New papers

Latest Publications

Violence and mental illness

Sariaslan A, Arseneault L, Larsson H, Lichtenstein P, Fazel S. (2020) Risk of subjection to violence and perpetration of violence in persons with psychiatric disorders in Sweden. JAMA Psychiatry; E1-9: doi:10.1001/jamapsychiatry.2019.4275

Senior M, Fazel S, Tsiachristas A. (2020). The economic impact of violence perpetration in severe mental illness: a retrospective, prevalence-based analysis in England and Wales. Lancet Public Health 5 (2): e99-e106

Yu R, Nevado-Holgado AJ, Molero Y, D’Onofrio BM, Larsson H, Howard LM, Fazel S. (2019). Mental disorders and intimate partner violence perpetrated by men towards women: A Swedish population-based longitudinal study. PLoS Medicine;

Fazel S, Smith EN, Chang Z, Geddes JR. (2018) Risk factors for interpersonal violence: an umbrella review of meta-analysesBritish Journal of Psychiatry 213 (4), 609-614.
Yu R et al. (2017). Depression and violence in adolescence and young adults: findings from three longitudinal cohorts. Journal of the American Academy of Child & Adolescent Psychiatry 56 (8), 652-658.
Sariaslan A, Larsson H, Fazel S. (2016) Genetic and environmental. determinants of violence risk in psychotic disorders: a multivariate quantitative genetic study of 1.8 million Swedish twins and siblings. Molecular Psychiatry; 21: 1251-1256.
Sariaslan A, Lichtenstein P, Larsson H, Fazel S. (2016) Triggers for violent criminality in patients with psychotic disorders. JAMA Psychiatry; 73: 796-803.
Fazel S, Wolf A, Chang Z, Larson H, Goodwin G, Lichtenstein P. (2015) Depression and violent crime: Swedish population study. Lancet Psychiatry 2: 224-232
Fazel S, Wolf A, Palm C, Lichtenstein P. (2014) Violent crime, suicide, and premature mortality in patients with schizophrenia and related disorders: a 38-year total population study in Sweden. Lancet Psychiatry 1: 44-54.


Prisoner health

Baranyi G et al. (2019). Severe mental illness and substance use disorders in prisoners in low-income and middle-income countries: a systematic review and meta-analysis of prevalence studiesLancet Global Health 7 (4), e461-e471.

Fazel S. (2018). Editorial: Synthesizing the evidence on prisoner health – Taking Stock and Moving Forward. American Journal of Epidemiology 187:1137–1139 [editorial]

Baranyi G et al. (2018)  Prevalence of posttraumatic stress disorder in prisoners. Epidemiologic Reviews,

Mundt A et al. (2018) Substance Use During Imprisonment in Low- and Middle-Income Countries. Epidemiologic Reviews,

Fazel S, Yoon IA, Hayes AJ (2017). Substance use disorders in prisoners: an updated systematic review and meta-regression analysis in recently incarcerated men and women. Addiction. EPub 28 Jun 2017. DOI: 10.1111/add.13877 PMID: 28543749

Yoon I, Slade K, Fazel S. (2017) Outcomes of psychological therapies for prisoners with mental health problems: a systematic review and meta-analysis. Journal of Consulting and Clinical Psychology 85: 783-802.

Fazel S, Hayes A, Bartellas K, Trestman R. (2016) Mental health of prisoners: prevalence, adverse outcomes, and interventions. Lancet Psychiatry 3: 871-881.

Fazel S, Seewald K. (2012) Severe mental illness in 33 588 prisoners worldwide: systematic review and meta-regression analysis. Br J Psychiatry 200: 364-73.

Fazel S, Baillargeon J. (2011) The health of prisoners. Lancet 377: 956-965.


Released prisoners – mortality and reoffending risks

Chang Z, Lichtenstein P, Långström N, Larsson H, Fazel S (2016) Association between prescription of major psychotropic medications and violent reoffending after prison release. JAMA 316(17): 1798-1807.

Sariaslan A, Larsson H, Lichtenstein P, Fazel S. (2017) Neighbourhood influences on violent reoffending risk in released prisoners diagnosed with psychotic disorders. Schizophrenia Bulletin 43: 1011-1020.

Chang Z, Larsson H, Lichtenstein P, Fazel S. (2015) Psychiatric disorders and violent reoffending: a national cohort study of convicted prisoners in Sweden, Lancet Psychiatry 2: 891-900.

Fazel S, Wolf A. (2015) A systematic review of criminal recidivism rates worldwide: current difficulties and recommendations for best practice, PLoS ONE, 10;6, e0130390.

Zlodre J, Fazel S. (2012) All-Cause and External Mortality in Released Prisoners: Systematic Review and Meta-Analysis. Am J Public Health 102: e67-e75.

Prisoner self harm and suicide risk

Fazel S, Ramesh T, Hawton K. (2017) Suicide in prisons: an international study of prevalence and contributory factors. Lancet Psychiatry Volume 4, No. 1: 946–952.

Marzano L, Hawton K, Rivlin A, Smith EN, Piper M, Fazel S. (2016) Prevention of suicidal behaviour in prisons. Crisis 37: 323-334.

Hawton K, Linsell L, Adeniji T, Sariaslan A, Fazel S (2014) Self-harm in prisons in England and Wales: an epidemiological study of prevalence, risk factors, clustering, and subsequent suicide. Lancet 383: 1147-54.

Rivlin A, Hawton K, Marzano L, Fazel S (2013) Psychosocial characteristics and social networks of suicidal prisoners: towards a model of suicidal behaviour in detention. PLoS One 8(7): e68944.

Fazel S, Wolf A, Geddes JR. (2013) Suicide in prisoners with bipolar disorder and other psychiatric disorders: a systematic review. Bipolar Disord 15(5): 491-5.

Marzano L, Hawton K, Rivlin A, Fazel S. (2011) Psychosocial influences on prisoner suicide: A case-control study of near-lethal self-harm in women prisoners. Soc Sci Med 72: 874-883.

Fazel S, Cartwright J, Nott-Norman A, Hawton K (2008). Suicide in prisoners: a systematic review of risk factors. J Clin Psychiatry 69: 1721-1731

Violence risk assessment

Fazel S. (2019). The Scientific Validity of Current Approaches to Violence and Criminal Risk Assessment. In: Predictive Sentencing: Normative and Empirical Perspectives, 197 (London: Bloomsbury).

S Fazel, A Wolf, MDLA Vazquez-Montes, TR Fanshawe. (2019) Prediction of violent reoffending in prisoners and individuals on probation: a Dutch validation study (OxRec). Scientific Reports 9 (1), 841.

Yukhnenko D, Blackwood N, Fazel S. (2019) Risk Factors for recidivism in individuals receiving community sentences: a systematic review and meta-analysis. CNS Spectrums

Ramesh T et al. (2018) Use of risk assessment instruments to predict violence in forensic psychiatric hospitals: a systematic review and meta-analysis. European Psychiatry Volume 52, 47–53              

Fazel S, Wolf A. (2017) Selecting a risk assessment tool in practice: a 10-point guide. Evidence-Based Mental Health

Fazel S, Wolf A, Larsson H, Lichtenstein P, Mallett S, Fanshawe TR. (2017) Identification of low risk violent crime in severe mental illness with a clinical prediction tool (Oxford Mental Illness and Violence tool [OxMIV]): a derivation and validation study. Lancet Psychiatry 4: 461-68. PMID: 28479143

Fazel S et al. (2016) Prediction of violent reoffending on release from prison: derivation and external validation of a scalable tool. Lancet Psychiatry 3: 535-543

Wolf A at al. Prediction of violent crime on discharge from secure psychiatric hospitals: a clinical prediction rule (FoVOx). European Psychiatry 2017:

Douglas T, Pugh J, Singh I, Savulescu J, Fazel S. (2017) Risk assessment tools in criminal justice and forensic psychiatry: the need for better data. European Psychiatry 42: 134-137.

Singh J, Grann M, Fazel S (2013) Authorship bias in violence risk assessment? A systematic review and meta-analysis. PLoS One 8(9): e72484.

Fazel S, Singh JP, Doll H, Grann M. (2012) Use of risk assessment instruments to predict violence and antisocial behaviour in 73 samples involving 24 827 people: systematic review and meta-analysis. British Medical Journal 345:e4692.

Suicide in neuropsychiatric conditions

S Fazel, B Runeson. Suicide. New England Journal of Medicine 2020; 382: 266-74

Fazel S, O’Reilly L. Machine learning for suicide research – can it improve risk factor identification? JAMA Psychiatry 2020; 77 (1):13-14

S Fazel, A Wolf, H Larsson, S Mallett, TR Fanshawe. (2019) The prediction of suicide in severe mental illness: development and validation of a clinical prediction rule (OxMIS)Translational Psychiatry 9 (1), 98.

Chesney E, Goodwin GM, Fazel S. (2014) Risks of all-cause and suicide mortality in mental disorders: a meta-review. World Psychiatry 13(2): 153-60.

Witt K, Hawton K, Fazel S. (2014) The relationship between suicide and violence in schizophrenia: analysis of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) dataset. Schizophr Res 154(1-3): 61-7.

Fazel S, Pillas D, Wolf A, Lichtenstein P, Långström N (2014) Suicide, fatal accidents, and other causes of premature mortality in traumatic brain injury: A 41-year Swedish population study. JAMA Psychiatry 71(3): 326-33.

Fazel S, Wolf A, Långström N, Newton CR, Lichtenstein P. (2013) Premature mortality in epilepsy and the role of psychiatric comorbidity: a total population study. Lancet, 382(9905): 1646-54.

Forensic Psychiatry

Wolf A, Whiting D, Fazel S.  (2017) Violence prevention in psychiatry: an umbrella review of interventions in general and forensic psychiatry. Journal of Forensic Psychiatry & Psychology 28: 659-673.

Fazel S, Fimińska Z, Cocks C, Coid J. (2016) Patient Outcomes Following Discharge From Secure Psychiatric Hospitals: Systematic Review and Meta-analysis. Br J Psychiatry 208(1): 17-25.

Fazel S, Wolf A, Fimińska Z, Larsson H. (2016) Mortality, Rehospitalisation and Violent Crime in Forensic Psychiatric Patients Discharged from Hospital: Rates and Risk Factors. PLoS ONE 11(5): e0155906.


Molero Y, Larsson H, BM D’Onofrio, DJ Sharp, S Fazel. (2019) Associations between gabapentinoids and suicidal behaviour, unintentional overdoses, injuries, road traffic incidents, and violent crime: population based cohort study in SwedenBMJ 365, l2147.

Molero Y et al (2018). Medications for alcohol and opioid use disorders and risk of suicidal behavior, accidental overdoses, and crime. American journal of Psychiatry 175 (10), 970-978.

Molero Y, Lichtenstein P, Zetterqvist J, Gumpert CH, Fazel S. (2015) Selective serotonin reuptake inhibitors and violent crime: a cohort study. PLoS Medicine 12: e1001875.

Molero Y, Lichtenstein P, Zetterqvist J, Gumpert CH, Fazel S. (2015) Varenicline and risk of psychiatric conditions, suicidal behavior, criminal offending, and transport accidents and offences: population based cohort study. British Medical Journal 350: h2388.

Fazel S, Zetterqvist J, Larsson H, Långström N, Lichtenstein P (2014). Antipsychotics, mood stabilizers, and risk of violent crime. Lancet, doi:10.1016/S0140-6736(14)60379-2.

Lichtenstein P et al. (2012) Medication for Attention Deficit–Hyperactivity Disorder and Criminality. N Engl J Med 367: 2006-14.


Fazel S, Geddes JR, Kushel M. (2014) The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. Lancet 384(9953): 1529-40.


Fazel S, Bjørkly S (2016) “Methodological Considerations in Risk Assessment Research”, Singh JP, Bjørkly S, Fazel S (eds.) International Perspectives on Violence Risk Assessment (Oxford University Press).

Fazel S. Mental health assessment. In: Cambridge Handbook of Forensic Psychology (Cambridge University Press, 2010)

Fazel S, Chhabra P. Elderly prisoners. In: Psychiatry in Prisons: a comprehensive handbook. Eds. S Wilson, I Cumming (London: Jessica Kingsley Publications, 2010)

Fazel S. Psychiatric aspects of crime and the elderly. In: Oxford Textbook of Old Age Psychiatry, ed. R. Jacoby, C. Oppenheimer et al. (Oxford University Press) 2008

Fazel S. Competence. In: Oxford Textbook of Old Age Psychiatry, ed. R. Jacoby, C. Oppenheimer et al. (Oxford: OUP) 2008


Singh JP, Bjørkly S, Fazel S (eds.) 2016. International Perspectives on Violence Risk Assessment, Oxford University Press.