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An agitation of contrary opinions

Department of Psychological Medicine, Charing Cross Hospital, London W6 8RP, UK. Email: p.tyrer{at}imperial.ac.uk

Declaration of Interest P.T. is Editor of the British Journal of Psychiatry and has received a grant for the evaluation of aspects of the DSPD Programme. The decision to publish this supplement, and the peer review of its content, was made independently by other members of the Editorial Board. The views expressed here, and in the rest of the and in the rest of the supplement, are those of the authors and not necessarily those of the Home Office or Department of Health (nor do they represent Governmentpolicy). The publication of this supplement was supported by the DSPD Programme but that played no part in the selection and review of the papers included.

Those people who are dangerous often have personality disorders. Should these individuals be dealt with by criminal justice or mental health services? England (note not Scotland) has taken the mental health route with the Dangerous and Severe Personality Disorder Programme. Is this bold move wise or foolish? To answer this question we have both evidence and opinion – neither is conclusive.