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OtherREGULAR ARTICLE

A Study of Geriatric Forensic Evaluees: Who Are the Violent Elderly?

Catherine F. Lewis, Cynthia Fields and Elizabeth Rainey
Journal of the American Academy of Psychiatry and the Law Online September 2006, 34 (3) 324-332;
Catherine F. Lewis
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Cynthia Fields
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Elizabeth Rainey
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    Table 1

    Demographic Description of Sample

    VariableOverall (n = 99)%
    Age (yr)
        Mean ± SD66.8 ± 5.2100
        Range60–82
    Gender
        Male8787.9
        Female1212.1
    Ethnicity
        White6666.7
        Black3232.3
        Other11.0
    Education (y)Mean 8.0 (SE = 4.1)Range: 0–16100
    Employment
        Employed66.1
        Retired4343.4
        Unemployed4949.5
        Unknown11.0
    Marital Status2727.3
        Married2727.3
        Widowed1616.2
        Divorced/Sep'd4545.5
        Single1111.1
    Living situation
        Spouse2323.2
        Family1717.2
        Other1111.1
        Alone4848.5
    • View popup
    Table 2

    Medical History of the Sample

    Medical Conditionn%
    Hypertension3434.3
    Diabetes mellitus99.1
    Heart disease2424.2
    Stroke history1313.1
    Liver disease1111.1
    Lung disease1313.1
    Sexually transmitted disease77.1
    History of head injury with loss of consciousness2525.3
    Cancer diagnosis1212.1
    Seizure disorder1212.1
    • View popup
    Table 3

    Psychiatric History of the Sample

    Diagnosis*n%
    Alcohol abuse/dependence6767.7
    Drug abuse/dependence1717.1
    Dementia4444.4
    Schizophrenia1414.1
    Schizoaffective disorder44.0
    Delusional disorder66.1
    Alcohol-induced psychotic disorder11.0
    Bipolar affective disorder11.0
    Major depressive disorder66.1
    Dysthymia22.0
    Mood disorder secondary traumatic brain injury11.0
    Alcohol-induced mood disorder11.0
    Organic personality changes44.0
    Post-traumatic stress disorder11.0
    Adjustment disorder or bereavement44.0
    Impulse control disorder11.0
    Paraphilic disorder11.0
    Malingering11.0
    Borderline intellectual function1111.1
    Mental retardation33.0
    Antisocial personality disorder3232.3
    Paranoid personality disorder11.0
    Personality disorder not otherwise specified11.0
    • * Includes comorbid psychiatric disorders.

    • View popup
    Table 4

    Specific Charges Faced by Offenders

    Charge*Number (n = 99)% of Offenders
    Murder2626.3
    Armed robbery22.0
    Aggravated assault3232.3
    Discharging or pointing a firearm1313.1
    Kidnapping11.0
    Possession of a firearm/concealed weapon44.0
    Solicitation to commit murder or accessory before the fact22.0
    Lewd act on a minor88.1
    Criminal sexual conduct99.1
    Indecent exposure11.0
    Harassment or illegal use of phone/threatening66.1
    Arson, primary or secondary77.1
    Driving under the influence44.0
    Driving under suspension or without a license22.0
    Grand larceny or shoplifting44.0
    Burglary11.0
    Fraud (check and wire)22.0
    Drugs (possession or distribution)33.0
    Resisting arrest22.0
    Disorderly conduct22.0
    Contributing to the delinquency of a minor11.0
    • * Coexisting charges faced by alleged offenders.

    • View popup
    Table 5

    Model of the Strength of Association of Variables to Inclusion in the Violent Group

    Variableβtp95% CI
    Race*−.20−2.08.04−1.50 to −.03
    Outpatient treatment*−.22−2.31.02−.41 to −.03
    Number of years of education.151.59.12−.02 to .16
    Crime location*.212.22.03.06 to 1.14
    Family victim−.05−.53.97−.03 to .02
    Confession−.01−.04.97−.04 to .03
    Paranoia*.232.34.01.04 to 44
    • * Significance at p < .05 in linear regression.

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Journal of the American Academy of Psychiatry and the Law Online: 34 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 34, Issue 3
September 2006
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A Study of Geriatric Forensic Evaluees: Who Are the Violent Elderly?
Catherine F. Lewis, Cynthia Fields, Elizabeth Rainey
Journal of the American Academy of Psychiatry and the Law Online Sep 2006, 34 (3) 324-332;

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A Study of Geriatric Forensic Evaluees: Who Are the Violent Elderly?
Catherine F. Lewis, Cynthia Fields, Elizabeth Rainey
Journal of the American Academy of Psychiatry and the Law Online Sep 2006, 34 (3) 324-332;
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