
Hosp Community Psychiatry 41:761-770, July 1990
© 1990 American Psychiatric Association
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Violence and Psychiatric Disorder in the Community: Evidence From the Epidemiologic Catchment Area Surveys
Jeffrey W. Swanson Ph.D.1,
Charles E. Holzer III Ph.D.1,
Vijay K. Ganju Ph.D.2, and
Robert Tsutomu Jono M.S.P.H.3
1 Department of Psychiatry and Behavioral Sciences at the University of Texas Medical Branch at Galveston
2 Texas Department of Mental Health and Mental Retardation in Austin
3 Center for Cross-Cultural Research at the University of Texas Medical Branch at Galveston
202 Gail Borden Building, F-24, University of Texas Medical Branch at Galveston, Galveston, Texas 77550
Data from the Epidemiologic Catchment Area survey were used to examine the relationship between violence and psychiatric disorders among adults living in the community. Psychiatric assessment of survey respondents was based on the Diagnostic Interview Schedule, which also provided self-report information about violent behavior. Those who reported violent behavior within the preceding year tended to be young, male, and of low socioeconomic status, and more than half met DSM-III criteria for one or more psychiatric disorders. Subjects with alcohol or drug use disorders were more than twice as likely as those with schizophrenia to report violent behavior. In a multivariate model of the predictors of violence, a significant interaction effect was found between major mental illness and substance abuse. The risk of violent behavior increased with the number of psychiatric diagnoses for which respondents met DSM-III criteria.
Note:
The data analysis for this paper was supported in part by a National Institute of Mental Health contract to Dr. Swanson. The Epidemiologic Catchment Area Program was supported in part by NIMH grants MH-34224 and MH-15783.
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E. S. Brodkin, S. A. Goforth, A. H. Keene, J. A. Fossella, and L. M. Silver
Identification of Quantitative Trait Loci That Affect Aggressive Behavior in Mice
J. Neurosci.,
February 1, 2002;
22(3):
1165 - 1170.
[Abstract]
[Full Text]
[PDF]
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M. J. Moran, M. G. Sweda, M. R. Fragala, and J. Sasscer-Burgos
The Clinical Application of Risk Assessment in the Treatment-Planning Process
Int J Offender Ther Comp Criminol,
August 1, 2001;
45(4):
421 - 435.
[Abstract]
[PDF]
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H. L. Stuart and J. E. Arboleda-Florez
A Public Health Perspective on Violent Offenses Among Persons With Mental Illness
Psychiatr Serv,
May 1, 2001;
52(5):
654 - 659.
[Abstract]
[Full Text]
[PDF]
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P. Snowden
Substance misuse and violence: the scope and limitations of forensic psychiatry's role
Advan. Psychiatr. Treat.,
May 1, 2001;
7(3):
189 - 197.
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J. MILTON, S. AMIN, S. P. SINGH, G. HARRISON, P. JONES, T. CROUDACE, I. MEDLEY, and J. BREWIN
Aggressive incidents in first-episode psychosis
The British Journal of Psychiatry,
May 1, 2001;
178(5):
433 - 440.
[Abstract]
[Full Text]
[PDF]
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A. JOHNS
Psychiatric effects of cannabis
The British Journal of Psychiatry,
February 1, 2001;
178(2):
116 - 122.
[Abstract]
[Full Text]
[PDF]
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L. Xie
Gender Difference in Mentally Ill Offenders: A Nationwide Japanese Study
Int J Offender Ther Comp Criminol,
December 1, 2000;
44(6):
714 - 724.
[Abstract]
[PDF]
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D. E. McNiel, J. P. Eisner, and R. L. Binder
The Relationship Between Command Hallucinations and Violence
Psychiatr Serv,
October 1, 2000;
51(10):
1288 - 1292.
[Abstract]
[Full Text]
[PDF]
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L. Arseneault, T. E. Moffitt, A. Caspi, P. J. Taylor, and P. A. Silva
Mental Disorders and Violence in a Total Birth Cohort: Results From the Dunedin Study
Arch Gen Psychiatry,
October 1, 2000;
57(10):
979 - 986.
[Abstract]
[Full Text]
[PDF]
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R. E. Drake and M. A. Wallach
Dual Diagnosis: 15 Years of Progress
Psychiatr Serv,
September 1, 2000;
51(9):
1126 - 1129.
[Full Text]
[PDF]
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G. SZMUKLER and F. HOLLOWAY
Reform of the Mental Health Act: Health or safety?
The British Journal of Psychiatry,
September 1, 2000;
177(3):
196 - 200.
[Full Text]
[PDF]
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L. D. G. Thomson
Management of schizophrenia in conditions of high security
Advan. Psychiatr. Treat.,
July 1, 2000;
6(4):
252 - 260.
[Full Text]
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P. A. Brennan, S. A. Mednick, and S. Hodgins
Major Mental Disorders and Criminal Violence in a Danish Birth Cohort
Arch Gen Psychiatry,
May 1, 2000;
57(5):
494 - 500.
[Abstract]
[Full Text]
[PDF]
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J. R. Fann, J. M. Uomoto, and W. J. Katon
Sertraline in the Treatment of Major Depression Following Mild Traumatic Brain Injury
J Neuropsychiatry Clin Neurosci,
May 1, 2000;
12(2):
226 - 232.
[Abstract]
[Full Text]
[PDF]
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J. Shaw
Assessing the risk of violence in patients
BMJ,
April 22, 2000;
320(7242):
1088 - 1089.
[Full Text]
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P. S. Appelbaum, P. C. Robbins, and J. Monahan
Violence and Delusions: Data From the MacArthur Violence Risk Assessment Study
Am J Psychiatry,
April 1, 2000;
157(4):
566 - 572.
[Abstract]
[Full Text]
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P. E. MULLEN
Forensic mental health
The British Journal of Psychiatry,
April 1, 2000;
176(4):
307 - 311.
[Full Text]
[PDF]
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P. LINDQVIST and J. SKIPWORTH
Evidence-based rehabilitation in forensic psychiatry
The British Journal of Psychiatry,
April 1, 2000;
176(4):
320 - 323.
[Abstract]
[Full Text]
[PDF]
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T. A. FLETCHER, S. J. BRAKEL, and J. L. CAVANAUGH
Violence in the workplace: new perspectives in forensic mental health services in the USA
The British Journal of Psychiatry,
April 1, 2000;
176(4):
339 - 344.
[Abstract]
[Full Text]
[PDF]
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M. SOYKA
Substance misuse, psychiatric disorder and violent and disturbed behaviour
The British Journal of Psychiatry,
April 1, 2000;
176(4):
345 - 350.
[Abstract]
[Full Text]
[PDF]
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H. M. Kravitz and J. Kelly
An Outpatient Psychiatry Program for Offenders With Mental Disorders Found Not Guilty by Reason of Insanity
Psychiatr Serv,
December 1, 1999;
50(12):
1597 - 1605.
[Abstract]
[Full Text]
[PDF]
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M. J. Hoptman, K. F. Yates, M. B. Patalinjug, R. C. Wack, and A. Convit
Clinical Prediction of Assaultive Behavior Among Male Psychiatric Patients at a Maximum-Security Forensic Facility
Psychiatr Serv,
November 1, 1999;
50(11):
1461 - 1466.
[Abstract]
[Full Text]
[PDF]
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L. Robinson, S. H. Littrell, and K. Littrell
Managing Aggression in Schizophrenia
Journal of the American Psychiatric Nurses Association,
April 1, 1999;
5(2):
S9 - S16.
[Abstract]
[PDF]
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L. S. Lehmann, R. A. McCormick, and K. W. Kizer
A Survey of Assaultive Behavior in Veterans Health Administration Facilities
Psychiatr Serv,
March 1, 1999;
50(3):
384 - 389.
[Abstract]
[Full Text]
[PDF]
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M. D. CUNNINGHAM and T. J. REIDY
Don't Confuse me with the Facts: Common Errors in Violence Risk Assessment at Capital Sentencing
Criminal Justice and Behavior,
March 1, 1999;
26(1):
20 - 43.
[Abstract]
[PDF]
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D. E. McNiel, R. L. Binder, and F. M. Fulton
Management of Threats of Violence Under California's Duty-to-Protect Statute
Am J Psychiatry,
August 1, 1998;
155(8):
1097 - 1101.
[Abstract]
[Full Text]
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N. Wolff and M. Schlesinger
Access, Hospital Ownership, and Competition between For-Profit and Nonprofit Institutions
Nonprofit and Voluntary Sector Quarterly,
June 1, 1998;
27(2):
203 - 236.
[Abstract]
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H. J. Steadman, E. P. Mulvey, J. Monahan, P. C. Robbins, P. S. Appelbaum, T. Grisso, L. H. Roth, and E. Silver
Violence by People Discharged From Acute Psychiatric Inpatient Facilities and by Others in the Same Neighborhoods
Arch Gen Psychiatry,
May 1, 1998;
55(5):
393 - 401.
[Abstract]
[Full Text]
[PDF]
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B. G. Link and A. Stueve
New Evidence on the Violence Risk Posed by People With Mental Illness: On the Importance of Specifying the Timing and the Targets of Violence
Arch Gen Psychiatry,
May 1, 1998;
55(5):
403 - 404.
[Full Text]
[PDF]
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