Violence towards people with mental illness: assessment, risk factors, and management [2018]

Violence is important for psychiatrists, for public health, and for victims. Aside from greater risk of perpetrating violence, people with mental illness are also more commonly victimised than the general population. However, guidance on the assessment and management of sin clinical settings is limited.

Review and consolidation of clinical and research literature on violent victimisation in people with mental illness.

Assessment of mental state in someone who has been victimised should evaluate both historical factors, such as pattern, timing, perpetrator characteristics and contextual factors, and clinical factors, including affective and cognitive changes.

Concerted clinical and policy attention to factors which might increase vulnerability, such as alcohol use, support, and the social environment, could improve outcomes.

Vishal Bhavsar MRCPsych DLSHTM, Dinesh Bhugra FRCPsych PhD

Psychiatry and Clinical Neurosciences, 07 August 2018