Search results for ‘Subject term:"mental health problems"’ Sort:
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The link between mental health problems and violence behaviour
- Author:
- GREGORY Nathan
- Journal article citation:
- Nursing Times, 6.4.04, 2004, pp.34-36.
- Publisher:
- Nursing Times
Reviews literature on mental illness and violence with the aim of clarifying whether there is a link between the two. Concludes that while higher rates of violence have been found among people with mental illness, most studies have flaws and their results should be viewed with caution. Calls for the development of preventative strategies by providing appropriate support for people with mental health problems.
Aggressive incidents in first-episode psychosis
- Authors:
- MILTON John, et al
- Journal article citation:
- British Journal of Psychiatry, 178, May 2001, pp.433-440.
- Publisher:
- Cambridge University Press
Recent research has reported increased risk of aggressive incidents by individuals with psychotic illness. Article aims to examine acts of aggression in first-episode psychosis. Subjects with a first-episode psychosis were ascertained from a defined catchment area and reassessed at 3 years. Of the subjects, 9.6% demonstrated at least one act of serious aggression (defined as weapon use, sexual assault or victim injury) during at least one psychotic episode and 23.5% demonstrated lesser acts of aggression (defined as all other acts of aggression). For all aggressive subjects (33.1%), unemployment, comorbid substance misuse and symptoms of over activity at service contact had independent effects on risk of aggression. Findings confirmed some previously reported demographic and clinical associations with aggression in first-episode psychosis but no relationship with specific psychotic symptoms or diagnostic groups was observed.
Mental health
- Author:
- RYAN Peter
- Journal article citation:
- Research Matters, 1999, pp.6-8.
- Publisher:
- Community Care
This review summarises recent research in two areas: risk factors associated with violence in clients with long term illness and an overview of some recent studies evaluating the efficacy of psychosocial rehabilitation. This latter study is one of the relatively few that focuses specifically on the needs of black users.
Aggression in mental health residential facilities: a systematic review and meta-analysis
- Authors:
- BULGARI Viola, et al
- Journal article citation:
- Aggression and Violent Behavior, 41, 2018, pp.119-127.
- Publisher:
- Elsevier
Objectives: To estimate the prevalence of aggression exhibited by patients living in community residential facilities and to identify risk factors for such aggression. Methods: A systematic review with meta-analysis was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) dataset (registration number: CRD42016042475). PubMed, Scopus and Web of Science were searched for studies published prior to February 21st 2017. Studies reporting the number of patients who perpetrated aggressive behaviour in residential facilities were included. Methodological quality, publication bias, and the role of moderators were assessed. A pooled effect size was calculated for each outcome. Factors affecting between-study heterogeneity were analysed using sub-groups and meta-regression analysis. Results: Ten studies met the inclusion criteria, for a total sample of 3760 patients. The pooled prevalence of aggression in residential facilities was 29% (95% CI 0.17–0.42) with a high heterogeneity and variability among studies. History of violence, personality disorders, lifetime substance and alcohol misuse were found significantly associated with aggression. Conclusion: Aggression in residential care services is common. Certain individual factors are associated to an increased risk for such aggression. (Edited publisher abstract)
Witnessing violence and self-harming behaviors in women and men with severe mental illness
- Authors:
- O'HARE Thomas, SHEN Ce, SHERRER Margaret V.
- Journal article citation:
- Social Work in Mental Health, 14(4), 2016, pp.313-326.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
People with severe mental illness (SMI) report high rates of having witnessed violence resulting in injury or death, but little is known about the relationship between having witnessed violence and self-harming behaviours. With 420 women and men diagnosed with SMI, the authors tested the hypothesis that one or more lifetime episodes of having seen someone “seriously harmed or killed in combat, home, or crime situation” would correlate with self-harming behaviours while controlling for other correlates of self-harm. Results showed that depression and having witnessed another person being harmed or killed were significantly associated with self-harm. Limitations included the cross-sectional design. (Edited publisher abstract)
The psychiatrist’s response to imminent violence : have clinical practice guidelines improved practice?
- Author:
- KIDD Brian A.
- Journal article citation:
- Psychiatric Bulletin, 27(8), August 2003, pp.283-284.
- Publisher:
- Royal College of Psychiatrists
Public inquiries have followed the most tragic incidents and all have led to broadly similar conclusions - that these episodes are to some extent preventable and that comprehensive systems of care and risk management might prevent the apparent lapses of care that have often been associated with these tragedies. It was in this context that the Royal College of Psychiatrists produced its first clinical practice guideline, entitled 'Management of Imminent Violence.' It is time to review the impact of this guideline. In the intervening 5 years, psychiatric practice would appear to have come under the spotlight even more with regard to risk assessment. New mental health legislation makes the psychiatrist more responsible than ever before with regard to violent acts.
Psychotic symptoms and violence toward others : a literature review of some preliminary findings; part one, delusions
- Author:
- BJORKLY Stal
- Journal article citation:
- Aggression and Violent Behavior, 7(6), November 2002, pp.616-631.
- Publisher:
- Elsevier
The main scope of this article is to delineate some findings from a review of the literature concerning the possible impact of delusions on violence toward others by psychiatric patients. According to this review, studies on a possible association between delusions and increased risk of violence are scarce, but steadily growing, and have shown some interesting results. However, since delusions are also common in nonviolent psychiatric patients, there is emerging evidence that our attention should be directed to specific hallmarks of delusions that indicate an increased risk of violence.
Emotional dysregulation: the key to a treatment approach for violent mentally ill individuals
- Authors:
- NEWHILL Christina E., MULVEY Edward P.
- Journal article citation:
- Clinical Social Work Journal, 30(2), Summer 2002, pp.157-171.
- Publisher:
- Springer
- Place of publication:
- New York
Prior research has suggested that psychopathy, substance abuse, and the presence of a personality disorder increase an individual's risk for violence toward others. Substantial clinical literature has established emotional dysregulation as a risk marker for violence toward self. It is hypothesized that emotional dysregulation may be an important component in a constellation of risk markers for violence toward others and may interact with psychopathy and substance abuse in individuals with personality disorders to enhance risk for violence. If these hypothesized relationships exist, it suggests that the development of an intervention approach which directly targets these factors may hold promise. A potential intervention approach based on dialectical behavioral therapy, with case illustrations, is provided.
Patient violence in community mental health: a review of the literature
- Author:
- BLANK Alison
- Journal article citation:
- British Journal of Occupational Therapy, 64(12), December 2001, pp.584-589.
- Publisher:
- Sage
The past decade has seen an increasing focus in the community. During this period, the media has given a high profile to a number of incidents where members of the public and health service staff have been assaulted by patients of mental health services. Presents a systematic review of 10 studies, two conducted in the United Kingdom and eight in the United States of America. It is suggested that the occupational therapy profession urgently needs to address this gap in its literature and consider what can be learned from other professions.
Update on risk assessment in mentally disordered populations
- Authors:
- HEILBRUN Kirk, KRAMER Greg M.
- Journal article citation:
- Journal of Forensic Psychology Practice, 1(2), 2001, pp.55-63.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
Interest in violence risk assessment has grown in recent years, as risk assessment is relevant to a variety of decisions in law, mental health practice, and occupational settings. Although advances have been made in risk assessment in a variety of populations, including juveniles, mentally disordered offenders, sexual offenders, the domestically violent, and those involved in workplace violence, the present article focuses on the population of individuals with mental disorders but without criminal involvement. Reviews recent concpetual and empirical advances in this area, and describes the development of relevant risk assessment tools.