The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.
The Population Impact of Severe Mental Illness on Violent Crime
Open accessAbstract
OBJECTIVE: This study aimed to determine the population impact of patients with severe mental illness on violent crime. METHOD: Sweden possesses high-quality national registers for all hospital admissions and criminal convictions. All individuals discharged from the hospital with ICD diagnoses of schizophrenia and other psychoses (N=98,082) were linked to the crime register to determine the population-attributable risk of patients with severe mental illness to violent crime. The attributable risk was calculated by gender, three age bands (15-24, 25-39, and 40 years and over), and offense type. RESULTS: Over a 13-year period, there were 45 violent crimes committed per 1,000 inhabitants. Of these, 2.4 were attributable to patients with severe mental illness. This corresponds to a population-attributable risk fraction of 5.2%. This attributable risk fraction was higher in women than men across all age bands. In women ages 25-39, it was 14.0%, and in women over 40, it was 19.0%. The attributable risk fractions were lowest in those ages 15-24 (2.3% for male patients and 2.9% for female patients). CONCLUSIONS: The population impact of patients with severe mental illness on violent crime, estimated by calculating the population-attributable risk, varies by gender and age. Overall, the population-attributable risk fraction of patients was 5%, suggesting that patients with severe mental illness commit one in 20 violent crimes.
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“The increased prevalence for drug dependence in both sexes may contribute to the reported increased crime rates in the homeless [20,21,22], as substance abuse and dependence is an important risk factor, either alone [71] or comorbid with psychosis [21].”
From The Prevalence of Mental Disorders among the Homeless in Western Countries: Systematic Review and Meta-Regression Analysis (2008) · cites this paper as [22]
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“the population attributable risk of severe mental illnesses on violent criminal convictions in Sweden has been estimated at 5% [40].”
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“2) increased vulnerability of the homeless person, including violent victimisation [20] and criminality [21–23];”
From Burden of mental disorders and unmet needs among street homeless people in Addis Ababa, Ethiopia (2014) · cites this paper as [22]
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Cites
Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy
Moffitt, T. E. (1993) · Psychological Review · doi:10.1037/0033-295x.100.4.674 · Cited by 9,987
The world report on violence and health
Krug, E. G., Mercy, J. A., Dahlberg, L. L., & Zwi, A. B. (2002) · The Lancet · doi:10.1016/s0140-6736(02)11133-0 · Cited by 9,110
Murray, C. J. L., & López, A. D. (1997) · The Lancet · doi:10.1016/s0140-6736(96)07492-2 · Cited by 7,007
Lopez, A. D., Mathers, C. D., Ezzati, M., Jamison, D. T., & Murray, C. J. (2006) · The Lancet · doi:10.1016/s0140-6736(06)68770-9 · Cited by 5,630
Steadman, H. J., Mulvey, E. P., Monahan, J. T., Robbins, P. C., Appelbaum, P. S., Grisso, T., Roth, L. H., & Silver, E. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.5.393 · Cited by 1,456
The Twelfth Jack Tizard Memorial Lecture *
Farrington, D. P. (1995) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1995.tb01342.x · Cited by 925
Mental Disorder, Intellectual Deficiency, and Crime
Hodgins, S. (1992) · Archives of General Psychiatry · doi:10.1001/archpsyc.1992.01820060056009 · Cited by 715
Mental Disorders and Violence in a Total Birth Cohort: Results From the Dunedin Study
Arseneault, L., Moffitt, T. E., Caspi, A., Taylor, P. J., & Silva, P. A. (2000) · Archives of General Psychiatry · doi:10.1001/archpsyc.57.10.979 · Cited by 692
Violence and Severe Mental Illness: The Effects of Substance Abuse and Nonadherence to Medication
Swartz, M. S., Swanson, J. W., Hiday, V. A., Borum, R., Wagner, H. R., & Burns, B. J. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.2.226 · Cited by 628
Farrington, D. P. (1995) · Journal of Child Psychology and Psychiatry · Cited by 582
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Research works printed but not linked: 4
- The World Health Report, 2002, Reducing Risks
- Dolmén L, 2001, Brottsligheten i olika länder
- Rothman KJ, 1998, Greenland S: Modern Epidemiology
- Befolkningsstatistik, 2003, Statistics Sweden
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ธนันชัย, ศ. (2016) · doi:10.58837/chula.the.2016.654
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Šta je zločin (kriminološki aspekt)?
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McNeil, B. E., Angelis, M. D., Donnghaile-Drummond, A. Ó., & Gregson, J. (2024) · Critical criminological perspectives · doi:10.1007/978-3-031-68334-3_7
Firearm violence and individuals with serious mental illnesses
Ciak, J., & Cuddeback, G. S. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-95272-9.00008-5
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Horwitz, J., Grilley, A., & Ward, K. (2015) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378562.lg12
Pinals, D. A. (2015) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378562.lg11
Chapter 5. School Shootings and Mental Illness
Ash, P. (2015) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378562.lg05
Chapter 8. Accessing Mental Health Care
Trestman, R. L., Volkmar, F. R., & Gold, L. H. (2015) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378562.lg08
Gold, L. H., & Vanderpool, D. L. (2015) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378562.lg13
Chapter 3. Gun Violence, Urban Youth, and Mental Illness
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Chapter 7. Mental Illness, Dangerousness, and Involuntary Commitment
Drogin, E. Y., & Spaderna, C. (2015) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378562.lg07
Chapter 2. Firearms and Suicide in the United States
Miller, M., Barber, C. W., & Azrael, D. R. (2015) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378562.lg02
Chapter 10. Decreasing Suicide Mortality: Clinical Risk Assessment and Firearm Management
SIMON, R. I., & Gold, L. H. (2015) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378562.lg10
Chapter 14. Decreasing Gun Violence: Social and Public Health Interventions
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“With approximately 5 % of severe violence and 10 % of homicides attributed to people with schizophrenia spectrum disorders (SSD) (Fazel and Grann, 2006; Taylor and Gunn, 1999), gaining a deeper understanding of social cognitive contributors to aggression risk within community samples of individuals…”
Acat, Ö., İmre, O., Karaağaç, M., & Uçak, E. F. (2025) · Kocatepe tıp dergisi. · doi:10.18229/kocatepetip.1501748
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Grey, J. S., Therson, D., & Kiziah, H. (2025) · Springer eBooks · doi:10.1007/978-3-031-86114-7_5
Walsh, C. (2025) · Palgrave's Frontiers in Criminology Theory · doi:10.1007/978-3-031-99414-2_1
Lund, C. (2013) · Gothenburg University Publications Electronic Archive (Gothenburg University)
A Closer Look at Violent Crimes among Severely Mentally Ill Patients Who Use Cocaine
Mavani, D. J. (2014) · OpenCommons - UConn (University of Connecticut)
Landgren, V., Fernell, E., Gillberg, C., Landgren, M., & Johnson, M. (2021) · Figshare · doi:10.6084/m9.figshare.14267074
Papalia, N. L., Simmons, M., Trood, M. D., McEwan, T., & Spivak, B. (2024) · Figshare · doi:10.6084/m9.figshare.26665867
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Díaz-Faes, D. A., Rajan, S., & Branas, C. C. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.121074
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Freeze, S. M. (2026) · doi:10.64628/aam.3qqtscf9q
How the Actions of Fictional Characters Influence Copycat Offenders
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“This fallacy persists even though only a small fraction of violent offenders are individuals diagnosed with a mental illness [20, 21].”
Mediation of the risk of serious police or legal trouble in adults with a mental disorder
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“…mental disorder, mental illness, and substance abuse), and two diagnoses that are characterized by psychotic symptoms and that have been associated with violence in previous research (schizophrenia/psychosis and bipolar 1 disorder; Fazel & Grann, 2006; Swanson et al., 2025; Whiting et al., 2021).”
Metadata
- Authors
- Fazel, S., & Grann, M.
- Affiliations
- Warneford Hospital (GB)
- Karolinska Institutet (SE)
- ORCID
- Fazel, Seena
- Venue
- American Journal of Psychiatry
- Published
- 2006-08
- Volume
- 163
- Issue
- 8
- Pages
- 1397-1403
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W1833357926
- Cited by
- 539
- References
- 30
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 16 · 2023: 23 · 2022: 30 · 2021: 17 · 2020: 30 · 2019: 27 · 2018: 15 · 2017: 68 · 2016: 29 · 2015: 45 · 2014: 28 · 2013: 45 · 2012: 27
- FWCI
- 24.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- severe mental illness, violent crime, population attributable risk, schizophrenia, psychosis, hospital discharge, criminal conviction, gender differences, age differences, crime types
- MeSH terms
- Adolescent, Adult, Age Factors, Mental Disorders, Crime, Female, Forensic Psychiatry, Hospital Records, Humans, Male, Patient Discharge, Psychotic Disorders, Registries, Risk Factors, Schizophrenia, Schizophrenic Psychology, Sex Factors, Sweden, Violence, Cohort Studies, Age Distribution, Sex Distribution
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