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Are the mentally ill dangerous?

R L Binder1

  • 1University of California, San Francisco, USA. renee@itsa.ucsf.edu

The Journal of the American Academy of Psychiatry and the Law
|July 10, 1999
PubMed
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This summary is machine-generated.

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Predicting dangerousness in mentally ill patients is complex. While short-term violence prediction is feasible for some, factors like acute symptoms, caretaker victimhood, and history of violence increase risk.

Area of Science:

  • Psychiatry
  • Criminology
  • Mental Health

Background:

  • Psychiatrists evaluate mental illness and assess dangerousness, which can impact patient civil liberties.
  • The practical question shifts from 'Are the mentally ill dangerous?' to 'Which mentally ill individuals are dangerous under specific circumstances?'

Observation:

  • Review of studies on the dangerousness of mentally ill individuals.
  • Analysis of factors influencing violence risk in psychiatric patients.

Findings:

  • Short-term predictions of violence can be relatively accurate.
  • Predicting violence is more accurate for certain patient subgroups.
  • Specific acute-phase symptoms correlate with violent acts.
  • Decompensating psychiatric patients are more likely to direct violence towards caretakers than strangers.

Related Experiment Videos

  • A history of violence, co-morbid substance abuse, and treatment noncompliance are associated with increased violence risk.
  • Implications:

    • Refined risk assessment protocols for psychiatric patients are needed.
    • Understanding specific risk factors can improve patient safety and clinical decision-making.
    • This research informs clinical practice regarding the management of violence risk in mental illness.