2014
DOI: 10.1037/lhb0000075
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How often and how consistently do symptoms directly precede criminal behavior among offenders with mental illness?

Abstract: Although offenders with mental illness are overrepresented in the criminal justice system, psychiatric symptoms relate weakly to criminal behavior at the group level. In this study of 143 offenders with mental illness, we use data from intensive interviews and record reviews to examine how often and how consistently symptoms lead directly to criminal behavior. First, crimes rarely were directly motivated by symptoms, particularly when the definition of symptoms excluded externalizing features that are not uniq… Show more

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Cited by 185 publications
(128 citation statements)
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References 60 publications
(76 reference statements)
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“…Overall, the themes uncovered in this study are consistent with earlier findings that suggest that most mentally ill offenders are offending for reasons unrelated to their mental illness (Bonta, Blais, & Wilson, 2014;Peterson et al, 2010;Peterson et al, 2014;Skeem, Kennealy, Monahan, Peterson, & Appelbaum, 2016). The majority of respondents believed that their psychiatric symptoms did not play a direct role in their decision to engage in illegal activity, even during periods when they were actively experiencing those symptoms.…”
Section: Discussionsupporting
confidence: 88%
“…Overall, the themes uncovered in this study are consistent with earlier findings that suggest that most mentally ill offenders are offending for reasons unrelated to their mental illness (Bonta, Blais, & Wilson, 2014;Peterson et al, 2010;Peterson et al, 2014;Skeem, Kennealy, Monahan, Peterson, & Appelbaum, 2016). The majority of respondents believed that their psychiatric symptoms did not play a direct role in their decision to engage in illegal activity, even during periods when they were actively experiencing those symptoms.…”
Section: Discussionsupporting
confidence: 88%
“…Most violent incidents involving individuals with a mental illness involve either a family member or a close acquaintance (Newhill et al 1995, Steadman et al 1998) and are usually embedded in a history of tumultuous encounters. Moreover, examination of crimes involving individuals with mental illness indicate that less than 20% of them are directly preceded by exacerbated symptoms of the illness (Peterson et al 2014). It is rare that the presence of a mental illness is a dispositive explanation for an act of violence (Monahan & Steadman 2012, Skeem et al 2016).…”
Section: Mental Illness Violence and Gun Violencementioning
confidence: 99%
“…People with schizophrenia have been described as being four times more likely to be imprisoned than the general population, although they only represent 5% of violent crimes (27). In a study by Peterson et al (38) of 143 delinquents with mental disorders, the frequency and consistency of the symptoms that might induce criminal behavior were examined. Of the 429 violent crimes considered, 4% were associated with psychosis and 10% with bipolar disorder, leading to the conclusion that few criminal acts were directly motivated by symptoms of illness.…”
Section: Discussionmentioning
confidence: 99%