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Clinical and institutional variables. Psychiatric diagnosis was obtained from chart Bead bracelet and available clinical data. Posttraumatic stress disorder (PTSD) was assessed separately with the PTSD Checklist-Civilian Version, which provides symptom information that can be used to derive a diagnosis of PTSD consistent with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria.37 Observed psychiatric symptomatology was assessed with the Brief Psychiatric Rating Scale.38 Self-rated mental health status Tiffany Cushion Two-row bracelet was assessed by a single item rated on a 4-point scale. Substance abuse was assessed with the Dartmouth Assessment of Lifestyle Instrument, specifically designed to identify substance use disorders in subjects with SMI.39 Functional impairment was measured with the Global Assessment Scale, a standard 100-- point scale that rates the severity of psychiatric disturbances that affect performance in a range of areas. Medication noncompliance was measured by asking respondents whether they had been prescribed psychiatric medications, and whether they were taking these medications only sometimes or at all. Institutional variables assessed included psychiatric hospitalizations, age at first admission, and arrests.

We used logistic regression to examine the relative effects on risk of violent behavior associated with victimization, demographic/social environmental variables, and clinical/institutional variables. We tested the interaction effect of sexual with physical abuse history on later perpetration of violence by examining odds ratios for sexual abuse alone, physical abuse alone, and the combination of both. The same approach was used to test the interaction of early-life (before age 16) and later-life (after age 16) victimization on violent behavior.Odds ratios from Tiffany 1837 Toggle bracelet regression estimate the average change in the odds of a predicted event (e.g., violent behavior in the last year) associated with exposure to a risk factor or protective factor. For independent variables measured on a continuous scale, the odds ratio indicates the change in event likelihood per unit change in the predictor.41,42

This study required a large, pooled sample to allow multivariate analysis of factors associated with rare events. Pooling the 5-site data posed a problem for statistical inference, given that the samples were not randomly selected from a common population of persons with SMI. To compensate for potential bias, each of the 5 Frank Gehry Fish toggle bracelet was weighted to match distributions of age and the prevalence of substance abuse derived from the NIMH National Comorbidity Study,43 which provided a nationally representative probability sample of subjects with psychotic or major mood disorders who reported being hospitalized, using specialty mental health services within the past 6 months, or both. Thus, before the data were pooled, each of the 5 sites was Elsa Peretti Sevillana Mesh bracelet weighted to the National Comorbidity Study subsample of treated SMI individuals.To control for clustering by site and for variance heterogeneity, we estimated logistic regression models using robust variance adjustments applying a cluster function.44,45 Thus, all statistical significance tests presented in the analyses to follow are based on weighted data controlled for site effects.