^^rsbm
While there is a slightly increased risk of violent behavior in some individuals with schizophrenia, it’s crucial to remember that comprehensive studies have long proven that the vast majority of people with the disorder (
schizo people) are not violent, and millions go about their daily lives without incident.
[A comprehensive study published in the Lancet Psychiatry found that individuals with schizophrenia were responsible for 6.6% of violent crimes, compared to 93.4% committed by individuals without the disorder].
Respectfully, while I'm not familiar with the statistics of violence on public transit, I believe OP's statement that
most random extreme violence is done by schizo people, is contradicted by scientific evidence.
However, given that substance abuse is known to exacerbate psychotic symptoms and impair judgment, creating a perfect storm for potential violence. I don't think the abuse factor, or medication non-compliance, can be eliminated and/or ignored when assessing random extreme violence.
Explore the truth about schizophrenia and violent behavior, learn risk factors, prevention strategies, and how to combat stigma for better understanding.
neurolaunch.com
Epidemiological studies have long reported on the association between major mental disorder and violence, including studies that specifically examined the relationship with schizophrenia.
These reports typically find that schizophrenia is related to a 4- to 6-fold increased risk of violent behavior, which has led to the view that
schizophrenia and other major mental disorders are preventable causes of violence and violent crime. Indeed, expert opinion has deemed that the evidence is sufficiently robust that new research should move beyond epidemiology and focus on treatment.
Conceptual models of violence in schizophrenia postulate that patients with schizophrenia are violent as a consequence of the psychopathologic symptoms of the disorder itself (eg, delusions, hallucinations or secondary to comorbid
substance use (an established risk factor for violence). An alternative model is that schizophrenia and violent behavior co-occur because of familial factors (genetic or early environmental) that are related to both (eg, personality traits such as irritability, poor anger management, or inadequate coping with stress).
If, as we hypothesize,
the association of schizophrenia and violence disappears when substance abuse is accounted for and appropriate adjustments are made for confounding, this would suggest that assessment and treatment for substance abuse comorbidity should be prioritized in individuals deemed at risk. It would also explain why attempts to find psychotic symptoms associated with violence have produced contradictory results.
Ultimately, the misconceptions surrounding schizophrenia and violence don’t just hurt individuals with the disorder; they create barriers to treatment, support, and understanding. JMO
Persons with schizophrenia are thought to be at increased risk of committing violent crime 4 to 6 times the level of general population individuals without this disorder. However, risk estimates vary substantially across studies, and considerable ...
pmc.ncbi.nlm.nih.gov