Leading indicators of community-based violent events among adults with mental illness

R. A. Van Dorn, Kevin Grimm, S. L. Desmarais, S. J. Tueller, K. L. Johnson, M. S. Swartz

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background The public health, public safety and clinical implications of violent events among adults with mental illness are significant; however, the causes and consequences of violence and victimization among adults with mental illness are complex and not well understood, which limits the effectiveness of clinical interventions and risk management strategies. This study examined interrelationships between violence, victimization, psychiatric symptoms, substance use, homelessness and in-patient treatment over time. Method Available data were integrated from four longitudinal studies of adults with mental illness. Assessments took place at baseline, and at 1, 3, 6, 9, 12, 15, 18, 24, 30 and 36 months, depending on the parent studies' protocol. Data were analysed with the autoregressive cross-lag model. Results Violence and victimization were leading indicators of each other and affective symptoms were a leading indicator of both. Drug and alcohol use were leading indicators of violence and victimization, respectively. All psychiatric symptom clusters-affective, positive, negative, disorganized cognitive processing-increased the likelihood of experiencing at least one subsequent symptom cluster. Sensitivity analyses identified few group-based differences in the magnitude of effects in this heterogeneous sample. Conclusions Violent events demonstrated unique and shared indicators and consequences over time. Findings indicate mechanisms for reducing violent events, including trauma-informed therapy, targeting internalizing and externalizing affective symptoms with cognitive-behavioral and psychopharmacological interventions, and integrating substance use and psychiatric care. Finally, mental illness and violence and victimization research should move beyond demonstrating concomitant relationships and instead focus on lagged effects with improved spatio-temporal contiguity.

Original languageEnglish (US)
Pages (from-to)1179-1191
Number of pages13
JournalPsychological Medicine
Volume47
Issue number7
DOIs
StatePublished - May 1 2017

Fingerprint

Crime Victims
Violence
Psychiatry
Affective Symptoms
Homeless Persons
Risk Management
Longitudinal Studies
Public Health
Alcohols
Safety
Wounds and Injuries
Therapeutics
Research
Pharmaceutical Preparations

Keywords

  • Autoregressive cross-lag
  • longitudinal studies
  • mental illness
  • victimization
  • violence.

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

Cite this

Van Dorn, R. A., Grimm, K., Desmarais, S. L., Tueller, S. J., Johnson, K. L., & Swartz, M. S. (2017). Leading indicators of community-based violent events among adults with mental illness. Psychological Medicine, 47(7), 1179-1191. https://doi.org/10.1017/S0033291716003160

Leading indicators of community-based violent events among adults with mental illness. / Van Dorn, R. A.; Grimm, Kevin; Desmarais, S. L.; Tueller, S. J.; Johnson, K. L.; Swartz, M. S.

In: Psychological Medicine, Vol. 47, No. 7, 01.05.2017, p. 1179-1191.

Research output: Contribution to journalArticle

Van Dorn, RA, Grimm, K, Desmarais, SL, Tueller, SJ, Johnson, KL & Swartz, MS 2017, 'Leading indicators of community-based violent events among adults with mental illness', Psychological Medicine, vol. 47, no. 7, pp. 1179-1191. https://doi.org/10.1017/S0033291716003160
Van Dorn, R. A. ; Grimm, Kevin ; Desmarais, S. L. ; Tueller, S. J. ; Johnson, K. L. ; Swartz, M. S. / Leading indicators of community-based violent events among adults with mental illness. In: Psychological Medicine. 2017 ; Vol. 47, No. 7. pp. 1179-1191.
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