The Mentally Ill Are More Likely to Be Victims Than Perpetrators of Violence

Picture: Vitaly Efimenko (CC)

Graham Brown writing at Bipolar World, from 2005:

In this article there is summarised the results of just a few studies regarding mental illness and violence from a number of very respectable sources to allow a fair and unbiased assessment of the risk posed by those with a mental illness for you, the reader, to consider.

Firstly, from the Canadian Mental Health Association and it’s pamphlet – “Violence and Mental Illness”,

In today’s media reports about mental illness, there is a tendency to emphasise a supposed risk between violence and mental illness.  News stories regularly suggest that there is a strong connection between mental illness and crime.  In fact, people with a mental illness are more likely to be the victims, rather than the perpetrators of violence.”

“Recent studies have showed that alcohol and substance abuse far outweigh mental illness in contributing to violence.  A 1996 Health Canada review of scientific articles found that the strongest predictor of violence and criminal behaviour is not major mental illness, but past history and criminality.”

On the question of does mental illness cause violence?  The CMHA does go on to say:

“Mental illness plays no part in the majority of violent crimes committed in our society.  The assumption that any and every mental illness carries with it an almost certain potential for violence has been proven wrong in many studies.

There is a relationship between violent behaviour and symptoms that cause the person to feel threatened and/or involve the overriding of personal control.  Examples of these criteria include specific symptoms such as command hallucinations and feeling that one’s mind is being dominated by outside forces.

Current research shows that people with major mental illness are 2.5 times (emphasis added) more likely to be the victims of violence that other members of society. This most often occurs when such factors as poverty, transient lifestyle and substance use are present. Any of these factors make a person with mental illness more vulnerable to assault and the possibility of becoming violent in response.”

The pamphlet goes on to stress that the pattern of violence amongst those with a mental illness is remarkably similar to those not suffering an illness.

In the May 4, 2001 edition of the Psychiatric News published by the American Psychiatric Association, Aaron Levin wrote an article entitled, “Violence and Mental Illness: Media Keep Myths Alive”.

In the article makes the following comments:

In popular culture, for anyone other than Canadian sports fans, the hockey mask is the badge of the psychotic axe murderer and, by extension, anyone with mental illness.”

He then goes to quote professor Otto Wahl, Ph.D., a professor of psychology at George Mason University in Virginia:

The hockey mask as a symbol of dangerousness and insanity has no basis in reality” said Dr Wahl, “It is solely a creation of Hollywood.”  Dr Wahl was speaking at a conference in March 2001 in Baltimore, “Spring to Action: A National Mental Health Symposium to Address Discrimination and Stigma”,  sponsored by the Center for Mental Health Services of the Substance Abuse and Mental Health Services Administration.

Dr Wahl went on to say that in reality, mental illness is a poor predictor of violence, ranking well after these factors: youth, male gender, history of violence, or poverty. Aside from people who abuse substances, people with mental illness commit violent acts at the same rate as non-patients, and 80 to 90 percent of people with mental illness never commit violent acts.

Dr Wahl, along with journalist Phyllis Vine, Ph.D., M.P.H., whose brother has schizophrenia blame the media for most of the misconceptions regarding mental illness and violence because of the disproportionate amount of news space biased to reporting of crime and particularly crimes committed by anyone with a mental illness.

Combine that with novels, movies and prime-time televisions showing ‘mental cases’ committing violent crimes.  Even children’s books like the Harry Potter series, one character is termed as “mad” and naturally a “danger to anyone who crosses him.”

Long time television researcher George Gerbner, Ph.D., a professor of telecommunications at Temple University, made these comments in the article:

“On television, 45 percent of all characters are violent, compared with 72 percent of the mentally ill characters – including women…… Mental illness is the only label on TV that renders women as violent as men.”

Given these sort of myths and downright untruths, is it surprising that not only do the mentally ill continue to be stigmatised and feared and in many cases internalise their illness for fear of being shunned, or worse, refrain from seeking treatment that could make a significant beneficial impact on their lives.

In an article entitled “Mentally Ill Attacked at Higher Rate” in 2000, Claudine Chamberlain of Associated Press wrote:

“When a schizophrenic man pushes a compete stranger into the path of an oncoming subway train and kills her, it’s easy to assume that all people with severe mental illness are violent or somehow dangerous.  But sensational cases like that of Andrew Goldstein, now under arrest in New York City for the Jan. 3 subway killing, are very rare.  The truth, experts say, is that most people who are mentally ill are no more violent than anyone else, And in fact, they’re more likely than others to be the victims of violent crime.

A new study by researchers at North Carolina State University and Duke University has found that people with a severe mental illness – schizophrenia, bipolar disorder or psychosis are- are 2 ½ more likely to be attacked, raped or mugged than the general population.

Sociologist Virginia Hiday, who led the North Carolina study, studied 331 severely mentally ill patients discharged from psychiatric inpatient treatment.  Interviews revealed that 8.2 percent of them had been the victims of violent crime in the four months before they entered the hospital.  For the general public that figure would have been only 3.1 percent (emphasis added).”

Read more here.

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  • Dingbert

    Uh-oh. We’re running out of intellectually lazy explanations for our mass shootings.

  • Calypso_1

    The correlation to mental illness is that of suicide.

    In the wake of the outrage that is produced it is hard to
    see that at the core of most events was a suicidal individual.

    A strong minority opinion in the analysis of suicide bombers
    views that act as a socially sanctioned manipulation of already suicidal
    individuals.

    Suicide has taken on aspects of spectacle and ritual in many
    times & cultures.

    School Shooting as a Culturally Enforced Way of Expressing Suicidal Hostile Intentions
    http://jaapl.org/content/36/4/544.full

  • BuzzCoastin

    in reality, the violent mentally-ill are usually “elected” politicians
    think Bushy, Cheney, Obummer et al
    and they usually do lots of crazy violence
    killing, maiming and displacing hundreds of thousands of people
    but the ones the media focuses our attention upon
    is the lone nut job with a gun in a classroom

    if Americans really buy into that
    we the people shit
    then Americans should acknowledge that
    they are the world’s crazy gun-tooting nut jobs
    and Afghanistan is a small school in Connecticut

    • Calypso_1

      That and more boys die annually in the US by
      circumcision than children do in school shootings.

      • http://twitter.com/TedHeistman Ted Heistman

        Is circumcision still encouraged?

        • Calypso_1

          It is classified as a non-medically necessary procedure by all pertinent medical, pediatric and obstetric associations. In practice most parents are handed a pamphlet and simply asked if they plan on having the procedure done to their child (though more and more insurance companies are not covering it). You should look up what is done with the
          tissue.

        • Hadrian999

          some doctors are fighting to get rid of it. Dr.Dean Edell is a vocal opponent of the practice.

  • kowalityjesus

    Certainly mental illness is widely misunderstood. Most people simply think of them as dysfunctional, but I am convinced that at some plane of existence, they are the stars of the show.

  • “Big” Richard Johnson

    “Current research shows that people with major mental illness are 2.5 times (emphasis added) more likely to be the victims of violence that other members of society. This most often occurs when such factors as poverty, transient lifestyle and substance use are present. Any of these factors make a person with mental illness more vulnerable to assault and the possibility of becoming violent in response.”

    That is some seriously brilliant stuff. It’s a shame people actually have to be told this.

  • DeepCough

    I’m noticing a lot of articles declaring that “mental illness” was the problem with Adam Lanza, and that is why he shot up the elementary school. Well, while that’s a possible explanation, keep in mind that Seung Hui Cho (Virginia Tech, 2007) and James Holmes (Aurora, CO, 2012) both received psychiatric treatment BEFORE they initiated their shooting sprees.

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