Reducing violence in severe mental illness

doi:10.1136/bmj.323.7321.1080

BMJ 2001;323:1080-1081 ( 10 November )

Editorials

Reducing violence in severe mental illness

Community care does not do well

Papers p 1093

The first 150 words of the full text of this article appear below.

Two years ago, Munk-Jørgensen initiated a continuing debate about the development of psychiatric care for severely mentallyill people in a paper entitled "Has deinstitutionalization gonetoo far?"¹ He pointed out that the reduction in numbers ofpsychiatric hospital beds had been accompanied by a continuingincrease in the number of forensic psychiatric patients as wellas an increase in suicides and readmissions in Denmark. Similarly,Webster et al reported a doubling of the number of forensic patientswithin the past decade in Canada.² In the USA, meanwhile, aconsiderable proportion of severely mentally ill people do notlive within the community but are imprisoned³ or homeless.⁴The study by Walsh et al in this issue (p 1093) is the first randomisedcontrolled study to examine whether an increased intensity ofpsychiatric community care can reduce violence among severelymentally ill patients managed in the community.⁵ Its resultsare. . . [Full text of this article]

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Reducing violence in severe mental illness: randomised controlled trial of intensive case management compared with standard care: Elizabeth Walsh, Catherine Gilvarry, Chiara Samele, Kate Harvey, Catherine Manley, Peter Tyrer, Francis Creed, Robin Murray, and Thomas Fahy
BMJ 2001 323: 1093. [Abstract] [Full Text] [PDF]