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RESEARCH AND PRACTICE |
Jeffrey W. Swanson, Marvin S. Swartz, and H . Ryan Wagner are with the Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC. Susan M. Essock is with the Department of Psychiatry, Mount Sinai School of Medicine, and Veterans Affairs New York Healthcare System, New York, NY. Fred C. Osher is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Lisa A. Goodman is with the Department of Psychology, Boston College, Boston, Mass, and the Department of Psychology, University of Maryland, College Park. Stanley D. Rosenberg is with the Department of Psychiatry, Dartmouth Medical School, Hanover, NH. Keith G. Meador is with the Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, and Durham Veterans Affairs Medical Center, Durham, NC.
Correspondence: Requests for reprints should be sent to Jeffrey W. Swanson, PhD, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Box 3071, 905 W Main St, Suite 23A, Durham, NC 27710 (e-mail: jeffrey.swanson{at}duke.edu).
Objectives. This study examined the prevalence and correlates of violent behavior by individuals with severe mental illness.
Methods. Participants (N = 802) were adults with psychotic or major mood disorders receiving inpatient or outpatient services in public mental health systems in 4 states.
Results. The 1-year prevalence of serious assaultive behavior was 13%. Three variables—past violent victimization, violence in the surrounding environment, and substance abuse—showed a cumulative association with risk of violent behavior.
Conclusions. Violence among individuals with severe mental illness is related to multiple variables with compounded effects over the life span. Interventions to reduce the risk of violence need to be targeted to specific subgroups with different clusters of problems related to violent behavior.
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