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Tuesday, January 3, 2012

New Study Calls for Assessment of Traumatic Brain Injury Victims as Potential Violence Risks

In recent findings published in the online journal, Public Library of Science Medicine, British and Swedish scientists found that head injuries can dramatically increase the chances of someone committing violent crime.

In a group of 22,914 traumatic brain injury (“TBI”) victims examined between 1973 and 2009, almost 9% went on to commit acts of violence after diagnosis, which is three times the rate in the general population.  The British and Swedish scientists who carried out the research defined violent criminals as those convicted of homicide, assault, robbery, arson, sexual offences, or illegal threats or intimidation.

Epilepsy was also investigated, as previous studies had suggested it can also increase the risk of violence, but the study found no significant association between it and violent crime.

For the TBI  group, diagnosis before age 16 was associated with a lower risk of violence, as was sustaining a concussion rather than a more severe brain injury.  And individuals whose brain injuries were focal (where the injury occurs in a specific location rather than a more wisespread area) had a higher risk for violence compared with those having more diffuse brain hemorrhagic injuries or cerebral edema.

Author Dr. Seena Fazel from Oxford University, and colleagues wrote: “For traumatic brain injury, absolute and relative risks more clearly suggest that there are certain groups of patients who would benefit from violence risk assessment.  As current guidelines for the assessment of brain injury make no recommendations in relation to the assessment or investigation of violence risk, our findings suggest that these may need review, at least for some groups of patients with traumatic head injury, particularly if they abuse illegal drugs or alcohol.”

Damage to the brain is more than physical; it has behavioral consequences.  According to this new study, a TBI victim has the potential to put another unsuspecting victim in danger of being injured in a violent crime.  Now when a careless driver causes an accident resulting in a victim's TBI, he has potentially created the ripple effect of injuring yet another victim who sustains a TBI.

3 comments:

  1. Would love to discuss it to my fellow lawyers.

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  2. As existing guidelines for the evaluation of brain damage make no suggestions in relationship to the evaluation or research of assault risk, our conclusions suggest that these may require review.

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