title: Treatment engagement and violence risk in mental disorders.
abstract: BACKGROUND
  Research has uncovered many characteristics related to violence committed by people with mental illness. However, relatively few studies have focused on understanding the connection between violence and dynamic, malleable variables such as a patient's level of treatment engagement.
  
  
  OBJECTIVE
  To explore the link between community violence and patients'beliefs about psychiatric treatment benefit.
  
  
  METHODS
  A sample of 1011 adults receiving out-patient treatment for a psychiatric disorder in the public mental health systems of five US states were interviewed.
  
  
  RESULTS
  Bivariate analyses revealed community violence was inversely related to treatment adherence, perceived treatment need and perceived treatment effectiveness. Multivariate analyses showed these three variables were associated with reduced odds of violent and other aggressive acts.
  
  
  CONCLUSIONS
  The results suggest clinical consideration of patients' perceptions of treatment benefit can help enhance violence risk assessment in psychiatric practice settings.
authors.affiliation: Duke University Medical Center, DUMC 3071, Durham, NC 27710, USA. eric.elbogen@duke.edu
authors.forename: Eric B
authors.initials: EB
authors.lastname: Elbogen
authors.forename: Richard A
authors.initials: RA
authors.lastname: Van Dorn
authors.forename: Jeffrey W
authors.initials: JW
authors.lastname: Swanson
authors.forename: Marvin S
authors.initials: MS
authors.lastname: Swartz
authors.forename: John
authors.initials: J
authors.lastname: Monahan
mesh_terms: D000328:Adult; D000374:Aggression; D000704:Analysis of Variance; D001294:Attitude to Health; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D010465:Perception; D012307:Risk Factors; D016896:Treatment Outcome; D014754:Violence / Q000523:psychology*