Relative risks of violence in psychiatric patients are high compared to the general population and existing evidence in non-psychiatric populations may not translate to reductions in violence in psychiatric populations. We searched 10 databases including Medline, EMBASE, CINAHL and Scopus, from inception until August 2015 for systematic reviews and meta-analyses of violence prevention interventions in psychiatry. Reviews were included if they used a hard outcome measure (i.e. police or hospital recorded violence, or reincarceration) and contained randomized or non-randomized controlled studies. Five reviews met our inclusion criteria (n = 8876 patients in total), of which four received a GRADE rating of 'low' or 'very low'. Three randomized studies (n = 636) reported that therapeutic community interventions may reduce reincarceration in drug-using offenders with co-occurring mental illness ('moderate' GRADE rating). The lack of intervention research in violence prevention in general and forensic psychiatry suggests that interventions from non-psychiatric populations may need to be relied upon.
Keyphrases
- mental health
- mental illness
- meta analyses
- end stage renal disease
- physical activity
- systematic review
- double blind
- open label
- chronic kidney disease
- newly diagnosed
- randomized controlled trial
- ejection fraction
- healthcare
- peritoneal dialysis
- placebo controlled
- prognostic factors
- emergency department
- tyrosine kinase
- intimate partner violence
- clinical trial
- study protocol
- risk assessment
- electronic health record
- high intensity
- deep learning
- acute care