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Advances in Psychiatric Treatment (2006) 12: 239-248
© 2006 The Royal College of Psychiatrists

Schizophrenia and violence: from correlations to preventive strategies{dagger}

Paul E. Mullen

Paul E. Mullen is Professor of Forensic Psychiatry at Monash University, Melbourne, and Director of Forensic Mental Health Services for the State of Victoria (Victoria Institute of Forensic Mental Health, Thomas Embling Hospital, Locked Bag 10, Fairfield, Victoria 3078, Australia; email: paul.mullen{at}forensicare.vic.gov.au). His research interests are stalking, the relationship between mental disorder and offending behaviour and the long-term effects of child abuse.

People with schizophrenia make a significant contribution to violence in our communities and, in so doing, often lay waste to their own lives. The 10% or so from which will emerge the perpetrators of most of the serious violence are identifiable in advance. A structured programme in which the criminogenic personality and behavioural factors, substance misuse and social dislocation are managed together with the active symptoms of the disorder could prevent the progress to violence. Such systems of care could significantly reduce serious criminal violence and homicide, reduce the number of people with schizophrenia who end up in prison, stop the rising number of forensic psychiatric beds and, most importantly, improve the lives of many of the most disturbed and disadvantaged of those with the disorder.




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