The MacArthur Violence Risk Assessment Study Revisited: Two Views Ten Years After Its Initial Publication

doi:10.1176/appi.ps.59.2.147

Psychiatr Serv 59:147-152, February 2008
doi: 10.1176/appi.ps.59.2.147
© 2008 American Psychiatric Association



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Debate

The MacArthur Violence Risk Assessment Study Revisited: Two Views Ten Years After Its Initial Publication

E. Fuller Torrey, M.D., Jonathan Stanley, J.D., John Monahan, Ph.D. and Henry J. Steadman, Ph.D.

MacArthur Study Group

This article presents two views of the results of the MacArthurViolence Risk Assessment Study, which was conducted between1992 and 1995 in order to ascertain the prevalence of communityviolence in a sample of people discharged from acute psychiatricfacilities. The initial findings, which were published in 1998in the Archives of General Psychiatry, have been cited by someadvocates as proof that discharged psychiatric patients arenot more dangerous than other persons in the general population.For the article presented here, Dr. Torrey and Mr. Stanley examinedadditional articles, book chapters, and a book about the MacArthurStudy that have appeared since 1998 in order to ascertain whetherthe study's original conclusion should be modified and whetheradditional conclusions can be drawn from the subsequently publisheddata. They present six points on which they disagree with thefindings or fault the design of the MacArthur Study. After eachpoint, Dr. Monahan, Dr. Steadman, and other authors of the MacArthurStudy Group respond.

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