Victimisation in adults with severe mental illness: prevalence and risk factors

Br J Psychiatry. 2015 Dec;207(6):515-22. doi: 10.1192/bjp.bp.113.143370. Epub 2015 Oct 8.

Abstract

Background: Patients with a severe mental illness (SMI) are more likely to experience victimisation than the general population.

Aims: To examine the prevalence of victimisation in people with SMI, and the relationship between symptoms, treatment facility and indices of substance use/misuse and perpetration, in comparison with the general population.

Method: Victimisation was assessed among both randomly selected patients with SMI (n = 216) and the general population (n = 10 865).

Results: Compared with the general population, a high prevalence of violent victimisation was found among the SMI group (22.7% v. 8.5%). Compared with out-patients and patients in a sheltered housing facility, in-patients were most often victimised (violent crimes: 35.3%; property crimes: 47.1%). Risk factors among the SMI group for violent victimisation included young age and disorganisation, and risk factors for property crimes included being an in-patient, disorganisation and cannabis use. The SMI group were most often assaulted by someone they knew.

Conclusions: Caregivers should be aware that patients with SMI are at risk of violent victimisation. Interventions need to be developed to reduce this vulnerability.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Crime Victims / statistics & numerical data*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Inpatients / statistics & numerical data*
  • Longitudinal Studies
  • Male
  • Mental Disorders / complications*
  • Middle Aged
  • Multivariate Analysis
  • Netherlands
  • Outpatients / statistics & numerical data*
  • Regression Analysis
  • Risk Factors
  • Substance-Related Disorders / epidemiology*
  • Violence / statistics & numerical data*