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Tourette syndrome (TS) and chronic tic disorder (CTD) often co-occur with other neuropsychiatric disorders, such as attention deficit hyperactivity disorder (ADHD), and are associated with academic failure, stigma, social exclusion, difficulty building relationships, and suicidal tendencies.
social adversity, but little is known about violent attacks (including sexual assault) and criminal experiences in this group
.
David Mataix-Cols et al.
published a study in JAMA Neurology titled Association of Tourette Syndrome and Chronic Tic Disorder With Violent Assault and Criminal Convictions to determine whether Tourette Syndrome (TS) and Chronic Tic Disorder (CTD) are associated with violent assault associated with an increased risk of criminal convictions
.
published a study in JAMA Neurology titled Association of Tourette Syndrome and Chronic Tic Disorder With Violent Assault and Criminal Convictions to determine whether Tourette Syndrome (TS) and Chronic Tic Disorder (CTD) are associated with violent assault associated with an increased risk of criminal convictions
.
JAMA
Cox proportional hazards regression models were used to estimate the risk of violent assault and criminal conviction in patients with TS or CTD compared with the general population and unaffected siblings
.
The study included 13,819,284 individuals
.
There were 7791 individuals with TS or CTD ( median age at first diagnosis
[IQR], 13.
diagnosis
Compared with unaffected individuals in the general population, those with TS or CTD had a 2-fold increased risk of any violent aggression (sexual and nonsexual) (adjusted hazard ratio [aHR], 2.
21; 95% CI, 2.
00-2.
43), a 3-fold increased risk of violent convictions (aHR, 3.
13; 95% CI, 2.
92-3.
36), and a 1.
6-fold increased risk of nonviolent convictions (aHR, 1.
62; 95% CI, 1.
54-1.
71)
.
6 times increased risk of nonviolent convictions 1.
6 times increased risk of nonviolent convictions
Association of Tourette's syndrome or chronic tic disorder with violent aggression and crime after exclusion of psychiatric comorbidities
Association of Tourette's syndrome or chronic tic disorder with violent aggression and crime after exclusion of psychiatric comorbiditiesAssociation of Tourette's Syndrome or Chronic Tic Disorder with Sibling Violent Aggression and Delinquency
Association of Tourette's Syndrome or Chronic Tic Disorder with Sibling Violent Aggression and DelinquencyAmong those with TS or CTD, 37.
0% (114 of 308; 95% CI, 31.
6%-42.
4%) who had experienced a violent assault also had a violent crime conviction, compared to those in the general population The proportion was 17.
9% (16,067 of 89,920; 95 % CI, 17.
6%-18.
1%)
.
Excluding individuals with attention-deficit/hyperactivity disorder and substance use disorder partially attenuated this association
.
Of those with TS or CTD, 37.
Most people with TS or CTD are neither attacked nor perpetrators
Mataix-Cols D, Virtanen S, Sidorchuk A, et al.
Association of Tourette Syndrome and Chronic Tic Disorder With Violent Assault and Criminal Convictions.
Mataix-Cols D, Virtanen S, Sidorchuk A, et al.
Association of Tourette Syndrome and Chronic Tic Disorder With Violent Assault and Criminal Convictions.
JAMA Neurol.
Published online March 21, 2022.
doi:10.
1001/jamaneurol.
2022.
0167 Mataix-Cols D , Virtanen S, Sidorchuk A, et al.
Association of Tourette Syndrome and Chronic Tic Disorder With Violent Assault and Criminal Convictions.
JAMA Neurol.
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