Article Figures & Data
Tables
Communication, No Approach n = 53 Communication and Approach Group Compared With Communication, No Approach Group n (%)χ2, pφOdds Ratio (95% CI) Comparison of Breach Against No Breach All Cases n = 79 No Breach Activity n = 53 Breach Activity n = 26 Sex, male 29 (60.4) 56 (70.0) 36 (67.9) 19 (73.1) NS NS NS NS 0.098 0.078 0.127 0.047 Ethnic minority * 17 (22.1) 14 (28.0) 3 (11.5) NS −0.181 Age * 41.7 (SD 12.8) 41.0 (SD 13.3) 42.5 (SD 12.3) NS Form of communication More than one method 2 (3.8) 20 (25.0) 12 (22.6) 8 (30.8) 10.405, 0.001 8.230, 0.004 11.498, exact 0.002 NS 0.280 0.279 0.381 0.092 8.476 (1.894–34.46) 7.463 (1.580–35.714) 11.363 (2.178–58.825) Multiple contacts 26 (49.1) 63 (78.8) 41 (77.4) 22 (84.6) 12.697, 0.000 9.127, 0.003 9.251, 0.002 NS 0.309 0.293 0.342 0.099 3.846 (1.802–8.197) 3.546 (1.534–8.197) 5.714 (1.730–18.868) Telephone calls 4 (7.5) 22 (27.8) 13 (24.5) 8 (32.0) 8.265, 0.004 5.675, 0.017 7.803, exact 0.015 NS 0.250 0.231 0.316 0.063 4.717 (1.524–14.706) 3.984 (1.203–13.158) 5.780 (1.538–21.739) Also sent communications to a nonroyal 9 (17.0) 26 (32.5) 14 (26.4) 11 (42.3) 3.960, 0.047 NS 5.918, 0.015 NS 0.173 0.114 0.742 0.145 2.353 (1.001–5.556) 3.584 (1.245–10.309) Language of communication Threatening 8 (15.1) 8 (10.0) 1 (1.9) 6 (23.1) NS 5.950, exact 0.031 NS 7.319, exact 0.023 −0.077 −0.237 0.098 0.302 0.108 (0.013–0.898) 7.800 (1.452–41.908) Demand 13 (24.5) 26 (32.5) 15 (28.3) 11 (42.3) NS NS NS NS 0.086 0.043 0.182 0.194 Abusive 9 (17.0) 5 (6.3) 2 (3.8) 3 (11.5) 3.898, 0.048 4.970, 0.026 NS NS −0.171 −0.217 −0.071 0.152 0.326 (0.103–0.999) 0.192 (0.039–0.935) Content of communication Anger/hostility 17 (32.1) 15 (18.8) 5 (9.4) 9 (34.6) NS 8.260, 0.004 NS 6.364, exact 0.016 −0.153 −0.279 0.025 0.282 0.221 (0.074–0.654) 4.235 (1.312–13.670) Requests for help 13 (24.5) 30 (37.5) 20 (37.7) 10 (38.5) NS NS NS NS 0.136 0.143 0.144 0.014 Amorous feelings 6 (11.3) 16 (20.3) 10 (18.9) 6 (24.0) NS NS NS NS 0.117 0.105 0.164 0.063 Offers of help 7 (13.2) 8 (10.1) 5 (9.4) 3 (12.0) NS NS NS NS −0.048 −0.060 −0.017 0.042 Content of communication (Cont'd) Sexualized 3 (5.7) 1 (1.3) 1 (1.9) 0 (0.0) NS NS NS NS −0.126 −0.099 −0.139 −0.078 Confused/rambling 34 (64.2) 43 (53.8) 28 (52.8) 15 (57.7) NS NS NS NS −0.103 −0.115 −0.063 0.055 * Insufficient data available.
Communication, No Approach n = 53 Communication and Approach Group Compared With Communication, No Approach Group n (%)χ2, pφOdds Ratio (95% CI) Comparison of Breach Against No Breach All Cases n = 79 No Breach Activity n = 53 Breach Activity n = 26 Mental state Serious mental illness 37 (69.8) 73 (91.3) 49 (92.5) 23 (88.5) 10.245, 0.001 8.874, 0.003 NS NS 0.278 0.289 0.205 −0.068 4.505 (1.706–11.905) 5.291 (1.634–17.241) Fixated on a person 45 (84.9) 72 (90.0) 47 (88.7) 24 (92.3) NS NS NS NS 0.077 0.056 0.105 0.053 Fixated on a cause 7 (13.2) 9 (11.3) 6 (11.3) 3 (11.5) NS NS NS NS −0.029 −0.029 −0.024 0.006 Deluded 24 (45.3) 66 (82.5) 44 (83.0) 21 (80.8) 20.183, 0.000 16.409, 0.000 8.960, 0.003 NS 0.390 0.393 0.337 −0.032 5.682 (2.564–12.500) 5.917 (2.404–14.493) 5.747 (1.664–15.385) Grandiose 14 (26.4) 59 (73.8) 40 (75.5) 18 (69.2) NS 28.847, 0.000 25.519, 0.000 13.269, 0.000 −0.071 0.466 0.491 0.410 7.813 (3.559–17.241) 8.547 (3.571–20.408) 6.250 (2.232–17.544) Feeling persecuted 11 (20.8) 24 (30.0) 21 (39.6) 3 (11.5) NS 4.476, 0.034 NS 6.252, 0.012, 0.103 0.205 −0.113 −0.280 2.506 (1.058–5.952) 0.205 (0.055–0.769) Incoherent/confused 33 (62.3) 45 (56.3) 31 (58.5) 14 (53.8) NS NS NS NS −0.060 −0.039 −0.081 −0.034 Suicidal ideation 0 (0.0) 2 (2.5) 1 (1.9) 1 (3.8) NS NS NS NS 0.101 0.098 0.168 0.060 Homicidal ideation 5 (9.4) 2 (2.5) 1 (1.9) 1 (3.8) NS NS NS NS −0.152 −0.163 −0.099 0.060 Motivational type Delusions of royalty 6 (11.3) 24 (30.0) 14 (26.4) 9 (34.6) 6.368, 0.012 3.944, 0.047 6.153, exact 0.029 NS 0.219 0.193 0.279 0.070 3.356 (1.266–8.923) 2.809 (0.987–8.000) 4.149 (1.282–13.333) Intimacy seekers 7 (13.2) 16 (20.0) 8 (15.1) 8 (30.8) NS NS NS NS 0.088 0.027 0.210 0.187 Amity seekers 4 (7.7) 17 (21.8) 13 (24.5) 4 (16.7) 4.581, 0.032 5.483, 0.019 NS NS 0.188 0.229 0.136 −0.083 3.344 (1.056–10.638) 3.906 (1.179–12.987) Royally persecuted 2 (3.8) 1 (1.3) 1 (1.9) 0 (0.0) NS NS NS NS −0.084 −0.059 −0.112 −0.076 Querulants 3 (5.8) 3 (3.8) 1 (1.9) 2 (8.3) NS NS NS NS −0.045 −0.101 0.048 0.156 Motivational type (Cont’d) Seeking help/sanctuary 7 (13.5) 7 (9) 7 (13.5) 0 (0.0) NS NS NS NS −0.071 0.004 −0.216 −0.209 Counselors 14 (26.9) 6 (7.7) 6 (11.3) 0 (0.0) 8.864, 0.003 4.144, 0.042 7.921 exact 0.003 NS −0.261 −0.199 −0.323 −0.192 0.226 (0.080–0.636) 0.347 (0.122–0.988) 0.613 (0.503–0.747) Chaotic 9 (17.3) 4 (5.1) 3 (5.7) 1 (4.2) 5.142, 0.023 NS NS NS −0.199 −0.183 −0.181 −0.029 0.258 (0.075–0.889) Logistic Regression Model for Escalation β Wald p OR 95% CI Multiple communications 1.002 5.213 .022 2.723 1.15–6.436 Grandiosity 1.912 20.428 .000 6.769 2.954–15.512 Multiple means of communication 1.632 3.869 .049 5.113 1.006–25.993 Constant −7.721 18.412 .000 .000 Goodness of fit statistics χ2 df p Model 42.72 3 0.000 Hosmer-Lemeshow 3.055 4 0.549 Nagelkerke R2 0.372
