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

  • Antonio VitaEmail author
  • Valentina Stanga
  • Anna Ceraso
  • Giacomo Deste
  • Stefano Barlati
Chapter
Part of the Comprehensive Approach to Psychiatry book series (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.

Keywords

Severe mental illness Mentally disordered offenders Violence Aggressive behaviour Non-pharmacological intervention Psychosocial intervention Integrated intervention 

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Authors and Affiliations

  • Antonio Vita
    • 1
    • 2
    Email author
  • Valentina Stanga
    • 1
  • Anna Ceraso
    • 2
  • Giacomo Deste
    • 1
  • Stefano Barlati
    • 1
    • 2
  1. 1.Department of Mental Health and Addiction ServicesASST Spedali Civili of BresciaBresciaItaly
  2. 2.Department of Clinical and Experimental SciencesUniversity of BresciaBresciaItaly

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