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The relationship between command hallucinations and violence.

D E McNiel1, J P Eisner, R L Binder

  • 1Department of Psychiatry, University of California, San Francisco 94143-0984, USA.

Psychiatric Services (Washington, D.C.)
|October 3, 2000
PubMed
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Patients experiencing command hallucinations to harm others were over twice as likely to exhibit violent behavior. This highlights the importance of assessing command hallucinations in major mental disorders to predict violence risk.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Forensic Psychology

Background:

  • Command hallucinations are a complex symptom in major mental disorders.
  • Understanding the link between command hallucinations and violence is crucial for patient safety and risk assessment.

Purpose of the Study:

  • To investigate the relationship between experiencing command hallucinations and engaging in violent behavior.
  • To determine if command hallucinations predict violence in psychiatric inpatients.

Main Methods:

  • One hundred and three psychiatric inpatients were assessed.
  • Measures included command hallucinations, other psychotic symptoms, violent behavior, and social desirability.

Main Results:

  • 30% of patients reported command hallucinations to harm others in the past year; 22% complied.

Related Experiment Videos

  • Command hallucinations to harm others were associated with more than double the likelihood of violence, independent of other factors.

    • Conclusions:

    • Assessing command hallucinations is clinically valuable for evaluating violence risk in patients with major mental disorders.
    • Findings support proactive inquiry into command hallucinations during psychiatric evaluations.