Sherry Glied is with the Robert F. Wagner Graduate School of Public Service, New York University, New York, NY. Richard G. Frank is with the Department of Health Care Policy, Harvard Medical School, Boston, MA.
Am J Public Health. 2014 Feb;104(2):e5-6. doi: 10.2105/AJPH.2013.301710. Epub 2013 Dec 12.
The debate about addressing mental illness and violence often ignores key facts. Many people experience mental illnesses, so having had a diagnosed illness is not a very specific predictor of violent behavior. This means that many proposed policy approaches, from expanded screening to more institutionalization, are unlikely to be effective. Expanded access to effective treatments, although desirable, will have only modest impacts on violence rates. Most people with mental health problems do not commit violent acts, and most violent acts are not committed by people with diagnosed mental disorders.
关于解决精神疾病和暴力问题的争论往往忽略了一些关键事实。许多人都经历过精神疾病，因此被诊断患有某种疾病并不能非常准确地预测其暴力行为。这意味着许多提议的政策方法，从扩大筛查到更多的制度化，都不太可能有效。扩大获得有效治疗的机会虽然是可取的，但对暴力率的影响也只是适度的。大多数有心理健康问题的人不会实施暴力行为，大多数暴力行为也不是由被诊断患有精神障碍的人实施的。
