Executive Summary At around
Although people with mental health conditions are only slightly more likely than anyone else to commit violence, readily available, community-based, integrated, high-quality, evidence-based, culturally and linguistically competent preventive and therapeutic services and supports for mental and substance use conditions offer the greatest promise of preventing violent behavior of anyone experiencing a mental health crisis.
Public policy must also work to prevent the violent victimization of persons with mental health and substance use conditions, particularly those who are homeless or incarcerated in jails and prisons.
The reality is that violence and mental illness are not strongly related, and protective procedures should not depend on a mental health or substance use disorder. Gun violence and the reaction to it threaten our national health and well-being, stigmatize people recovering from mental illnesses, and retraumatize individuals, families, and communities that have been victims of gun violence.
Additionally, guns play a disproportionately large role in suicides -an issue of great concern to mental health advocates. It is essential to remind the public and policy makers as each event of mass violence galvanizes their attention that mental health conditions are largely unrelated to increased risk of violent behavior.
It is equally essential to remind them of the trauma that results from acts of violence. While mental illness typically does not cause violence, acts of violence do typically cause mental illness.
Incidents of mass violence are a threat to rational recovery-oriented treatment policies and at the same time provide an opportunity to plead for needed treatment resources. Rates of homicide and other violent death in the United States dramatically exceed those of other industrialized, high-income nations.
Unfortunately, public attitudes often associate mental health conditions with increased risk of violence. These public attitudes have often resulted in ill-advised public policies.
Mental Health and Substance Use Conditions Have Little or No Association with Violence While the research on this important topic is not uniform in the details of its findings, it does consistently show that there is at most a small correlation between mental illness and violence.
The greatest risk of violence is from individuals who have an untreated or undertreated substance use disorder either solely or in combination with a mental health condition.
Engaging persons in evidence-based care so that they fully participate and implement a meaningful treatment plan is the key to successful treatment. A landmark study by Elbogen et al. Multivariate analyses revealed that severe mental illness alone did not predict future violence; it was associated instead with historical past violence, juvenile detention, physical abuse, parental arrest recordclinical substance abuse, perceived threatsdispositional age, sex, incomeand contextual recent divorce, unemployment, victimization factors.
Consistent with prior studies, Van Dorn and colleagues found that serious mental illness was associated with a small but statistically significant heightened risk of violence: This finding held in both bivariate and multivariable models.
Those with comorbid mental and substance use disorders had the highest risk of violence. Historical and current conditions were also associated with violence, including childhood abuse and neglect, household antisocial behavior, binge drinking and stressful life events.
Among small subgroups of persons with serious mental illness, such as those experiencing first-episode psychosis or during the period surrounding inpatient psychiatric hospitalization, rates of violence toward others are elevated compared to rates in the overall U.
And mental illness is a significant cause of suicide.The RAND Gun Policy in America research initiative created policy analysis tools and research syntheses, grounded in scientific evidence, aimed at clarifying the .
This report also highlights examples of young people leading the advocacy efforts around this issue and discusses a number of policy solutions that are crucial to reducing gun violence, reforming.
Latin America has suffered more than m murders since the start of this century and is facing an acute public security crisis that demands urgent and innovative solutions, a new report warns. The report "Commitment to Action: Public Policies to Eradicate violence against women in Latin America and the Caribbean” stresses that although the region has shown great progress in the normative frameworks that recognize violence against women as a social phenomenon that affects women, their families and communities, sustainable.
Congresswoman Robin Kelly wrote The Kelly Report on Gun Violence in America, the first-ever Congressional analysis of the nation’s gun violence epidemic that offers a blueprint for ending the crisis. This report is dedicated to them, to other families who live in harm’s way, and to the gun violence prevention advocates working on the front lines every day to make America safer.