Public opinion surveys suggest that many people think
mental illness and violence go hand in hand. In fact, research suggests that
this public perception does not reflect reality. Most individuals with
psychiatric disorders are not violent. Although a subset of people with
psychiatric disorders commit assaults and violent crimes, findings have been
inconsistent about how much mental illness contributes to this behavior and how
much substance abuse and other factors do.
Violence is
not a symptom of psychotic illnesses such as schizophrenia. There is a
slightly increased possibility that someone with a psychotic illness may be
violent if they:
- ·
are not receiving effective treatment
- ·
have a previous history of violence
- · misuse alcohol or drugs.
Symptoms of psychotic illnesses may include
frightening hallucinations and delusions, as well as paranoia. This means there
is a small chance someone who is experiencing these symptoms may become violent
when they are frightened and misinterpret what is happening around them.
However, it is true that a minority of people with
schizophrenia can become aggressive when unwell. One reason for such a response
could be a fear of symptoms, such as hallucinations. These people normally
express their aggression towards themselves, or to family and friends – rarely
to strangers.
Research suggests that violence by people with mental
illness — like aggression in the general population — stems from multiple
overlapping factors interacting in complex ways. These include family
history, personal stressors (such as divorce or bereavement), and socioeconomic
factors (such as poverty and homelessness). Substance abuse is often
tightly woven into this fabric, making it hard to tease apart the influence of
other less obvious factors.
Mental health workers, people with a mental illness
and their families all agree that the most important step in preventing
violence is to make sure people receive effective treatment as early as
possible.
Mental health workers need to know who is most at risk
of being violent or of being a victim of violence and make sure they receive
the most effective treatment – as quickly as possible and for as long as they
need it. This is especially important in a person’s first episode of illness.
It is important for everyone in the community to
understand that mental illness is not a choice. It can happen to
anybody. It is equally important to understand that violence is always
unacceptable, and must be addressed in certain cases as a public health issue.
DISCLAIMER: All the information
being provided her has been sourced from the internet and books and some also
via personal experiences. It has no medical authentication per se so
suggestions if followed must be done in consultation with a trained mental
health professional.
References:
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