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Prevalence of violent victimisation in severe mental illness

Institute of Psychiatry, London

CHARLES SCOTT, MD

University of California, Davis, CA, USA

KWAME McKENZIE, MRCPsych

Royal Free School of Medicine, London

TOM BURNS, MD

St George’s Hospital Medical School, London

FRANCIS CREED, MD

University Department of Psychiatry, Manchester Royal Infirmary, Manchester

PETER TYRER, MD^*

St Mary’s Hospital Medical School, London

ROBIN M. MURRAY, MD and TOM FAHY, MD

Institute of Psychiatry, London

the UK700 GROUP

Correspondence: Dr Elizabeth Walsh, Section of Forensic Mental Health, The Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. E-mail: sppmemw{at}iop.kcl.ac.uk

Declaration of interest None.

^* This paper was accepted before the appointment of P.T. as Editor of the Journal.

Background Since de-institutionalisation, much has been written about the risk posed to the community by those with severe mental illness. However, violent victimisation of people with mental illnesses has received little attention.

Aims To establish the 1-year prevalence of violent victimisation in community-dwelling patients with psychosis and to identify the socio-demographic and clinical correlates of violent victimisation.

Method A total of 691 subjects with established psychotic disorders were interviewed. The past-year prevalence of violent victimisation was estimated and compared with general population figures. Those who reported being violently victimised were compared with those who did not on a range of social and clinical characteristics.

Results Sixteen per cent of patients reported being violently victimised. Victims of violence were significantly more likely to report severe psychopathological symptoms, homelessness, substance misuse and previous violent behaviour and were more likely to have a comorbid personality disorder.

Conclusions Those with psychosis are at considerable risk of violent victimisation in the community. Victimisation experience should be recorded in the standard psychiatric interview.

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