The number of murder offenders peaks at the age group of 20–29, but the age group of 17–19 has the highest number ( 2). Though the adolescent legal offense case rates in the US are generally trending down, the number of juvenile criminal homicides has conversely increased by 49% in the recent 5 years, while most offenders are older than 16 (6%), male subjects (89%), and non-Caucasian (72%) ( 1). Further large-scale longitudinal research studies are warranted to establish the correlation between psychiatric disorders and homicidal ideation among adolescents. White and black races were more prevalent in patients with homicidal ideation. Suicidality was prevalent in 66.9% of patients with HI.Ĭonclusion: We found a higher prevalence of psychiatric illnesses such as depression, anxiety, and bipolar disorder in adolescents with homicidal ideation in the inpatient setting. Major depression (Odds ratio : 2.66, p < 0.001), bipolar disorder (OR: 3.52, p < 0.001), anxiety disorder (OR: 1.85, p < 0.001), ADHD, and other conduct disorders (OR: 4.01, p < 0.001), schizophrenia (OR: 4.35, p < 0.001) are strong predictors of HI. Racially, HI was more prevalent in white race (56.0 vs. Majority of the patients were male subjects in the HI group compared to the control group (58.7 vs. Results: A total of 18,935 patients (mean age: 14.5) with HI diagnosis were identified in this study. We used multivariable logistic regression to generate odds ratio (OR) of homicidal ideation as an outcome we adjusted age, sex, race, socioeconomic status, substance use disorders, alcohol use disorders, and psychiatric comorbidities. The prevalence of psychiatric comorbidities between the groups was compared by applying the Rao-Scott adjusted chi-square test. Patients without HI were defined as the control group. Materials and methods: Adolescent (age 12–17) population admitted to the hospital with the diagnosis of homicidal ideation was identified from the 2016–2018 National Inpatient Sample Dataset (NISD). We aim to evaluate the prevalence of demographic characteristics and psychiatric disorders in adolescents with and without HI. Studies in the past have showcased the relationship between homicidal ideation (HI) and psychiatric illnesses, but very limited information is available on the adolescent and inpatient population. Objectives: Adolescents with a homicidal tendency is a growing concern in the United States. 4Department of Psychiatry, The University of Texas Rio Grande Valley, Harlingen, TX, United States.3Department of Psychiatry, Texas Tech University Health Science Center at Permian Basin, Odessa, TX, United States.2Department of Psychiatry, Boston Children’s Hospital, Harvard Medical School, Boston, MA, United States.1Department of Psychiatry, Virginia Tech Carilion School of Medicine, Roanoke, VA, United States.Ching-Fang Sun 1† Zeeshan Mansuri 2*† Chintan Trivedi 3 Ramu Vadukapuram 4 Abhishek Reddy 1
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