Article2000

Violent thoughts and violent behavior following hospitalization for mental disorder.

Thomas Grisso · Roumen M. Vesselinov · Paul S. Appelbaum · John T Monahan

115 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Psychopathy, Forensic Psychiatry, Sexual Offending Schizophrenia research and treatment Crime Patterns and Interventions

Abstract

Using a standardized schedule of questions, this study examined (a) the prevalence of self-report of violent thoughts by patients hospitalized for mental disorders compared with nonpatients, (b) the persistence of violent thoughts after discharge, and (c) the relation between patients' violent thoughts while hospitalized and violent acts within 20 weeks after hospital discharge. About 1/3 of the patients reported thoughts of violence while hospitalized, more than twice the proportion found among nonpatients. Reporting violent thoughts in hospital was significantly related to engaging in violent acts within 20 weeks after discharge for non-White patients, patients without major mental disorder but with substance abuse diagnoses, patients with high symptom severity, and patients whose reports of violent thoughts persisted after discharge. Reporting violent thoughts was significantly related to measures of psychopathy, anger, and impulsiveness.

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References

1962The Brief Psychiatric Rating Scale 1981National Institute of Mental Health Diagnostic Interview Schedule 1951The Mask of Sanity 1998Violence by People Discharged From Acute Psychiatric Inpatient Facilities and by Others in the Same Neighborhoods 1987VIOLENCE AND VICTIMS 1998The Role of Social Information Processing and Cognitive Schema in the Acquisition and Maintenance of Habitual Aggressive Behavior 1998Violence and Severe Mental Illness: The Effects of Substance Abuse and Nonadherence to Medication 1988The Brief Psychiatric Rating Scale (BPRS): Recent developments in ascertainment and scaling.

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