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12-Month Prevalence, Trends, Gender Differences, and the Impact of Mental Health Services on Intimate Partner Violence Perpetration Among Discharged Psychiatric Inpatients

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Minimal research has examined partner violence committed by individuals with severe mental illness. This study examined rates of IPV in the first year post-discharge from psychiatric hospitalization, trends over time, gender differences, and the impact of follow-up mental health services. One in five (20.3 %) patients committed at least one act of IPV in the first year. Whereas women were more than twice as likely to perpetrate IPV, men were nearly twice as likely to be violent toward non-family members. Risk of IPV was highest immediately post-discharge and decreased over time, with the sharpest decline after 20 weeks in the community. Mental health treatment was associated with a 40 % decrease and medication non-adherence a 50 % increase in risk for IPV. Partner violence is a prevalent concern among discharged psychiatric patients, and these findings suggest that coordinated risk management efforts should focus on the time immediately following hospital discharge.

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  • Bergman, B., & Ericsson, E. (1996). Family violence among psychiatric in-patients as measured by the conflict tactics scale (CTS). Acta Psychiatrica Scandinavica, 94, 168–174.

    Article  CAS  PubMed  Google Scholar 

  • Bland, R. C., & Orn, H. (1986). Family violence and psychiatric disorder. Canadian Journal of Psychiatry, 31, 129–137.

    CAS  PubMed  Google Scholar 

  • Bonta, J., Law, M., & Hanson, K. (1998). The prediction of criminal and violent recidivism among mentally disordered offenders. Psychological Bulletin, 123, 123–142.

    Article  CAS  PubMed  Google Scholar 

  • Breiding, M. J., Smith, S. G., Basile, K. C., Walters, M. L., Chen, J., & Merrick, M. T. (2014). Prevalence and characteristics of sexual violence, stalking, and intimate partner violence victimization—national intimate partner and sexual violence survey, United States, 2011. Atlanta: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

    Google Scholar 

  • Brown, A. (1993). Violence against women by male partners. American Psychologist, 48, 1077–1087.

    Article  Google Scholar 

  • Douglas, K. S., Guy, L. S., & Hart, S. D. (2009). Psychosis as a risk factor for violence to others: a meta-analysis. Psychological Bulletin, 135, 679–706.

    Article  PubMed  Google Scholar 

  • Doyle, M., & Dolan, M. (2006). Predicting community violence from patients discharged from mental health services. British Journal of Psychiatry, 189, 520–526.

    Article  PubMed  Google Scholar 

  • Elbogen, E. G., & Johnson, S. C. (2009). The intricate link between violence and mental disorder: results from the national epidemiologic survey of alcohol and related conditions. Archives of General Psychiatry, 66, 152–161.

    Article  PubMed  Google Scholar 

  • Friedman, R. A. (2006). Violence and mental illness: how strong is the link? New England Journal of Medicine, 355, 2064–2066.

    Article  CAS  PubMed  Google Scholar 

  • Hamberger, L. K., & Larsen, S. E. (2015). Men’s and women’s experience of intimate partner violence: a review of ten years of comparative studies in clinical samples; part I. Journal of Family Violence, 30, 699–717.

    Article  Google Scholar 

  • Heru, A. M., Stuart, G. L., Rainey, S., Eyre, J., & Recupero, P. R. (2006). Prevalence and severity of intimate partner violence and associations with family functioning and alcohol abuse in psychiatric inpatients with suicidal intent. The Journal of Clinical Psychiatry, 67, 23–29.

    Article  PubMed  Google Scholar 

  • Monahan, J., & Steadman, H. J. (1994). Violence and mental disorder: developments in risk assessment. Chicago: University of Chicago Press.

    Google Scholar 

  • Monahan, J., Steadman, H. J., Silver, E., Appelbaum, P. S., Robbins, P. C., Mulvey, E. P., & Roth, L. H. (2001). Rethinking risk assessment: the MacArthur study of mental disorder and violence. New York: Oxford University Press.

    Google Scholar 

  • Post, R. D., Willett, A. B., Franks, R. D., House, R. M., Back, S. M., & Weissberg, M. P. (1980). A preliminary report on the prevalence of domestic violence among psychiatric inpatients. The American Journal of Psychiatry, 137(8), 974–975.

    Article  CAS  PubMed  Google Scholar 

  • Pulay, A. J., Dawson, D. A., Hasin, D. S., Goldstein, R. B., Ruan, W. J., Pickering, R. P., Huang, B., Chou, S. P., & Grant, B. F. (2008). Violent behavior and DSM-IV psychiatric disorders: results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 69, 12–22.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rhodes, K. V., Houry, D., Cerulli, C., Straus, H., Kaslow, N. J., & McNutt, L. (2009). Intimate partner violence and comorbid mental health conditions among urban male patients. Annals of Family Medicine, 7(1), 147–155.

    Article  Google Scholar 

  • Schafer, J., Caetano, R., & Clark, C. L. (1998). Rates of intimate partner violence in the United States. American Journal of Public Health, 88, 1702–1704.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Steadman, H. J., Mulvey, E. P., Monahan, J., Robbins, P. C., Appelbaum, P. S., Grisso, T., Roth, L. H., & Silver, E. (1998). Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Archives of General Psychiatry, 55, 393–401.

    Article  CAS  PubMed  Google Scholar 

  • Stockl, H., Devries, K., Rotstein, A., Abrahams, N., Campbell, J., Watts, C., & Moreno, C. (2013). The global prevalence of intimate partner homicide: a systematic review. Lancet, 382, 859–865.

    Article  PubMed  Google Scholar 

  • Strauss, M., & Gelles, R. (1990). Physical violence in American families. Brunswick: Transaction.

    Google Scholar 

  • Swanson, J., Borum, R., Swartz, M., & Hiday, V. (1999). Violent behavior preceding hospitalization among persons with severe mental illness. Law and Human Behavior, 23, 185.

    Article  CAS  PubMed  Google Scholar 

  • Swanson, J., Swartz, M., Van Dorn, R., Elbogen, E., Wagner, R., Rosenheck, R.,…Lieberman, J. (2006). A national study of violent behavior in persons with schizophrenia. Archives of General Psychiatry, 63, 490–499.

  • Tjaden, P. G., & Thoennes, N. (2000). Extent, nature, and consequences of intimate partner violence: findings from the national violence against women survey. Washington: National Institute of Justice.

    Book  Google Scholar 

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Correspondence to Aaron J. Kivisto.

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Kivisto, A.J., Watson, M.E. 12-Month Prevalence, Trends, Gender Differences, and the Impact of Mental Health Services on Intimate Partner Violence Perpetration Among Discharged Psychiatric Inpatients. J Fam Viol 31, 379–385 (2016).

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