Dangerousness

Saleem Shah played a major role in the development of both policy and research concerning the prediction of dangerousness to others over two decades. During that period his commitment to the welfare of people with mental illness led him first to challenge the legitimacy of such predictions and later to support research to improve them. His ideas were central to most of the research that has been done in this area. This article suggests a direction for future research concerning the prediction of dangerousness to others that elaborates and extends his thinking by focusing on the research necessary to help individuals with mental illnesses to minimize their involvement in violence.     

Weekly community interviews with high-risk participants: operational issues

To address several key questions in social science research, repeated interviews of individuals drawn from difficult populations are required. This article describes an approach for addressing the challenges associated with longitudinal interview studies, including locating research participants, obtaining reliable and valid interview data over time, and retaining participants across the course of the study. We applied this approach to conduct a study designed to identify changeable risk factors for violence among high-risk people with mental illness. To successfully conduct weekly interviews of these individuals in the community across a 6-month period, we developed a flexible and personalized interview format; carefully selected, trained, and supervised staff; and developed incentives to maximize participant retention. Each of these three steps is discussed as a guide for future longitudinal studies that involve interviewing difficult populations.     

Gender and Risk Assessment Accuracy: Underestimating Women’s Violence Potential

Understanding factors that contribute to mental health professionals (MHPs) accuracy in assessing patients risk of violence can inform efforts to improve accuracy and to integrate risk assessment technology with practice. Based on a sample of 147 clinicians who assessed 680 patients in a psychiatric emergency room, this study investigates the influence of patient gender, MHP gender, and their potential interaction on MHPS risk assessment accuracy. The results indicate that MHPs of both genders are particularly limited in their ability to assess female patients risk of future violence. This finding was not limited to a particular professional group and was not attributable to gender-related differences in violence. Implications for future research on the judgment processes that may underlie MHPs limited accuracy with women and for training programs in violence risk assessment are discussed.     

Talcott Parsons on full citizenship for African Americans: retrospective interpretation and evaluation

In this essay in the Thinking Citizenship Series, Lidz evaluates the contributions of Talcott Parsons for thinking about citizenship and race relations in twentieth century America.