Psychiatric Quarterly [psaq] ph084-psaq-363103 June 21, 2002 13:54 Style ﬁle version Nov. 19th, 1999
Psychiatric Quarterly, Vol. 73, No. 3, Fall 2002 (
REPETITIVELY ASSAULTIVE PSYCHIATRIC
PATIENTS: REVIEW OF PUBLISHED
Raymond B. Flannery, Jr., Ph.D.
Embedded in samples of studies individual cases of psychiatric patient assault
have been cases of persistent, repeat patient assailants. Although there have
been literature reviews of samples of individual cases of assaults, there has
been no similar review of the studies of repetitively violent patients. This pa-
per reviewed 28 studies and found repetitively violent patients to be younger,
equally male or female, and most frequently diagnosed with schizophrenia or
personality disorder. The implications for safety, clinical care, and research are
discussed. A new research approach is suggested.
KEY WORDS: assaults; health care safety; psychiatric patients; repeat offenders.
Criminologist Marvin Wolfgang (1) began an eighteen-year study of the
9,945 males born in Philadelphia in 1945. He recorded any encounters
that these boys had with the police during this time period. Two-thirds
of the boys had no encounters whatsoever. Of the remaining one-third,
Raymond B. Flannery, Jr., Ph.D., is Director of Training, the Massachusetts Depart-
ment of Mental Health, Boston, MA 02114. Dr. Flannery is on the faculties of Harvard
Medical School, Boston, MA, and the University of Massachusetts Medical School,
Address correspondence to Raymond B. Flannery, Jr., Ph.D., Department of Mental
Health, 25 Staniford Street, Boston, MA 02114, USA.
2002 Human Sciences Press, Inc.