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dc.contributor.authorSteadman, Henry J.
dc.contributor.authorMulvey, Edward P.
dc.contributor.authorMonahan, John
dc.contributor.authorRobbins, Pamela Clark
dc.contributor.authorAppelbaum, Paul S.
dc.contributor.authorGrisso, Thomas
dc.contributor.authorRoth, Loren H.
dc.contributor.authorSilver, Eric
dc.date2022-08-11T08:10:26.000
dc.date.accessioned2022-08-23T17:09:02Z
dc.date.available2022-08-23T17:09:02Z
dc.date.issued1998-05-22
dc.date.submitted2010-09-10
dc.identifier.citationArch Gen Psychiatry. 1998 May;55(5):393-401.
dc.identifier.issn0003-990X (Linking)
dc.identifier.pmid9596041
dc.identifier.urihttp://hdl.handle.net/20.500.14038/45723
dc.description.abstractBACKGROUND: The public perception that mental disorder is strongly associated with violence drives both legal policy (eg, civil commitment) and social practice (eg, stigma) toward people with mental disorders. This study describes and characterizes the prevalence of community violence in a sample of people discharged from acute psychiatric facilities at 3 sites. At one site, a comparison group of other residents in the same neighborhoods was also assessed. METHODS: We enrolled 1136 male and female patients with mental disorders between the ages of 18 and 40 years in a study that monitored violence to others every 10 weeks during their first year after discharge from the hospital. Patient self-reports were augmented by reports from collateral informants and by police and hospital records. The comparison group consisted of 519 people living in the neighborhoods in which the patients resided after hospital discharge. They were interviewed once about violence in the past 10 weeks. RESULTS: There was no significant difference between the prevalence of violence by patients without symptoms of substance abuse and the prevalence of violence by others living in the same neighborhoods who were also without symptoms of substance abuse. Substance abuse symptoms significantly raised the rate of violence in both the patient and the comparison groups, and a higher portion of patients than of others in their neighborhoods reported symptoms of substance abuse. Violence in both patient and comparison groups was most frequently targeted at family members and friends, and most often took place at home. CONCLUSIONS: "Discharged mental patients" do not form a homogeneous group in relation to violence in the community. The prevalence of community violence by people discharged from acute psychiatric facilities varies considerably according to diagnosis and, particularly, co-occurring substance abuse diagnosis or symptoms.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=9596041&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://archpsyc.ama-assn.org/cgi/reprint/55/5/393
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAggression
dc.subjectComorbidity
dc.subjectData Collection
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subject*Hospitalization
dc.subjectHospitals, Psychiatric
dc.subjectHumans
dc.subjectMale
dc.subjectMental Disorders
dc.subjectPennsylvania
dc.subjectPrevalence
dc.subjectPsychiatric Status Rating Scales
dc.subjectResidence Characteristics
dc.subjectSocial Behavior Disorders
dc.subjectSubstance-Related Disorders
dc.subjectViolence
dc.subjectPsychiatry
dc.titleViolence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods
dc.typeJournal Article
dc.source.journaltitleArchives of general psychiatry
dc.source.volume55
dc.source.issue5
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/psych_pp/253
dc.identifier.contextkey1550377
html.description.abstract<p>BACKGROUND: The public perception that mental disorder is strongly associated with violence drives both legal policy (eg, civil commitment) and social practice (eg, stigma) toward people with mental disorders. This study describes and characterizes the prevalence of community violence in a sample of people discharged from acute psychiatric facilities at 3 sites. At one site, a comparison group of other residents in the same neighborhoods was also assessed.</p> <p>METHODS: We enrolled 1136 male and female patients with mental disorders between the ages of 18 and 40 years in a study that monitored violence to others every 10 weeks during their first year after discharge from the hospital. Patient self-reports were augmented by reports from collateral informants and by police and hospital records. The comparison group consisted of 519 people living in the neighborhoods in which the patients resided after hospital discharge. They were interviewed once about violence in the past 10 weeks.</p> <p>RESULTS: There was no significant difference between the prevalence of violence by patients without symptoms of substance abuse and the prevalence of violence by others living in the same neighborhoods who were also without symptoms of substance abuse. Substance abuse symptoms significantly raised the rate of violence in both the patient and the comparison groups, and a higher portion of patients than of others in their neighborhoods reported symptoms of substance abuse. Violence in both patient and comparison groups was most frequently targeted at family members and friends, and most often took place at home.</p> <p>CONCLUSIONS: "Discharged mental patients" do not form a homogeneous group in relation to violence in the community. The prevalence of community violence by people discharged from acute psychiatric facilities varies considerably according to diagnosis and, particularly, co-occurring substance abuse diagnosis or symptoms.</p>
dc.identifier.submissionpathpsych_pp/253
dc.contributor.departmentDepartment of Psychiatry
dc.source.pages393-401


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