Citation

Monahan J, Vesselinov R, Robbins PC, Appelbaum PS. Psychiatr. Serv. 2017; 68(5): 516-519.

Affiliation

Dr. Monahan is with the School of Law, University of Virginia, Charlottesville (e-mail: jmonahan@virginia.edu ). Dr. Vesselinov is with the Department of Economics, City University of New York, New York. Ms. Robbins is with Policy Research Associates, Inc., Delmar, New York. Dr. Appelbaum is with the Department of Psychiatry, Columbia University, New York.

Copyright

(Copyright © 2017, American Psychiatric Association)

DOI

10.1176/appi.ps.201600135

PMID

28142385

Abstract

OBJECTIVE: This research examined the frequency of and characteristics associated with three forms of violence among persons with mental illness-violence directed at others, self-directed violence, and violence directed at them by others.

METHODS: Previously unreported data from a follow-up sample of 951 patients from the MacArthur Violence Risk Assessment Study were analyzed to characterize involvement in violence directed at others, self-directed violence, and violence directed at them by others.

RESULTS: Most patients (58%) experienced at least one form of violence, 28% experienced at least two forms, and 7% experienced all three forms. Several diagnostic, social, and historical variables distinguished the groups.

CONCLUSIONS: Given the substantial overlap among the three forms of violence, clinicians should routinely screen patients who report one form for the occurrence of the other two. Co-occurrence of several forms of violence may require a package of interventions with components geared to each.

Language: en

Keywords

Victims, Suicide & self-destructive behavior, Violence/aggression