A longitudinal analysis of the overlap between violence and victimization among adults with mental illnesses.

Journal Article (Journal Article)

Prior research suggests considerable overlap of violence perpetration and victimization among adults with mental illnesses. However, there has been no examination of how the likelihood of being a victim and/or perpetrator of violence may change over time, nor consideration of clinically-relevant factors affecting these transitions. In a pooled sample of adults with mental illnesses (N=3,473) we employed latent transition analysis to: (a) determine prevalence of four violence and victimization classifications (i.e., non-victim/non-perpetrator, victim only, perpetrator only, and victim-perpetrator) over a 6-month period; (b) calculate the likelihood that adults with mental illnesses will remain in or transition between these classifications over time; and (c) assess the effects of recent substance use, psychiatric symptoms, and suicidal behaviors on transitions over time. At each time point, the majority of participants identified as non-victim/non-perpetrators, followed by victim-perpetrators, victims only, and perpetrators only. Analyses also revealed many individuals transitioned between classifications over time. These distinct pathways towards, and away from, violent outcomes were, in part, a function of recent violence and/or victimization, as well as substance use, psychiatric symptoms, and suicidal behaviors. Findings inform the identification of adults with mental illnesses at risk of violence and victimization and highlight points of intervention.

Full Text

Duke Authors

Cited Authors

  • Johnson, KL; Desmarais, SL; Tueller, SJ; Grimm, KJ; Swartz, MS; Van Dorn, RA

Published Date

  • December 30, 2016

Published In

Volume / Issue

  • 246 /

Start / End Page

  • 203 - 210

PubMed ID

  • 27721058

Pubmed Central ID

  • PMC5161544

Electronic International Standard Serial Number (EISSN)

  • 1872-7123

Digital Object Identifier (DOI)

  • 10.1016/j.psychres.2016.09.039


  • eng

Conference Location

  • Ireland