Abstract
Recent studies have reported comparable rates of violence among men and women with mental disorder, raising important issues for clinical risk assessment. This study examines the relationship between gender and violence using data from the MacArthur Violence Risk Assessment Study. Patients in acute psychiatric wards were interviewed 5 times over the year following their discharge to the community. Results showed some differences between men and women in the violence committed immediately following discharge, with rates for men being higher. But the prevalence of violence over the 1 year was similar for female and male discharged patients. However, there were substantial gender differences in the situational context of the violence committed. Men were more likely to have been drinking or using street drugs, and less likely to have been adhering to prescribed psychotropic medication, prior to committing violence. The violence committed by men was more likely to result in serious injury than the violence committed by women, and men were more likely than women to be arrested after committing a violent act. Women were more likely to target family members and to be violent in the home.
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Appelbaum, P., Robbins, P., & Monahan, J. (2000). Violence and delusions:, 566–572.
Appelbaum, P., Robbins, P., & Roth, L. (1999). A dimensional approach to the assessment of delusions. American Journal of Psychiatry, 156, 1938–1943.
Banks, S., Robbins, P., Silver, E., Vesselinov, R., Steadman, H., Monahan, J., et al. (2002). A multiple models approach to violence risk assessment among people with mental disorder. Manuscript submitted for publication.
Binder, L., & McNiel, D. (1990). The relationship of gender to violent behavior in acutely disturbed psychiatric patients. Journal of Clinical Psychiatry, 51, 110–114.
Brennan, P., Mednick, S., & Hodgins, S. (2000). Major mental disorders and criminal violence in a Danish birth cohort. Archives of General Psychiatry, 57, 494–500.
Coontz, P., Lidz, C., & Mulvey, E. (1994). Gender and the assessment of dangerousness in the psychiatric emergency room. International Journal of Law and Psychiatry, 17, 369–376.
Elbogin, E., Williams, A., Kim, D., Tomkins, A., & Scalora, M. (2001). Gender and perceptions of dangerousness in civil psychiatric patients. Legal and Criminological Psychology, 6, 215–228.
Fehon, D., Grilo, C., & Lipshitz, D. (2001). Gender differences in violence exposure and violence risk among adolescent inpatients. Journal of Nervous and Mental Disease, 189, 532–540.
Gelles, R., & Straus, M. (1998). Intimate violence: The causes and consequences of abuse in the American family. New York: Simon and Schuster.
Greenfeld, L., & Snell, T. (1999). Bureau of Justice Statistics special report: Women offenders. Washington, DC: U.S. Department of Justice.
Grisso, T., Davis, J., Vesselinov, R., Appelbaum, P., & Monahan, J. (2000). Violent thoughts and violent behavior following hospitalization for mental disorder. Journal of Consulting and Clinical Psychology, 68, 388–398.
Hiday, V. A., Swartz, M., & Swanson, J. W. (1998). Male–female differences in the setting and construction of violence among people with severe mental illness. Social Psychiatry and Psychiatric Epidemiology, 33, 568–574.
Hodgins, S. (1992). Mental disorder, intellectual deficiency and crime: Evidence from a birth cohort. Archives of General Psychiatry, 49, 476–483.
Lam, J., McNiel, D., & Binder, D. (2000). The relationship between gender and violence leading to staff injuries. Psychiatric Services, 51, 1167–1170.
Lidz, C., Mulvey, E., & Gardner, W. (1993). The accuracy of predictions of violence to others. JAMA, 269, 1007–1011.
McNiel, D., & Binder, R. (1995). Correlates of accuracy in the assessment of psychiatric inpatients' risk of violence. American Journal of Psychiatry, 148, 1317–1321.
Monahan, J., Steadman, H., Appelbaum, P., Robbins, P., Mulvey, E., Silver, E., et al. (2000). Developing a clinically useful actuarial tool for assessing violence risk. British Journal of Psychiatry, 176, 312–319.
Newhill, C., Mulvey, E., & Lidz, C. (1995). Characteristics of violence in the community by female patients seen in a psychiatric emergency service. Psychiatric Services, 46, 785–795.
Reiss, A., & Roth, J. (1993). Understanding and preventing violence. Washington, DC: National Academy Press.
Sampson, R. J., & Lauritsen, J. L. (1994). Violent victimization and offending: Individual-, situational-, and community-level risk factors. In A. J. Reiss & J. A. Roth (Eds.), Understanding and preventing violence (pp. 1–114). Washington, DC: National Academy Press.
Silver, E. (2000). Race, neighborhood disadvantage, and violence among persons with mental disorders: The importance of contextual measurement. Law and Human Behavior, 24, 449–456.
Steadman, H., Mulvey, E., Monahan, J., Robbins, P., Appelbaum, P., Grisso, T., et al. (1998). Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Archives of General Psychiatry, 55, 393–401.
Steadman, H., & Silver, E. (2000). Immediate precursors to violence among persons with mental illness: A return to a situational perspective. In S. Hodgins (Ed.), Effective prevention of crime and violence among the mentally ill (pp. 35–48). Dordrecht, The Netherlands: Kluwer Academic Publishers.
Steadman, H., Silver, E., Monahan, J., Appelbaum, P., Robbins, P., Mulvey, E., et al. (2000). A classification tree approach to the development of actuarial violence risk assessment tools. Law and Human Behavior, 24, 83–100.
Steffensmeier, D., & Allen, E. (1996). Gender and crime: Toward a gendered theory of criminal offending. Annual Review of Sociology, 22, 459–487.
Stueve, A., & Link, B. (1998). Gender differences in the relationship between mental illness and violence: Evidence from a community-based epidemiological study in Israel. Social Psychiatry and Psychiatric Epidemiology, 33, S61–S67.
Swanson, J., Holzer, C., Ganju, V., & Jono, R. (1990). Violence and psychiatric disorder in the community: Evidence from the epidemiological catchment area surveys. Hospital and Community Psychiatry, 41, 761–770.
Wilson, J., & Hernstein, R. (1985). Crime and human nature. New York: Simon and Schuster.
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Robbins, P.C., Monahan, J. & Silver, E. Mental Disorder, Violence, and Gender. Law Hum Behav 27, 561–571 (2003). https://doi.org/10.1023/B:LAHU.0000004886.13268.f2
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DOI: https://doi.org/10.1023/B:LAHU.0000004886.13268.f2