An Actuarial Model of Violence Risk Assessment for Persons With Mental Disorders

Monahan, John; Steadman, Henry J.; Robbins, Pamela Clark; Appelbaum, Paul S.; Banks, Steven M.; Grisso, Thomas; Heilbrun, Kirk; Mulvey, Edward P.; Roth, Loren H.; Silver, Eric

doi:10.1176/appi.ps.56.7.810

Cited by 234 publications

(195 citation statements)

References 10 publications

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“…This stereotype may persist, in part, because of researchers' focus on inpatients. Although fewer than 17% of persons with severe mental illness in the United States are hospitalized (59), nearly half of the studies that investigate violence in persons with severe mental illness examined only inpatients (29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43). Among these, the largest and most well-cited studies focused on involuntarily committed inpatients.…”

Section: Discussionmentioning

confidence: 99%

“…Nearly 90% (27/31) of the studies of perpetration that we reviewed sampled patients from clinics or hospitals (11,12,(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(46)(47)(48)(49)(50)(51); among studies that examined prevalence of victimization, all sampled persons in treatment. We need information on the estimated 5 million persons with severe mental illness in the United States who do not receive treatment (67).…”

Section: Investigate Community Populations Not Only Persons In Treatmentioning

confidence: 99%

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Perpetration of Violence, Violent Victimization, and Severe Mental Illness: Balancing Public Health Concerns

2008

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Objective-To review empirical studies, published since 1990, of the prevalence and incidence of violent perpetration and violent victimization among persons with serious mental illness and to compare their relative importance as a public health concern.Methods-We searched three computerized bibliographic databases, MEDLINE, PSYCH INFO, and Web of Science, using the following keywords: (1) Violent perpetration: SMI, mental illness, mental disorder, psychiatric disorder, psychopathology, violence, violent behavior, and violent act(s); and (2) Violent victimization: SMI, mental illness, mental disorder, psychiatric disorder, psychopathology, and victimization.Results-The search yielded 31 studies of violent perpetration and 10 studies of violent victimization. Few studies examined perpetration and victimization in the same sample. Prevalence rates varied by the type of sample and time frame (recall period). Half of the studies of violent perpetration examined inpatients; of these, about half studied only committed inpatients; these studies reported higher rates of violent perpetration (17% -50%) compared with other samples. Among outpatients with severe mental illness, 2% to 13% had perpetrated violence in the past 6 months to 3 years, compared with 20% to 34% who had been violently victimized in the same time frame. Studies combining outpatients and inpatients reported that 12% to 22% had perpetrated violence in the past 6 to 18 months versus 35% who had been a victim of violence in the past year.

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Section: Discussionmentioning

confidence: 99%

Section: Investigate Community Populations Not Only Persons In Treatmentioning

confidence: 99%

Perpetration of Violence, Violent Victimization, and Severe Mental Illness: Balancing Public Health Concerns

2008

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“…Individuals with co-occurring disorders (CODs) are frequent utilizers of acute care facilities in the community, such as hospital emergency rooms or crisis units, and, lacking stabilization or long-term support, often cycle in and out of the correctional system (Peters, LeVasseur, & Chandler, 2004). Offenders with CODs are more likely to be arrested and to be incarcerated; to spend more time incarcerated (Bureau of Justice Statistics, 2006;Drake et al, 2001;Monahan et al, 2001Monahan et al, , 2005; and to return to prison following their release from custody, compared with offenders with a substance use disorder only (Lamberti, 2007).…”

Section: Introductionmentioning

confidence: 99%

Diagnostic profiles of offenders in substance abuse treatment programs

Grella¹,

Greenwell²,

Prendergast³

et al. 2008

Behavioral Sci & The Law

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This study examined the association of Axis I and Axis II disorders among offenders who were in prison-based substance abuse treatment in a national multi-site study. Participants (N = 280) received a psychosocial assessment and a structured diagnostic interview in two separate sessions. Logistic regression models examined the association between lifetime mood and anxiety disorders with two personality disorders, and the relationship of Axis I and Axis II disorders (alone and in combination) to pre-treatment psychosocial functioning. Over two-thirds of the sample met criteria for at least one mental disorder. Borderline personality disorder was strongly associated with having a lifetime mood disorder (odds ratio = 7.5) or lifetime anxiety disorder (odds ratio = 8.7). Individuals with only an Axis II disorder, or who had both Axis I and Axis II disorders, had more severe problems in psychosocial functioning than those without any disorder. Clinical treatment approaches need to address this heterogeneity in diagnostic profiles, symptom severity, and psychosocial functioning.

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“…Ryan et al, investigated violence prediction instruments derived from the MacArthur study [46][47][48][49] to evaluate their value in risk categorization. They found that the majority of patients categorized as high-risk were not later involved in any harmful behaviors [2].…”

Section: Limitation Of the Spjmentioning

confidence: 99%

Risk Assessment and Manage- ment of Violence in Patients with Mental Disorders: A Re- view

Shiina¹

2015

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An Actuarial Model of Violence Risk Assessment for Persons With Mental Disorders

Abstract: The multiple ICT model may be helpful to clinicians who are faced with making decisions about discharge planning for acutely hospitalized civil patients.

Cited by 234 publications

References 10 publications

Perpetration of Violence, Violent Victimization, and Severe Mental Illness: Balancing Public Health Concerns

Perpetration of Violence, Violent Victimization, and Severe Mental Illness: Balancing Public Health Concerns

Diagnostic profiles of offenders in substance abuse treatment programs

Risk Assessment and Manage- ment of Violence in Patients with Mental Disorders: A Re- view

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