Skip to main content Accessibility help
×
Home

Prevalence of violent victimisation in severe mental illness

  • Elizabeth Walsh (a1), Paul Moran (a2), Charles Scott (a3), Kwame McKenzie (a4), Tom Burns (a5), Francis Creed (a6), Peter Tyrer (a1), Robin M. Murray (a1) and Tom Fahy (a1)...

Abstract

Background

Since de-institutionalisation, much has been written about the risk posed to the community by those with severe mental illness. However, violent victimisation of people with mental illnesses has received little attention.

Aims

To establish the 1-year prevalence of violent victimisation in community-dwelling patients with psychosis and to identify the socio-demographic and clinical correlates of violent victimisation.

Method

A total of 691 subjects with established psychotic disorders were interviewed. The past-year prevalence of violent victimisation was estimated and compared with general population figures. Those who reported being violently victimised were compared with those who did not on a range of social and clinical characteristics.

Results

Sixteen per cent of patients reported being violently victimised. Victims of violence were significantly more likely to report severe psychopathological symptoms, homelessness, substance misuse and previous violent behaviour and were more likely to have a comorbid personality disorder.

Conclusions

Those with psychosis are at considerable risk of violent victimisation in the community. Victimisation experience should be recorded in the standard psychiatric interview.

  • 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. 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.

      Prevalence of violent victimisation in 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 <service> account. Find out more about sending content to Dropbox.

      Prevalence of violent victimisation in 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 <service> account. Find out more about sending content to Google Drive.

      Prevalence of violent victimisation in severe mental illness
      Available formats
      ×

Copyright

Corresponding author

Dr Elizabeth Walsh, Section of Forensic Mental Health, The Institute of Psychiatry De Crespigny Park, Denmark Hill, London SE5 8AF, UK. E-mail: sppmemw@iop.kcl.ac.uk

Footnotes

Hide All

This paper was accepted before the appointment of P.T. as Editor of the Journal.

Declaration of interest

None.

Footnotes

References

Hide All
Asberg, M. Montgomery, S. A. Perris, C. et al (1978) A comprehensive psychopathological rating scale. Acta Psychiatrica Scandinavica Supplementum, 271, 527.
Andreasen, N. C. (1984) Modified Scale for the Assessment of Negative Symptoms. Iowa City, IA: University of Iowa.
Brekke, J. S. Prindle, C. Woo Bae, S. et al (2001) Risks for individuals with schizophrenia who are living in the community. Psychiatric Services, 52, 13581366.
Burns, T. Creed, F. Fahy, T. et al (1999) Intensive versus standard case management for severe psychotic illness: a randomised trial. UK700 Group. Lancet, 353, 21852189.
Cascardi, M. Mueser, K. T. DeGiralomo, J. et al (1996) Physical aggression against psychiatric inpatients by family members and partners. Psychiatric Services, 47, 531533.
Glover, G. R. Robin, E. Emami, J. et al (1998) A needs index for mental health care. Social Psychiatry and Psychiatric Epidemiology, 33, 8996.
Goldberg, E. M. & Morrison, S. L. (1963) Schizophrenia and social class. British Journal of Psychiatry, 109, 785802.
Hiday, V. A. Swanson, J. W. Swartz, M. S. et al (1999) Criminal victimisation of persons with severe mental illness. Psychiatric Services, 50, 6268.
Hiday, V. A. Swanson, J. W. Swartz, M. S. et al (2001) Victimization: a link between mental illness and violence? International Journal of Law and Psychiatry, 24, 559572.
Hiday, V. A. Swartz, M. S. Swanson, J. W. et al (2002) Impact of outpatient commitment on victimisation of people with severe mental illness. American Journal of Psychiatry, 8, 14031411.
Jablensky, A. Schwartz, R. & Tomov, T. (1980) WHO collaborative study of impairments and disabilities associated with schizophrenic disorders: a preliminary communication – objectives and methods. Acta Psychiatrica Scandinavica, 62, 152163.
Lehman, A. F. & Linn, L. S. (1984) Crimes against discharged mental patients in board-and-care homes. American Journal of Psychiatry, 141, 271274.
Marcelis, M. Navarro-Mateu, F. Murray, R. et al (1998) Urbanization and psychosis: a study of 1942–1978 birth cohorts in The Netherlands. Psychological Medicine, 4, 871879.
Maxfield, M. G. & Widom, C. (1996) Cycle of violence revisited 6 years later. Archives of Pediatrics and Adolescent Medicine, 150, 390395.
McGuffin, P. Farmer, A. & Harvey, I. (1991) A polydiagnostic application of operational criteria in studies of psychotic illness. Development and reliability of the OPCRIT system. Archives of General Psychiatry, 48, 764770.
Moran, P. Walsh, E. Tyrer, P. et al (2003) Impact of comorbid personality disorder on violence in psychosis. Report from the UK700 trial. British Journal of Psychiatry, 182, 129134.
Mullen, P. E. Burgess, P. Wallace, C. et al (2000) Community care and criminal offending in schizophrenia. Lancet, 355, 614617.
Murless-Black, C. Mayhew, P. & Percy, A. (1996) British Crime Survey 1996. London: Home Office.
Oliver, J. (1991) The social care directive: development of a quality of life profile for use in community services for the mentally ill. Social Work and Social Sciences Review, 3, 5360.
Phelan, M. Slade, M. Thornicroft, G. et al (1995) The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness. British Journal of Psychiatry, 167, 589595.
Silver, E. (2002) Mental disorder and violent victimization: the mediating role of involvement in conflicted social relationships. Criminology, 40, 191211.
Spitzer, R. Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria: rationale and reliability. Archives of General Psychiatry, 35, 773782.
StataCorp (1999) Stata Statistical Software, Release 6.0. College Station, TX: Stata Corporation.
Tyrer, P. Alexander, M. S. Cicchetti, D. et al (1979) Reliability of a schedule for rating personality disorders. British Journal of Psychiatry, 135, 168174.
UK700 Group (1999) Comparison of intensive and standard case management for patients with psychosis. Rationale of the trial. British Journal of Psychiatry, 174, 7478.
Van Horn, E. Manley, C. Leddy, D. et al (2000) Problems in developing an instrument for the rapid assessment of personality status. European Psychiatry, 16 (suppl. 1), 2933.
Walsh, E. & Fahy, T. (2002) Violence in society – contribution of mental illness. BMJ, 325, 507508.
Walsh, E. Gilvarry, C. Samele, C. et al (2001) Reducing violence in severe mental illness: randomised controlled trial of intensive case management compared with standard care. BMJ, 323, 10931096.
Walsh, E. Buchanan, A. & Fahy, T. (2002) Violence and schizophrenia: examining the evidence. British Journal of Psychiatry, 181, 490495.
World Health Organization (1992a) The Life Chart. Geneva: WHO.
World Health Organization (1992b) The ICD–10 Classification of Mental and Behavioural Disorders. Geneva: WHO.

Prevalence of violent victimisation in severe mental illness

  • Elizabeth Walsh (a1), Paul Moran (a2), Charles Scott (a3), Kwame McKenzie (a4), Tom Burns (a5), Francis Creed (a6), Peter Tyrer (a1), Robin M. Murray (a1) and Tom Fahy (a1)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Prevalence of violent victimisation in severe mental illness

  • Elizabeth Walsh (a1), Paul Moran (a2), Charles Scott (a3), Kwame McKenzie (a4), Tom Burns (a5), Francis Creed (a6), Peter Tyrer (a1), Robin M. Murray (a1) and Tom Fahy (a1)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *