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Assessing risk of interpersonal violence in the mentally ill

Published online by Cambridge University Press:  02 January 2018

Paul E. Mullen
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Mental health professionals regard the assessment of suicide risk as part of normal clinical practice, but most shy away from assessment of risk of interpersonal violence, either doubting that such predictions are possible, or, if possible, are part of their role. In part, this fastidiousness reflects the influence of a consensus which emerged in the 1970s to the effect that there was no substantial relationship between mental illness and violent behaviour. The only basis for risk assessments which remained were those factors in the general population known to be associated with criminality. Even here, however, the accuracy of predictions made by clinicians had been subject to considerable critical scrutiny, which undermined any claims the profession may have had to expertise (Monahan, 1981; Brizer, 1989). There seems to have been wide acceptance that psychiatrists were doubly disabled in the business of predicting violence by having no relevant specialist knowledge and by being poor at applying knowledge gleaned from other disciplines such as criminology.

Type
Research Article
Information
Advances in Psychiatric Treatment , Volume 3 , Issue 3 , May 1997 , pp. 166 - 173
Copyright
Copyright © The Royal College of Psychiatrists 1997 

References

Binder, R. L. & McNeil, D. E. (1990) The relationship of gender to violent behaviour in acutely disturbed psychiatric patients. Journal of Clinical Psychiatry, 51, 110–114.Google ScholarPubMed
Bowden, P. (1981) What happens to men released from the special hospitals? British Journal of Psychiatry, 138, 340–345.CrossRefGoogle Scholar
Brizer, D. A. (1989) Overview of current approaches to the prediction of violence. In Current Approaches to the Prediction of Violence (eds Brizer, D. A. & Crowner, M.) pp. xi–xxii. Washington, DC: American Psychiatric Press.Google Scholar
Coid, J. (1993) Current concepts and classifications of psychopathic disorder. In Personality Disorder Reviewed (eds Tyrer, P. & Stein, G.) pp. 113–164. London: Gaskell.Google Scholar
Convit, A., Jaeger, J., Lin, S. P. et al (1989) Predictions of assaultive behaviour in psychiatric inpatients: Is it possible? In Current Approaches to the Prediction of Violence (eds Brizer, D. A. & Crowner, M.) pp 35–62. Washington, DC: American Psychiatric Press.Google Scholar
d'Orban, P., Gunn, J., Holland, A. et al (1993) Organic disorders mental handicap and offending. In Forensic Psychiatry (eds Gunn, J. & Taylor, P. J.) pp. 286–328. London: Butterworth Heinemann.Google Scholar
Estroff, S. E. & Zimmer, C. (1994) Social networks, social support and violence. In Violence and Mental Disorder (eds Monahan, J. & Steadman, H. J.) pp. 259–295. Chicago, IL: Chicago University Press.Google Scholar
Garza-Trevino, E. (1994) Neurobiological factors in aggressive behaviour. Hospital & Community Psychiatry, 45, 690–699.Google Scholar
Hafner, H. & Böker, W. (1982) Crimes of Violence by Mentally Abnormal Offenders (trans. Marshall, H.). Cambridge: Cambridge University Press.Google Scholar
Harris, G. M., Rice, M. & Quinsey, V. (1993) Violent recidivism of mentally disordered offenders: The development of a statistical prediction instrument. Criminal Justice and Bahaviour, 20, 315–335.Google Scholar
Hellerstein, D., Frosch, W. & Koenigsberg, H. W. (1987) The clinical significance of command hallucinations. American Journal of Psychiatry, 144, 219–221.Google ScholarPubMed
Hodgins, S. (1992) Mental disorder, intellectual deficiency and crime: Evidence from a birth cohort. Archives of General Psychiatry, 49, 476–483.Google Scholar
Klassen, D. & O'Connor, W. (1988) A prospective study of predictors of violence in adult male mental patients. Law and Human Behaviour, 12, 143–158.CrossRefGoogle Scholar
Krakowski, M., Volavka, J & Brizer, D. (1986) Psychopathy and violence: A review of the literature. Comprehensive Psychiatry, 27, 131–148.Google Scholar
Lidz, C. W., Mulvey, E. P. & Gardner, W. (1993) The accuracy of predictions of violence to others. Journal of American Medical Association, 269, 1007–1011.CrossRefGoogle ScholarPubMed
Link, B., Andrews, H. & Cullen, F. (1992) The violent and illegal behaviour of mental patients reconsidered. American Sociological Review, 57, 275–292.CrossRefGoogle Scholar
Link, B. & Stueve, A. (1994) Psychotic symptoms and the violent/illegal behaviour of mental patients compared to community controls. In Violence and Mental Disorder (eds Monahan, J. & Steadman, H. J.) pp. 137–159. Chicago, IL: Univeristy of Chicago Press Google Scholar
MacDonald, J. M. (1968) Homicidal Threats. Springfield, IL: C. C. Thomas Google Scholar
McNeil, J & Freenfield, H. J. (1988) Predictors of violence in civilly committed acute psychiatric patients. American Journal of Psychiatry, 145, 965–970.Google Scholar
Monahan, J. (1981) The Clinical Prediction of Violent Behaviour. Washington, DC: US Government Printing Office.Google Scholar
Monahan, J. (1993) Mental disorder and violence: another look. In Mental Disorder and Crime (ed. Hodgins, S.) pp. 287–302. London: Sage.Google Scholar
Monahan, J. (1996) Violence prediction: The past twenty and the next twenty years. Criminal Justice and Behaviour, 23, 107–120.CrossRefGoogle Scholar
Monahan, J. & Steadman, H. J. (1996) Violent storms and violent people. American Psychologist, 51, 931–938.CrossRefGoogle Scholar
Mossman, D. (1994) Assessing predictions of violence: being accurate about accuracy. Journal of Consulting and Clinical Psychology, 62, 783–792.Google Scholar
Mullen, P. E. (1989) Morbid jealousy and the delusion of infidelity. In Principles and Practice of Forensic Psychiatry (eds Bluglass, R. & Bowden, P.) pp. 823–834. London: Churchill Livingstone.Google Scholar
Mullen, P. E., Taylor, P. J. & Wessely, S. (1993) Psychosis, violence and crime. In Forensic Psychiatry: Clinical, Legal & Ethical Issues (eds Gunn, J. & Taylor, P.) pp. 329–371. Oxford: Butterworth Heinemann Google Scholar
Novaco, R. W. (1994) Anger as a risk factor for violence. In Mental Disorders and Violence, pp. 21–59. Chicago, IL: Chicago University Press.Google Scholar
Prins, H. (1966) Risk assessment and management in criminal justice and psychiatry. Journal of Forensic Psychiatry, 7, 42–62.Google Scholar
Reid, W. H. D. (1994) Anti-social personality in forensic psychiatry. In Principles and Practice of Forensic Psychiatry (ed. Rosner, R.) pp. 427–431. New York: Chapman & Hall.Google Scholar
Reis, A. J. & Roth, J. A. (1993) Understanding and Preventing Violence. Washington, DC: National Academy Press.Google Scholar
Rosenbaum, M. (1990) The role of depression in couples involved in murder suicide and homicide. American Journal of Psychiatry, 147, 1036–1039.Google Scholar
Rossi, A. M., Jacobs, M., Monteleone, M. et al (1986) Characteristics of psychiatric patients who engage in assaultative behaviour or other fear inducing behaviours. Journal of Nervous and Mental Diseases, 174, 154–160.Google Scholar
Steadman, H., Monahan, J., Applebaum, P. et al (1994) Designing a new generation of risk assessment research. In Violence and Mental Disorder (eds Monahan, J. & Steadman, H. J.) pp. 297–318. Chicago, IL: Chicago University Press.Google Scholar
Swanson, J. W. (1994) Mental disorder, substance abuse and community violence: An epidemiological approach. In Violence and Mental Disorder (eds Monahan, J. & Steadman, H. J.) pp. 101–136. Chicago, IL: University of Chicago Press.Google Scholar
Tardiff, K. (1989) A model for the short term prediction of violence potential. In Current Approaches to the Prediction of Violence (eds Brizer, D. A. & Crowner, M.) pp. 1–12. Washington, DC: American Psychiatric Press.Google Scholar
Taylor, P. J. (1985) Motives for offending among violent and psychotic men. British Journal of Psychiatry, 147, 491–498.CrossRefGoogle ScholarPubMed
Taylor, P. J. (1993) Mental illness and violence. In Violence in Society (ed. Taylor, P. J.) London: Royal College of Physicians.Google Scholar
Walker, Z. & Seifert, R. (1994) Violent incidents in a psychiatric intensive care unit. British Journal of Psychiatry, 164, 826–828.Google Scholar
West, D. J. (1965) Murder Followed by Suicide. London: Heinemann.Google Scholar
Widom, C. S. (1989) Child abuse, neglect and violent criminal behaviour. In Current Approaches to the Prediction of Violence (eds Brizer, D. A. & Crowner, M.) pp. 121–148. Washington, DC: American Psychiatric Press.Google Scholar
Virkkunen, M. D., Goldman, D. & Linnoila, M. (1996) Serotonin in alcoholic violent offenders. In Genetics of Criminal and Antisocial Behaviour (eds Bock, G. R. & Goode, J.) pp. 168–182. Chichester: John Wiley.Google Scholar
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