B2986 - Is mental illness related to the subsequent experience of violence and is this mediated by substance use or social networks - 13/03/2018

B number: 
B2986
Principal applicant name: 
Louise M. Howard | Department of Health Services and Population Research (United Kingdom)
Co-applicants: 
Vishal Bhavsar, Professor Dieter Wolke
Title of project: 
Is mental illness related to the subsequent experience of violence, and is this mediated by substance use or social networks?
Proposal summary: 

Violence, towards both men and women, is an important public health problem and results in reduced wellbeing, worse quality of life and greater use of care and allied services. People with mental illness often report greater experience of violence and crimes, as victims, than those without mental illness. However, this research area is limited by challenges in routinely enquiring about and measuring violence and crimes using self-report, a lack of follow-up studies, and differences between those who choose to participate in studies, or report violence, and those who do not. Evidence on a possible relationship between mental illness and later exposure to violence and crime is inconclusive. My ALSPAC proposal will examine whether mental disorders increase risk of later exposure to physical and sexual violence and whether this relationship is explained(mediated) by changes in social behaviour which occur as a result of mental illness, but which also increase risk for later experience of violence. This proposal forms part of a funding application to study this question across different types of data to arrive at stronger conclusions - observational data from a birth cohort study(ALSPAC, the present proposal), electronic health record data from London, and national data from Sweden. Identifying the reasons for association between mental disorder and subsequent experience of physical and sexual violence could be important in prediction, and in improving safety and quality of life in people with mental illness.

Impact of research: 
Results of analyses wil be reported in the scientific literature, open access where possible. Findings will be integrated into lay reports for mental health interest groups, charities, and policy makers, focusing on drawing attention to the higher frequency of violent experiences among those with mental illness, and potential explanations.
Date proposal received: 
Thursday, 16 November, 2017
Date proposal approved: 
Thursday, 16 November, 2017
Keywords: 
Epidemiology, Violence, bullying, victimisation., Computer simulations/modelling/algorithms, Statistical methods, Cohort studies - attrition, bias, participant engagement, ethics, Environment - enviromental exposure, pollution, Injury (including accidents), Sex differences, Social science, Statistical methods