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BSc (Hons), MBChB, MD, FRCPsych
Wellcome Trust Senior Research Fellow
- Professor of Forensic Psychiatry
- Honorary Consultant Forensic Psychiatrist
My research focuses on the relationship between mental illness and violent crime, the mental health of prisoners, and violence risk assessment. This is funded by the Wellcome Trust as part of a Senior Research Fellowship in Clinical Science.
My principal collaborations are with the Medical Epidemiology and Biostatistics Department at the Karolinska Institute, Stockholm, and the Centre for Suicide Research and Social Psychiatry groups in the department.
With the Centre for Suicide Research, I have worked with Professor Keith Hawton to examine suicide risk in prisoners, and rates and factors associated with self-harm in custody. We have recently completed a national study of psychiatric, psychological, and psychosocial factors associated with near-lethal suicide attempts ('near-misses') in English and Welsh prisoners. With the Social Psychiatry group, we have been studying a cohort of severely personality disordered offenders (as part of the IDEA study), and examining relationships between treatment, capacity and coercion.
Other research collaborations include Manchester University's Department of Psychiatry examining mental health needs of older prisoners.
I am an external examiner for the MSc in Forensic Mental Health at the Institute of Psychiatry, Associate Editor of the Journal of Forensic Psychiatry and Psychology, sit on the advisory committee of the South Central Region for the Research for Patient Benefit Programme of the NIHR, and the international advisory board of The Lancet Psychiatry.
I was an invited speaker at the US Institute of Medicine's 2014 workshop on mental health and violence as part of their Forum on Violence Prevention.
I was the expert forensic psychiatrist appointed by the UN-sponsored Khmer Rouge Tribunal to assess the fitness to plead and stand trial of the defendants in Case 002.
Clinical work includes sessions for Oxford Health NHS Foundation Trust as a visiting psychiatrist at a local prison. Previously I worked in low and medium secure hospital settings. I was appointed consultant forensic psychiatrist in 2003.
Recent paper on the links between depression and violent crime is available open access at: http://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366%2814%2900128-X/abstract
New paper on sexual offending running in families (also open access): http://ije.oxfordjournals.org/content/early/2015/04/05/ije.dyv029.abstract
New paper on risk factors for mortality in released prisoners (open access): http://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366%2815%2900088-7/fulltext
Antipsychotics, mood stabilisers, and risk of violent crime.
Fazel S. et al, (2014), Lancet, 384, 1206 - 1214
Self-harm in prisons in England and Wales: an epidemiological study of prevalence, risk factors, clustering, and subsequent suicide.
Hawton K. et al, (2014), Lancet, 383, 1147 - 1154
Premature mortality in epilepsy and the role of psychiatric comorbidity: a total population study.
Fazel S. et al, (2013), Lancet, 382, 1646 - 1654
Use of risk assessment instruments to predict violence and antisocial behaviour in 73 samples involving 24 827 people: systematic review and meta-analysis.
Fazel S. et al, (2012), Bmj, 345
Medication for attention deficit-hyperactivity disorder and criminality.
Lichtenstein P. et al, (2012), N Engl J Med, 367, 2006 - 2014
The health of prisoners.
Fazel S. and Baillargeon J., (2011), Lancet, 377, 956 - 965
Violence risk assessment in psychiatric patients in China: A systematic review.
Zhou J. et al, (2016), Aust N Z J Psychiatry, 50, 33 - 45
Genetic and environmental determinants of violence risk in psychotic disorders: a multivariate quantitative genetic study of 1.8 million Swedish twins and siblings
Sariaslan A. et al, (2015), Molecular Psychiatry
Psychiatric disorders and violent reoffending: a national cohort study of convicted prisoners in Sweden.
Chang Z. et al, (2015), Lancet Psychiatry, 2, 891 - 900
Variation in mortality risk of people released from prison - Authors' reply.
Chang Z. et al, (2015), Lancet Psychiatry, 2, 681 - 682
Depression and violence—what do we really know? – Authors' reply.
Fazel S. et al, (2015), Lancet Psychiatry, 2