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Victimisation in other- and self-directed violence as a function of ethnicity and primary diagnosis among inpatients with serious mental illness

Author

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  • Matt Bruce
  • Erica Bennett
  • Zara Bernard

Abstract

Background: Among individuals with serious mental illness (SMI), victimisation has been found to increase the risk of engaging in other- and self-directed violence. However, rates of victimisation within this population have been found to vary by ethnic group and primary diagnosis. Aims: This study primarily aimed to examine the relationship between victimisation and other- and self-directed violence among a sample of inpatients with SMI during the first 3 months of admission. The role of ethnicity and primary diagnosis were also explored. Methods: This cross-sectional study utilised data from South London and Maudsley’s (SLaM) anonymised database. Participants ( n  = 7,265) were aged over 18 upon admission, of White British, Black African, Black Caribbean or Asian ethnicity and had a primary diagnosis of major mood disorder, mania or psychosis. Results: Among a sample of inpatients with SMI, victimisation increased the risk of other-directed violence but not self-directed violence. While Black African ethnicity was associated with an increased risk of other-directed violence, all minority ethnic groups had a decreased risk of self-directed violence compared to White British ethnicity. Those with a primary diagnosis of mania or psychosis were observed to be at increased risk of other-directed violence and decreased risk of self-directed violence compared to those with a major mood disorder. Conclusions: Inpatients with SMI who have experienced victimisation are at an increased risk of engaging in other-directed violence during the first 3 months of admission.

Suggested Citation

  • Matt Bruce & Erica Bennett & Zara Bernard, 2025. "Victimisation in other- and self-directed violence as a function of ethnicity and primary diagnosis among inpatients with serious mental illness," International Journal of Social Psychiatry, , vol. 71(5), pages 968-977, August.
    • Handle: RePEc:sae:socpsy:v:71:y:2025:i:5:p:968-977
    DOI: 10.1177/00207640241310187
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    References listed on IDEAS

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    4. Swanson, J.W. & Swartz, M.S. & Essock, S.M. & Osher, F.C. & Wagner, H.R. & Goodman, L.A. & Rosenberg, S.D. & Meador, K.G., 2002. "The social-environmental context of violent behavior in persons treated for severe mental illness," American Journal of Public Health, American Public Health Association, vol. 92(9), pages 1523-1531.
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