The authors of this paper do not have any commercial associations that might pose a conflict of interest in connection with this manuscript.
Comorbid substance use disorder in women with bipolar disorder associated with criminal arrest
Version of Record online: 2 AUG 2007
Volume 9, Issue 5, pages 536–540, August 2007
How to Cite
McDermott, B. E., Quanbeck, C. D. and Frye, M. A. (2007), Comorbid substance use disorder in women with bipolar disorder associated with criminal arrest. Bipolar Disorders, 9: 536–540. doi: 10.1111/j.1399-5618.2007.00346.x
- Issue online: 2 AUG 2007
- Version of Record online: 2 AUG 2007
- Received 27 May 2005, revised and accepted for publication 17 February 2006
- bipolar disorder;
- criminal arrest;
- substance use
Objectives: Previous research has indicated that comorbid substance abuse in patients with bipolar disorder (BPD) is strongly linked to criminal arrest. This study was conducted to further evaluate possible gender differences in substance use and risk of criminality in BPD.
Methods: Subjects were selected from all inmates with a DSM-IV diagnosis of BPD type I at Los Angeles County correctional facility. As a comparison, a sample of Los Angeles County patients with BPD type I who had not been arrested during the course of their psychiatric treatment within LA County was identified. The county's Management Information System (MIS) was utilized to obtain primary and secondary diagnoses as well as demographic information.
Results: The odds of having a comorbid substance use diagnosis for arrested female patients was more than 38 times that for community female patients (odds ratio = 38.75). Women were more likely to have been arrested for violent and substance use charges; men were more likely to have been arrested for theft and miscellaneous charges.
Conclusions: Substance abuse appears to be a significant risk factor for arrest in patients with BPD and is especially significant for women with BPD. Our study suggests that comorbid BPD and substance use in women may significantly increase the risk of criminal arrest.