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• Although the findings cannot be said to be definitive, it does not appear that people with mental illness are more likely to be perpetrators than victims. • Moreover, they do not appear to be substantially more likely to be involved in such incidents than their neighbors, unless they also have significance sub stance abuse problems.2 • People with mental illness have a much higher rate of involvement in violence if they also have a significant substance abuse problem. 3, 5 • However, among people with mental illness who do not have co-occurring substance abuse problems, the frequency of violence is only modestly higher than that of people who are not mentally ill and live in similar neighborhoods.2 Thus, mental illness by itself may not be a significant predictor of violence. • People with severe mental illnesses (e.g. schizophrenia) are less likely than people with less severe disorders such as depression to be involved in violent incidents.3 • Most violent incidents are fights between two people rather than clear perpetratorvictim situations 4 which suggests that treatment of the individual's mental illness is unlikely to be a complete solution. • There are several different effective methods of distinguishing which people with mental illness are most likely to be involved in a violent incident.3, 6 C M H SR Violence and mental illness are inextricably linked in the public mind. It takes only one dramatic news story to reinforce that conception. There is considerable evidence much of it collected through work done at CMHSR that suggests that the public picture is incorrect. Although violence is a significant problem in the lives of people with mental illness, they do not appear to be significantly more involved in violent incidents than their neighbors and others of similar social backgrounds. Nonetheless, a program that would significantly reduce the amount of violence in their lives would be a major benefit to both people with mental illness and their friends and families. Unfortunately, there is as yet no evidence that clearly demonstrates programmatic success.

Violence and People with Mental Illness Served in the Public Mental Health System