{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T22:56:44Z","timestamp":1789945004048,"version":"4.0.1"},"reference-count":22,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":7247,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1998,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>From a first clinical description of a complete resident sample of special (high security) hospital patients, we examined the association between mental disorder and violence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A record survey of all 1740 patients resident at any time between 1 January and 30 June 1993. inclusive, and, for most, the official criminal record.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>1015 patients (58%) had functional psychosis, one-quarter of whom also had an independent personality disorder: 461 (26%)had personality disorders uncomplicated by psychosis, and 264 (16%) had learning disabilities. Pre-admission substance misuse, which was probably under-recorded, had been most common among those with psychosis and an independent personality disorder. Less than 10% had never been convicted of a criminal offence, although 25% had been admitted directly from other hospitals. Direct personal violence was more common among men, and fire-setting among women. Schizophrenia was most strongly associated with personal violence. More than 75% of those with a psychosis were recorded as being driven to offend by their delusions. In the absence of delusions, hallucinations had no such effect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>For people with personality disorder better clinical descriptions seem essential. For people with a pure psychosis, as symptoms were usually a factor driving the index offence, treatment appears as important for public safety as for personal health.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.172.3.218","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T01:40:02Z","timestamp":1224034802000},"page":"218-226","source":"Crossref","is-referenced-by-count":174,"title":["Mental disorder and violence"],"prefix":"10.1192","volume":"172","author":[{"given":"Pamela J.","family":"Taylor","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morven","family":"Leese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Butwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Daly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmet","family":"Larkin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000260339_ref22","volume-title":"The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic Criteria for Research","year":"1994"},{"key":"S0007125000260339_ref8","doi-asserted-by":"publisher","DOI":"10.1002\/cbm.1993.3.4.290"},{"key":"S0007125000260339_ref10","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1176\/ajp.152.6.901","article-title":"Correlates of accuracy in the assessment of psychiatric inpatients: risk of violence","volume":"152","author":"McNeil","year":"1995","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000260339_ref19","doi-asserted-by":"publisher","DOI":"10.1002\/cbm.1994.4.4.267"},{"key":"S0007125000260339_ref12","first-page":"761","article-title":"Violence and psychiatric disorder in the community: Evidence from the Epidemiologic Catchment Area Surveys","volume":"41","author":"Swanson","year":"1990","journal-title":"Hospital and Community Psychiatry"},{"key":"S0007125000260339_ref16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.288.6435.1945"},{"key":"S0007125000260339_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/cbm.118"},{"key":"S0007125000260339_ref20","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7036.967"},{"key":"S0007125000260339_ref18","first-page":"691","volume-title":"In forensic Psychiatry: Clinical, Legal and Ethical Issues","author":"Taylor","year":"1993"},{"key":"S0007125000260339_ref21","volume-title":"The ICD-10 Classification of Mental and Behavioural Disorders","year":"1992"},{"key":"S0007125000260339_ref3","doi-asserted-by":"publisher","DOI":"10.1002\/cbm.157"},{"key":"S0007125000260339_ref1","volume-title":"Sentenced to Hospital. 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