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The British Journal of Psychiatry 174: 9-14 (1999)
© 1999 The Royal College of Psychiatrists
PJ Taylor and J Gunn
Institute of Psychiatry, London.
BACKGROUND: Tragic and high profile killings by people with mental illness have been used to suggest that the community care model for mental health services has failed. AIMS: To consider whether such homicides have become more frequent as psychiatric services have changed. METHOD: Data were extracted from Home Office-generated criminal statistics for England and Wales between 1957 and 1995 and subjected to trends analysis. RESULTS: There was little fluctuation in numbers of people with a mental illness committing criminal homicide over the 38 years studied, and a 3% annual decline in their contribution to the official statistics. CONCLUSIONS: There are many reasons for improving the resources and quality of care for people with a mental disorder, but there is no evidence that it is anything but stigmatising to claim that their living in the community is a dangerous experiment that should be reversed. There appears to be some case for specially focused improvement of services for people with a personality disorder and/or substance misuse.
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| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Psychiatric Bulletin | Advances in Psychiatric Treatment | All RCPsych Journals |
