Prevalence of violence by people living with severe mental illness against their relatives and its associated impacts: A systematic review.


Journal

Acta psychiatrica Scandinavica
ISSN: 1600-0447
Titre abrégé: Acta Psychiatr Scand
Pays: United States
ID NLM: 0370364

Informations de publication

Date de publication:
02 2023
Historique:
revised: 21 10 2022
received: 14 07 2022
accepted: 22 10 2022
pubmed: 1 11 2022
medline: 24 1 2023
entrez: 31 10 2022
Statut: ppublish

Résumé

Violence perpetration by adults with severe mental illness (SMI) specifically towards their relatives is a sensitive topic and a largely neglected area that has consequences and implications for different stakeholders, including healthcare providers. This paper sought to systematically review the relevant literature, to identify the types and rates of violence by people with SMI against their relatives, and to develop a detailed understanding of its reported impacts. A systematic review, registered with PROSPERO (registration number CRD42019150784), was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The review comprised searches of Medline, Embase, PsycInfo and CINAHL databases, supplemented by manual searches. Data from 38 papers using mixed methodologies were reviewed. Key findings highlighted that relatives experienced different types of violence, including physical, verbal, psychological, financial violence, and violence directed towards property. Different types often co-occurred. Mothers were the group most likely to report being victims, compared with other relatives. Reported impacts of violence on relatives included mental ill health (e.g., psychological distress, post-traumatic stress symptoms) and the deterioration, and in some cases the permanent breakdown, of family relationships and the family unit. However, relatives often continued to provide a framework of support for patients, despite risks to their own safety. Findings speak to the importance of future research extending the focus beyond the identified victimised relative or perpetrator, to also consider the impacts of violence at the family-wide level, and to improve the outcomes of families exposed to and dealing with violence by individuals living with SMI.

Identifiants

pubmed: 36316292
doi: 10.1111/acps.13516
pmc: PMC10107449
doi:

Types de publication

Systematic Review Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

155-174

Subventions

Organisme : Department of Health
Pays : United Kingdom

Informations de copyright

© 2022 The Authors. Acta Psychiatrica Scandinavica published by John Wiley & Sons Ltd.

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Auteurs

Emilie K Wildman (EK)

Department of Psychology, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK.

Deirdre MacManus (D)

Department of Forensic and Neurodevelopmental Science, King's College London, London, UK.

Joel Harvey (J)

Department of Law and Criminology, Royal Holloway, University of London, Surrey, UK.

Elizabeth Kuipers (E)

Department of Psychology, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK.
Bethlem Royal Hospital, South London and Maudsley NHS Foundation Trust, Beckenham, UK.

Juliana Onwumere (J)

Department of Psychology, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK.
Bethlem Royal Hospital, South London and Maudsley NHS Foundation Trust, Beckenham, UK.

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