What do clinicians expect? Comparing envisioned and reported violence for male and female patients

UMMS Affiliation

Department of Psychiatry

Publication Date


Document Type



Adult; *Attitude of Health Personnel; Female; Forecasting; Humans; Male; *Professional-Patient Relations; Risk Assessment; *Social Perception; Time Factors; Violence


Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology


Mental health professionals' (MHPs') accuracy in assessing the risk of violence in female patients is particularly limited. Based on assessments made by 205 MHPs of 605 patients in an emergency room, this study explored potential causes of MHPs' poorer accuracy in assessing women's potential for violence. The dimensions that underlie MHPs' envisioned violence in patients were identified and were compared with those that characterized patients' reported violence during a 6-month follow-up period. There were three key findings from their study. First, violence envisioned by MHPs differed depending on their professional role and varied in its congruence with patients' reported violence. Second, patients' violence was organized by dimensions of domesticity and substance relatedness; women's violent incidents were more domestic than were men's. Third, when MHPs envisioned violence that was highly conditional on psychiatric deterioration and medication noncompliance, violence often did not occur.

DOI of Published Version



J Consult Clin Psychol. 2005 Aug;73(4):599-609. Link to article on publisher's site

Journal/Book/Conference Title

Journal of consulting and clinical psychology

Related Resources

Link to Article in PubMed

PubMed ID