THE ROUGH GUIDE TO PSYCHOLOGY
and mental health campaigners oppose this idea. They point to the
statistics showing how rare it is for a mentally ill person to harm other
people, and they question the morality of imposing drugs that often have
serious, unpleasant side-effects. In all this debate about schizophrenia
and violence, it’s also worth remembering one sad, undisputed fact that
often goes overlooked, which is that someone with a diagnosis of schizo-
phrenia is at increased risk of being a victim of violence. For further
information on the issues surrounding mental illness and psychosis, the
British Psychological Society produced a free booklet, which although
published over ten years ago, remains useful (tinyurl.com/lt4xnl).
Does cannabis cause schizophrenia?
This has proved a tricky question to answer. There are certainly reasons
to think it might. An authoritative meta-analysis published in 2007 by
Theresa Moore of the University of Bristol combined the results from
eleven longitudinal studies, and concluded that heavy users of cannabis
were between fifty and two hundred percent more at risk of developing
psychosis than non-users. Among users in general (light and heavy),
the increased risk was forty percent. If we assume that the link is causal
- that smoking cannabis brings on psychosis in people who wouldn’t
otherwise have developed it – this would equate to 800 extra cases
of psychosis in 15 to 34-year-olds every year in the UK. So, what’s the
caveat? The problem with research of this kind is that it’s very difficult to
know whether the cannabis users in these studies would have developed
psychosis anyway even if they hadn’t taken cannabis. In fact, there’s
evidence that people who exhibit very mild psychotic-like symptoms are
more likely than average to begin smoking cannabis, perhaps as a form of
self-medication. Another problem is that the intoxication associated with
taking cannabis can bring on acute psychotic-like symptoms. This can
make it difficult to establish whether cannabis really triggers long-lasting
psychosis beyond the period of intoxication.