{"id":"https://openalex.org/W2003164284","doi":"https://doi.org/10.1136/bmj.312.7036.965","title":"Dangerous patients with mental illness: increased risks warrant new policies, adequate resources, and appropriate legislation","display_name":"Dangerous patients with mental illness: increased risks warrant new policies, adequate resources, and appropriate legislation","publication_year":1996,"publication_date":"1996-04-13","ids":{"openalex":"https://openalex.org/W2003164284","doi":"https://doi.org/10.1136/bmj.312.7036.965","mag":"2003164284","pmid":"https://pubmed.ncbi.nlm.nih.gov/8616316","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/2350759"},"language":"en","primary_location":{"id":"doi:10.1136/bmj.312.7036.965","doi":"https://doi.org/10.1136/bmj.312.7036.965","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmj.312.7036.965","pdf_url":null,"source":{"id":"https://openalex.org/S4393911389","display_name":"BMJ","issn_l":"0007-1447","issn":["0007-1447","0267-0623","1468-5833"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2350759","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071018308","display_name":"Jeremy Coid","orcid":"https://orcid.org/0000-0002-0184-6249","observed_orcids":["https://orcid.org/0000-0002-0184-6249"]},"institutions":[{"id":"https://openalex.org/I1307195382","display_name":"St Bartholomew's Hospital","ror":"https://ror.org/00nh9x179","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1307195382","https://openalex.org/I225661044"]},{"id":"https://openalex.org/I166337079","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I166337079"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Jeremy W Coid","raw_affiliation_strings":["St Bartholomew's, London Hospitals Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"St Bartholomew's, London Hospitals Medical College","institution_ids":["https://openalex.org/I1307195382","https://openalex.org/I166337079"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5071018308"],"corresponding_institution_ids":["https://openalex.org/I1307195382","https://openalex.org/I166337079"],"apc_list":null,"apc_paid":null,"fwci":5.7878,"has_fulltext":false,"cited_by_count":73,"citation_normalized_percentile":{"value":0.95823666,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"312","issue":"7036","first_page":"965","last_page":"966"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10565","display_name":"Psychopathy, Forensic Psychiatry, Sexual Offending","score":0.9564999938011169,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10565","display_name":"Psychopathy, Forensic Psychiatry, Sexual Offending","score":0.9564999938011169,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11678","display_name":"Healthcare Decision-Making and Restraints","score":0.02370000071823597,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.00989999994635582,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/severe-mental-illness","display_name":"severe mental illness","score":0.9259999990463257},{"id":"https://openalex.org/keywords/community-discharge","display_name":"community discharge","score":0.5580000281333923},{"id":"https://openalex.org/keywords/violence-risk","display_name":"violence risk","score":0.47099998593330383},{"id":"https://openalex.org/keywords/mental-health-law","display_name":"mental health law","score":0.6079999804496765},{"id":"https://openalex.org/keywords/homicide-risk","display_name":"homicide risk","score":0.7049999833106995}],"concepts":[{"id":"https://openalex.org/C2777351106","wikidata":"https://www.wikidata.org/wiki/Q49371","display_name":"Legislation","level":2,"score":0.7361194491386414},{"id":"https://openalex.org/C2777363581","wikidata":"https://www.wikidata.org/wiki/Q15098235","display_name":"Harm","level":2,"score":0.6980987787246704},{"id":"https://openalex.org/C2780668109","wikidata":"https://www.wikidata.org/wiki/Q192852","display_name":"Opposition (politics)","level":3,"score":0.6586208343505859},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.5738279223442078},{"id":"https://openalex.org/C2776916960","wikidata":"https://www.wikidata.org/wiki/Q637156","display_name":"Warrant","level":2,"score":0.5734385848045349},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.5665760040283203},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.5578883290290833},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.47961342334747314},{"id":"https://openalex.org/C2779613476","wikidata":"https://www.wikidata.org/wiki/Q6817400","display_name":"Mental Health Act","level":3,"score":0.4550933837890625},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4361841082572937},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4325654208660126},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3372003436088562},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.3236134648323059},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.30825430154800415},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.27261286973953247},{"id":"https://openalex.org/C94625758","wikidata":"https://www.wikidata.org/wiki/Q7163","display_name":"Politics","level":2,"score":0.1951972246170044},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.17514586448669434},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.09151208400726318},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D001523","descriptor_name":"Mental Disorders","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D003617","descriptor_name":"Dangerous Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006113","descriptor_name":"United Kingdom","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008605","descriptor_name":"Mental Health Services","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":true},{"descriptor_ui":"D008605","descriptor_name":"Mental Health Services","qualifier_ui":"Q000600","qualifier_name":"supply & distribution","is_major_topic":false},{"descriptor_ui":"D011364","descriptor_name":"Professional Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014754","descriptor_name":"Violence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":5,"locations":[{"id":"doi:10.1136/bmj.312.7036.965","doi":"https://doi.org/10.1136/bmj.312.7036.965","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmj.312.7036.965","pdf_url":null,"source":{"id":"https://openalex.org/S4393911389","display_name":"BMJ","issn_l":"0007-1447","issn":["0007-1447","0267-0623","1468-5833"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:2350759","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2350759","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"Text"},{"id":"pmid:8616316","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8616316","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ (Clinical research ed.)","raw_type":"Journal Article"},{"id":"pmh:oai:open-archive.highwire.org:bmj:312/7036/965","doi":null,"is_oa":false,"landing_page_url":"http://www.bmj.com/cgi/content/short/312/7036/965","pdf_url":null,"source":{"id":"https://openalex.org/S4406923041","display_name":"HighWire Press Open Archive","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"TEXT"},{"id":"pmh:oai:repository.library.georgetown.edu:10822/893396","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10822/893396","pdf_url":null,"source":{"id":"https://openalex.org/S4306402467","display_name":"DigitalGeorgetown (Georgetown University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210145449","host_organization_name":"Center for Security and Emerging Technology","host_organization_lineage":["https://openalex.org/I4210145449"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"eweb:163644","raw_type":null}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:2350759","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2350759","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/16","score":0.8046000003814697,"display_name":"Peace, justice, and strong institutions"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W30050187","https://openalex.org/W168669042","https://openalex.org/W1973868390","https://openalex.org/W1977896414","https://openalex.org/W1986081483","https://openalex.org/W2017522667","https://openalex.org/W2045120849","https://openalex.org/W2058359337","https://openalex.org/W2061132874","https://openalex.org/W2070470615","https://openalex.org/W2079430595","https://openalex.org/W2087053857","https://openalex.org/W2124386349","https://openalex.org/W2137197798","https://openalex.org/W2144470918","https://openalex.org/W2154159432","https://openalex.org/W2154179220","https://openalex.org/W2166157732","https://openalex.org/W2271769350","https://openalex.org/W4323285021"],"related_works":["https://openalex.org/W3151906276","https://openalex.org/W2119486962","https://openalex.org/W2488300281","https://openalex.org/W2127758771","https://openalex.org/W2031761304","https://openalex.org/W2146068331","https://openalex.org/W2108788999","https://openalex.org/W2017457759","https://openalex.org/W1974230189","https://openalex.org/W2284318305"],"abstract_inverted_index":{"British":[0],"people":[1,267],"have":[2,18,27,46,271],"become":[3,84],"increasingly":[4,85],"concerned":[5],"about":[6],"the":[7,22,38,52,104,128,137,152,167,182,209,245,262,281,284],"risk":[8,159,205],"of":[9,37,41,57,75,101,123,140,160,169,176,185,206,217,227],"violence":[10],"from":[11,162,220],"patients":[12,145,199,218],"with":[13,60,70,119,136],"severe":[14],"mental":[15,131,222],"illness":[16],"who":[17],"been":[19,272],"discharged":[20,219],"into":[21],"community.":[23,105,210],"A":[24],"few":[25],"incidents":[26],"received":[28],"considerable":[29],"media":[30],"attention":[31],"and":[32,55,64,126,181,249,278],"left":[33],"a":[34,120],"strong":[35],"impression":[36],"potential":[39],"dangerousness":[40],"psychotic":[42],"patients.":[43,165],"Subsequent":[44],"inquiries":[45],"revealed":[47],"serious":[48],"shortcomings":[49],"both":[50,276],"in":[51,62,103,178,208,240],"clinical":[53,258],"management":[54],"supervision":[56],"these":[58],"patients,":[59],"failures":[61],"liaison":[63],"cooperation":[65],"between":[66],"agencies":[67],"being":[68],"coupled":[69],"inadequate":[71],"service":[72],"provision,":[73],"particularly":[74],"secure":[76],"inpatient":[77],"beds.1":[78],"2":[79],"3":[80],"The":[81,237],"government":[82],"has":[83,242],"vulnerable":[86],"to":[87,97,117,254,274,291],"opposition":[88],"or":[89],"pressure":[90],"groups":[91],"that":[92,194,215,264],"will":[93,134,268],"seize":[94],"any":[95],"opportunity":[96],"criticise":[98],"its":[99],"programme":[100],"care":[102],"Health":[106,170],"ministers":[107],"may":[108],"now":[109,232],"be":[110,147,275],"questioning":[111],"whether":[112,127,151],"current":[113,141],"policies":[114],"are":[115,200],"adequate":[116,289],"deal":[118,135],"growing":[121],"crisis":[122],"public":[124,154,221],"confidence":[125],"proposed":[129],"new":[130],"health":[132],"legislation":[133],"problem.4\n\nNo":[138],"evaluation":[139],"policy":[142],"for":[143,283],"dangerous":[144],"can":[146],"undertaken":[148],"without":[149,288],"knowing":[150],"general":[153,285],"is":[155,171,191,231],"genuinely":[156],"at":[157,204],"increased":[158],"harm":[161],"mentally":[163,265],"ill":[164],"Unfortunately,":[166],"Department":[168],"not":[172],"helped":[173],"by":[174,187],"lack":[175],"research":[177,213],"this":[179],"subject":[180],"recent":[183],"shift":[184],"position":[186],"academics.5":[188],"6":[189],"It":[190],"widely":[192],"feared":[193],"bed":[195],"closures":[196],"mean":[197],"predisposed":[198],"spending":[201],"longer":[202],"periods":[203],"offending":[207,228],"But":[211],"earlier":[212],"suggesting":[214],"cohorts":[216],"hospitals":[223],"showed":[224],"increasing":[225],"rates":[226],"over":[229],"time":[230],"seen":[233],"as":[234],"inadequate.5":[235],"7":[236],"progressive":[238],"reduction":[239],"beds":[241],"itself":[243],"altered":[244],"picture.":[246],"Inadequate":[247],"data":[248,290],"poor":[250],"methodology":[251],"still":[252],"continue":[253],"confuse":[255],"debate":[256],"on":[257],"management.":[259],"For":[260],"example,":[261],"risks":[263,282],"disordered":[266],"commit":[269],"homicide":[270],"claimed":[273],"higher":[277],"lower":[279],"than":[280],"population":[286],"but":[287],"support":[292],"either":[293],"assertion.":[294],"\u2026":[295]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
