Skip to main content
×
Home
    • Aa
    • Aa

Domestic and sexual violence against patients with severe mental illness

  • H. Khalifeh (a1), P. Moran (a2), R. Borschmann (a2), K. Dean (a3), C. Hart (a2), J. Hogg (a2), D. Osborn (a1), S. Johnson (a1) and L. M. Howard (a2)...
Abstract
Background

Domestic and sexual violence are significant public health problems but little is known about the extent to which men and women with severe mental illness (SMI) are at risk compared with the general population. We aimed to compare the prevalence and impact of violence against SMI patients and the general population.

Method

Three hundred and three randomly recruited psychiatric patients, in contact with community services for ⩾1 year, were interviewed using the British Crime Survey domestic/sexual violence questionnaire. Prevalence and correlates of violence in this sample were compared with those from 22 606 general population controls participating in the contemporaneous 2011/12 national crime survey.

Results

Past-year domestic violence was reported by 27% v. 9% of SMI and control women, respectively [odds ratio (OR) adjusted for socio-demographics, aOR 2.7, 95% confidence interval (CI) 1.7–4.0], and by 13% v. 5% of SMI and control men, respectively (aOR 1.6, 95% CI 1.0–2.8). Past-year sexual violence was reported by 10% v. 2.0% of SMI and control women respectively (aOR 2.9, 95% CI 1.4–5.8). Family (non-partner) violence comprised a greater proportion of overall domestic violence among SMI than control victims (63% v. 35%, p < 0.01). Adulthood serious sexual assault led to attempted suicide more often among SMI than control female victims (53% v. 3.4%, p < 0.001).

Conclusions

Compared to the general population, patients with SMI are at substantially increased risk of domestic and sexual violence, with a relative excess of family violence and adverse health impact following victimization. Psychiatric services, and public health and criminal justice policies, need to address domestic and sexual violence in this at-risk group.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Domestic and sexual violence against patients with severe mental illness
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Domestic and sexual violence against patients with severe mental illness
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Domestic and sexual violence against patients with severe mental illness
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
* Address for correspondence: Dr H. Khalifeh, Division of Psychiatry, UCL, Charles Bell House, 67-73 Riding House St, London, UK. (Email: h.khalifeh@ucl.ac.uk)
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

T Abramsky , C Watts , C Garcia Moreno , K Devries , L Kiss , M Ellsberg , H Jansen , L Heise (2011). What factors are associated with recent intimate partner violence? findings from the WHO multi-country study on women's health and domestic violence. BMC Public Health 11, 109.

A Bengtsson-Tops , K Ehliasson (2012). Victimization in individuals suffering from psychosis: a Swedish cross-sectional study. Journal of Psychiatric and Mental Health Nursing 19, 2330.

LP Chen , MH Murad , ML Paras , KM Colbenson , AL Sattler , EN Goranson , MB Elamin , RJ Seime , G Shinozaki , LJ Prokop , A Zirakzadeh , LP Chen , MH Murad , ML Paras , KM Colbenson , AL Sattler , EN Goranson , MB Elamin , RJ Seime , G Shinozaki , LJ Prokop , A Zirakzadeh (2010). Sexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis. Mayo Clinic Proceedings 85, 618629.

JY Choe , LA Teplin , KM Abram (2008). Perpetration of violence, violent victimization, and severe mental illness: Balancing public health concerns. Psychiatric Services 59, 153164.

AL Coker , KE Davis , I Arias , S Desai , M Sanderson , HM Brandt , PH Smith (2002). Physical and mental health effects of intimate partner violence for men and women. American Journal of Preventive Medicine 23, 260268.

KK Danielson , TE Moffitt , A Caspi , PA Silva (1998). Comorbidity between abuse of an adult and DSM-III-R mental disorders: Evidence from an epidemiological study. American Journal of Psychiatry 155, 131133.

KM Devries , JY Mak , LJ Bacchus , JC Child , G Falder , M Petzold , J Astbury , CH Watts (2013). Intimate partner violence and incident depressive symptoms and suicide attempts: a systematic review of longitudinal studies. PLoS Medicine 10, 11.

M Ellsberg , HAFM Jansen , L Heise , CH Watts , C Garcia-Moreno (2008). Intimate partner violence and women's physical and mental health in the WHO multi-country study on women's health and domestic violence: an observational study. Lancet 371, 11651172.

G Feder , CN Wathen , H Macmillan (2013). An evidence-based response to intimate partner violence: WHO guidelines. Journal of the American Medical Association 310, 479480.

L Fialko , D Freeman , PE Bebbington , E Kuipers , PA Garety , G Dunn , D Fowler (2006). Understanding suicidal ideation in psychosis: findings from the Psychological Prevention of Relapse in Psychosis (PRP) trial. Acta Psychiatrica Scandinavica 114, 177186.

LA Goodman , SD Rosenberg , KT Mueser , RE Drake (1997). Physical and sexual assault history in women with serious mental illness: Prevalence, correlates, treatment, and future research directions. Schizophrenia Bulletin 23, 685696.

LA Goodman , KM Thompson , K Weinfurt , S Corl , P Acker , KT Mueser , SD Rosenberg (1999). Reliability of reports of violent victimization and posttraumatic stress disorder among men and women with serious mental illness. Journal of Traumatic Stress 12, 587599.

Diaz S Hernandez , E Schisterman , M Hernan , M Hernan (2006). The birth weight ‘paradox’ uncovered? American Journal of Epidemiology 164, 11151120.

K Hughes , MA Bellis , L Jones , S Wood , G Bates , L Eckley , E Mccoy , C Mikton , T Shakespeare , A Officer (2012). Prevalence and risk of violence against adults with disabilities: a systematic review and meta-analysis of observational studies. Lancet 379, 16211629.

R Jewkes (2010). Emotional abuse: a neglected dimension of partner violence. Lancet 376, 851852.

MP Johnson (2006). Conflict and control – Gender symmetry and asymmetry in domestic violence. Violence Against Women 12, 10031018.

M Katsikidou , M Samakouri , M Fotiadou , A Arvaniti , T Vorvolakos , K Xenitidis , M Livaditis (2013). Victimization of the severely mentally ill in Greece: The extent of the problem. International Journal of Social Psychiatry 59, 706715.

H Khalifeh , K Dean (2010). Gender and violence against people with severe mental illness. International Review of Psychiatry 22, 535546.

H Khalifeh , L Howard , D Osborn , P Moran , S Johnson (2013). Violence against people with disability in England and wales: findings from a National Cross-Sectional Survey. PLoS ONE 8, e55952.

BG Link , JC Phelan , M Bresnahan , A Stueve , BA Pescosolido (1999). Public conceptions of mental illness: labels, causes, dangerousness, and social distance. American Journal of Public Health 89, 13281333.

R Maniglio (2009). Severe mental illness and criminal victimization: a systematic review. Acta Psychiatrica Scandinavica 119, 180191.

KT Mueser , SD Rosenberg , LA Goodman , SL Trumbetta (2002). Trauma, PTSD, and the course of severe mental illness: an interactive model. Schizophrenia Research 53, 123143.

KT Mueser , SD Rosenberg , H Xie , MK Jankowski , EE Bolton , W Lu , JL Hamblen , HJ Rosenberg , GJ Mchugo , R Wolfe (2008). A randomized controlled trial of cognitive-behavioral treatment for posttraumatic stress disorder in severe mental illness. Journal of Consulting and Clinical Psychology 76, 259271.

S Nyame , L Howard , G Feder , K Trevillion (2013). A survey of mental health professionals' knowledge, attitudes and preparedness to respond to domestic violence. Journal of Mental Health 22, 536543.

S Oram , K Trevillion , G Feder , LM Howard (2013). Prevalence of experiences of domestic violence among psychiatric patients: systematic review. British Journal of Psychiatry 202, 9499.

JM Robins , S Greenland (1992). Identifiability and exchangeability for direct and indirect effects. Epidemiology 3, 143155.

LA Teplin , GM Mcclelland , KM Abram , DA Weiner (2005). Crime victimization in adults with severe mental illness – Comparison with the national crime victimization survey. Archives of General Psychiatry 62, 911921.

K Trevillion , S Oram , G Feder , LM Howard (2012). Experiences of domestic violence and mental disorders: a systematic review and meta-analysis. PLoS ONE 7, e51740.

M Yoshihama , J Horrocks , S Kamano (2009). The role of emotional abuse in intimate partner violence and health among women in Yokohama, Japan. American Journal of Public Health 99, 647653.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Type Description Title
WORD
Supplementary Materials

Supplementary Material
Supplementary information supplied by authors.

 Word (27 KB)
27 KB

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 65
Total number of PDF views: 786 *
Loading metrics...

Abstract views

Total abstract views: 938 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 21st July 2017. This data will be updated every 24 hours.