% vs. 73.8%), but more likely to self-report (10.2% vs. 2.4%), interpersonal violence.<\/li>n    <li>Among pregnant people who were screened and did not disclose interpersonal violence in pregnancy, schizophrenia was still associated with a 6-fold increase in the risk of experiencing an ED visit for interpersonal violence in pregnancy or postpartum.<\/li>n<\/ul>n<p>nThese results are consistent with previous research suggesting that women with psychiatric disorders may under-disclose their concerns. There is some worry that if they disclose any social issues to physicians, such as interpersonal violence, there could be negative consequences (such as child apprehension or violent retaliation from the perpetrator). This could lead to false negative responses for interpersonal violence during screening.<\/p>n<p>n&ldquo;Our findings highlight the importance of completing interpersonal violence screening in a careful and sensitive manner,&rdquo; says senior author <a href=\"~\/link.aspx?_id=BF772976853547C9B4B5A9BE2045544C&amp;_z=z\">Simone Vigod<\/a>, senior scientist and head of the department of psychiatry at Women&rsquo;s College Hospital and senior adjunct scientist at ICES. &ldquo;We would encourage any healthcare professionals who have contact with this patient population to review best practice guidelines and facilitate appropriate violence screening and interventions.&rdquo;<\/p>n<p>nThe study, &ldquo;Risk of interpersonal violence during and after pregnancy among people with schizophrenia: a population-based cohort study&rdquo; was published in <em>CMAJ<\/em>.<\/p>n<p><em>nAuthor block: Leslie K, Barker LC, Brown HK, Simon Chen S, Dennis C-L, Ray JG, Saunders N, Taylor C, Vigod S.<\/em><\/p>n<p>n*If you or a loved one has been affected by physical or sexual violence, resources can be found here. To find a sexual assault centre near you, <a href=\"https:\/\/sexualassaultsupport.ca\/support\/\" title=\"opens external link\">follow this link<\/a>.*<\/p>n<p><em><span style=\"color: #002060;\"><strong>ICES<\/strong> is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter:<\/span> <a href=\"https:\/\/twitter.com\/ICESOntario\">@ICESOntario<\/a><\/em><\/p>n<p><strong>nAbout Women&rsquo;s College Hospital<\/strong>&nbsp;<br \/>nFor more than 100 years Women&rsquo;s College Hospital (WCH) has been developing revolutionary advances in healthcare. Today, WCH is a world leader in health equity and Canada&rsquo;s leading academic ambulatory hospital. It focuses on delivering innovative solutions that address Canada&rsquo;s most pressing issues related to population health, patient experience and system costs. A multidisciplinary research institute, the Women&rsquo;s College Research Institute (WCRI) is one of only a few hospital-based research institutes worldwide to focus on health equity. WCRI leads innovative, high impact health research that changes practice, changes policy, and changes lives. <a href=\"https:\/\/www.womenscollegehospital.ca\" title=\"opens external link\">www.womenscollegehospital.ca<\/a><\/p>n<h2>nFOR FURTHER INFORMATION PLEASE CONTACT:<\/h2>n<p>nMisty Pratt<br \/>nSenior Communications Officer, ICES<br \/>n<a href=\"mailto:Misty.Pratt@ices.on.ca\">Misty.Pratt@ices.on.ca<\/a><br \/>n613-882-7065<\/p>n<p>nJordan Benadiba&nbsp;<br \/>nManager, Public Affairs, WCH&nbsp;<br \/>n<a href=\"mailto:Jordan.benadiba@wchospital.ca\">Jordan.benadiba@wchospital.ca<\/a><br \/>n647 248 3680<\/p>\",\n  \"Title\": \"People with schizophrenia more likely to experience interpersonal violence around the time of pregnancy, study shows\",\n  \"Short title\": \"People with schizophrenia more likely to\",\n  \"Teaser image\": \"<image mediaid=\"{A322F4BD-074D-4BD9-A21A-A9A358DE2CFF}\" alt=\"&quot;&quot;\" height=\"\" width=\"\" hspace=\"\" vspace=\"\" \/>\",\n  \"Summary\": \"Pregnant and postpartum people with schizophrenia have a more than a three-fold increase in the risk of an emergency department visit for assault compared to their peers without schizophrenia.\",\n  \"Location\": \"Toronto\",\n  \"In The News\": \"{3773251C-D59B-4CE9-95E8-43D5B3E78079}\",\n  \"ICES Scientists\": \"{BF772976-8535-47C9-B4B5-A9BE2045544C}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"Research Programs\": \"{DD981CF2-C2A6-457A-9917-A8DD64CCF7D6}\",\n  \"Posted Date\": \"20230306T000000\",\n  \"Publication Link\": \"<link text=\"Abstract\" linktype=\"internal\" title=\"opens related abstract\" querystring=\"\" target=\"\" id=\"{20B5D961-1119-4986-AE6B-1D3A58B0814E}\" \/>\",\n  \"Related Link\": \"<link text=\"Infographic\" linktype=\"external\" url=\"~\/Publications\/Infographics?year=2023&amp;page=1#Leslie-Schizophrenia\" anchor=\"\" title=\"opens related infographic\" target=\"\" \/>\",\n  \"Related Link2\": \"<link text=\"ICES in the News | Medscape\" linktype=\"external\" url=\"https:\/\/www.medscape.com\/viewarticle\/989457\" anchor=\"\" title=\"opens external link\" target=\"\" \/>\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Newsroom\/News-Releases\/2023\/People-with-schizophrenia-more-likely-to-experience-interpersonal-violence"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | People with schizophrenia more likely to experience interpersonal violence around the time of pregnancy, study shows<\/title>\n<meta name=\"description\" content=\"Pregnant and postpartum people with schizophrenia have a more than a three-fold increase in the risk of an emergency department visit for assault and are\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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