Only two homicidal deaths occurred among people with bipolar disorder, which was insufficient for obtaining meaningful risk estimates. However, the risk of homicidal death was significantly elevated among people with all other mental disorders, including about sevenfold among those with personality disorders, about fivefold among those with schizophrenia, and more than threefold among those with depression or anxiety disorders (table 2). Further adjustment for other sociodemographic factors resulted in attenuation of all risk estimates, but they remained significantly elevated for most mental disorders, including a nearly fivefold risk among people with any mental disorder, an approximately ninefold risk among those with substance use disorders, an approximately threefold risk among those with personality disorders, and more than a twofold risk among those with depression or anxiety disorders (table 2).

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