Mental disorder and violence: is there a relationship beyond substance use?

Dorn, Richard Van; Volavka, Jan; Johnson, Norman J.

doi:10.1007/s00127-011-0356-x

Cited by 280 publications

(236 citation statements)

References 65 publications

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“…First, although the association between serious mental illness and risk of violence is modest (26,32,33), a widely held belief among the general public is that violence is strongly associated with mental illness (34)(35)(36). Such attitudes may impede efforts to implement MHCs in specific jurisdictions.…”

Section: Discussionmentioning

confidence: 99%

Prospective Study of Violence Risk Reduction by a Mental Health Court

McNiel¹,

Sadeh²,

Delucchi³

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Prospective Study of Violence Risk Reduction by a Mental Health Court

McNiel¹,

Sadeh²,

Delucchi³

et al. 2015

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“…In fact, a lifetime diagnosis of a severe mental illness may add little additional risk of violence, especially if the individual is in remission or is receiving treatment (Appelbaum & Swanson, 2010). The factors predictive of future violence among the severely mentally ill are similar to those that predict violence in the general population (e.g., Van Dorn, Volavka, & Johnson, 2012).…”

Section: Mental Illnessmentioning

confidence: 99%

Youth violence: What we know and what we need to know.

Bushman¹,

Newman²,

Calvert³

et al. 2016

American Psychologist

135

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School shootings tear the fabric of society. In the wake of a school shooting, parents, pediatricians, policymakers, politicians, and the public search for "the" cause of the shooting. But there is no single cause. The causes of school shootings are extremely complex. After the Sandy Hook Elementary School rampage shooting in Newtown, Connecticut, we wrote a report for the National Science Foundation on what is known and not known about youth violence. This article summarizes and updates that report. After distinguishing violent behavior from aggressive behavior, we describe the prevalence of gun violence in the United States and age-related risks for violence. We delineate important differences between violence in the context of rare rampage school shootings, and much more common urban street violence. Acts of violence are influenced by multiple factors, often acting together. We summarize evidence on some major risk factors and protective factors for youth violence, highlighting individual and contextual factors, which often interact. We consider new quantitative "data mining" procedures that can be used to predict youth violence perpetrated by groups and individuals, recognizing critical issues of privacy and ethical concerns that arise in the prediction of violence. We also discuss implications of the current evidence for reducing youth violence, and we offer suggestions for future research. We conclude by arguing that the prevention of youth violence should be a national priority.

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“…Several studies have demonstrated a greater risk of violence among patients with severe mental illnesses compared with the general population (13,14). In general, there is a statistically significant but modest relationship between severe mental illness and violence and a stronger relationship between severe mental illness with cooccurring substance use disorder and violence (15).…”

Section: Introductionmentioning

confidence: 99%

Risk of violence among patients in psychiatric treatment: results from a national census

Ose

Lilleeng

Pettersen

et al. 2017

Nordic Journal of Psychiatry

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Risk of violence among patients in psychiatric treatmentOse, S.O.; Lilleeng, S. ; Ruud, T.; van Weeghel, Jaap General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policyIf you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim. Background: Adverse media coverage of isolated incidents affects the public perception of the risk of violent behavior among people with mental illness. However, the risk of violence is studied most frequently among inpatients, which falsely exaggerates the prevalence of people with mental illness because the majority of individuals receive treatment as outpatients. Aim: To estimate the prevalence of the risk of violence among inpatients and outpatients in psychiatric treatment, as well as the associations with gender, age, socio-economic status and co-morbid substance use disorders in all major diagnostic categories. Methods: We conducted a national census of patients in specialist mental health services in Norway, which included 65% of all inpatients (N ¼ 2,358) and 60% of all outpatients (N ¼ 23,124).Results: The prevalence of the risk of violence was 32% among inpatients and 8% among outpatients, where 80% of the patients in specialist mental health services were outpatients. If we weight the prevalence rates accordingly, less than 2% of the patients in specialist mental health services had a high risk of violent behavior. Conclusions:The stigma attached to those with mental illness is not consistent with the absence or low to modest risk of violent behavior in 98% of the patient group. Substance use disorders must be given priority in the treatment of all patient groups. Mental health care in general and interventions that target violent behavior in particular should address the problems and needs of these patients better, especially those who are unemployed, have a low level of education and have a background of being a refugee or an immigrant.

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Mental disorder and violence: is there a relationship beyond substance use?

Cited by 280 publications

References 65 publications

Prospective Study of Violence Risk Reduction by a Mental Health Court

Prospective Study of Violence Risk Reduction by a Mental Health Court

Youth violence: What we know and what we need to know.

Risk of violence among patients in psychiatric treatment: results from a national census

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