Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Commentary.
The public perception that mental disorder is strongly associated with violence drives both legal policy (eg, civil commitment) and social practice (eg, stigma) toward people with mental disorders.
This study describes and characterizes the prevalence of community violence in a sample of people discharged from acute psychiatric facilities at 3 sites.
At one site, a comparison group of other residents in the same neighborhoods was also assessed.
We enrolled 1136 male and female patients with mental disorders between the ages of 18 and 40 years in a study that monitored violence to others every 10 weeks during their first year after discharge from the hospital.
Patient self-reports were augmented by reports from collateral informants and by police and hospital records.
The comparison group consisted of 519 people living in the neighborhoods in which the patients resided after hospital discharge.
They were interviewed once about violence in the past 10 weeks.
There was no significant difference between the prevalence of violence by patients without symptoms of substance abuse and the prevalence of violence by others living in the same neighborhoods who were also without symptoms of substance abuse.
Substance abuse symptoms significantly raised the rate of violence in both the patient and the comparison groups, and a higher portion of patients than of others in their neighborhoods reported symptoms of substance abuse. (...)
Mots-clés Pascal : Trouble psychiatrique, Facteur risque, Sortie hôpital, Violence, Trouble comportement social, Prévalence, Epidémiologie, Pennsylvanie, Etats Unis, Amérique du Nord, Amérique, Santé mentale, Homme
Mots-clés Pascal anglais : Mental disorder, Risk factor, Hospital discharge, Violence, Social behavior disorder, Prevalence, Epidemiology, Pennsylvania, United States, North America, America, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0340715
Code Inist : 002B18C04. Création : 27/11/1998.