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Non-pharmacological Approaches to Violence Among People with Severe Mental Disorders

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Violence and Mental Disorders

Part of the book series: Comprehensive Approach to Psychiatry ((CAP,volume 1))

Abstract

Although public perception believes that severe mental illness (SMI) and violence are tightly associated, the research evidence to support such a relationship is mixed, and most people with SMI are never violent. Although the relative contribution of psychiatric morbidity to violent behaviour remains a controversial area of research, recent data have shown that there is a consistent, albeit modest, positive association between SMI and violence. Although pharmacological treatment is necessary, it is insufficient on its own in preventing forthcoming aggression episodes. Although a wide number of non-pharmacological interventions have been adopted for SMI offenders, evidence on their effectiveness is weak and not conclusive. This chapter reviews the available evidence on non-pharmacological interventions in reducing violence in adults with SMI. We included both the interventions aimed at managing aggression in acute situations, and the strategies aimed at preventing and reducing its recurrence over time.

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  1. Department of Mental Health and Addiction Services, ASST Spedali Civili of Brescia, Brescia, Italy

    Antonio Vita, Valentina Stanga, Giacomo Deste & Stefano Barlati

  2. Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy

    Antonio Vita, Anna Ceraso & Stefano Barlati

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  1. Antonio Vita
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  2. Valentina Stanga
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  3. Anna Ceraso
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  4. Giacomo Deste
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  5. Stefano Barlati
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Correspondence to Antonio Vita .

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Editors and Affiliations

  1. Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy

    Bernardo Carpiniello

  2. Department of Clinical and Experimental Science, University of Brescia, Brescia, Italy

    Antonio Vita

  3. Department of Neuroscience, Luigi Sacco Hospital, Milano, Italy

    Claudio Mencacci

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Vita, A., Stanga, V., Ceraso, A., Deste, G., Barlati, S. (2020). Non-pharmacological Approaches to Violence Among People with Severe Mental Disorders. In: Carpiniello, B., Vita, A., Mencacci, C. (eds) Violence and Mental Disorders. Comprehensive Approach to Psychiatry, vol 1. Springer, Cham. https://doi.org/10.1007/978-3-030-33188-7_15

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  • DOI: https://doi.org/10.1007/978-3-030-33188-7_15

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  • Online ISBN: 978-3-030-33188-7

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