In light of recent media coverage which may depict persons with mental illnesses as unpredictable and dangerous, the Department of Mental Health and Substance Dependence (DMHSD) wishes to inform the public that the vast majority of persons with mental illnesses do not pose a threat for violence towards themselves and others.

According to the Director, Dr. Alicia Malcolm, “while studies suggest a link between mental illnesses and violence, the contribution of people with mental illnesses to the overall rates of violence is still very small.”
Major determinants of violence continue to be socio-demographic and economic factors, including age, gender and low socio-economic bracket. Other factors that interact to produce violence also include substance abuse or dependence; a history of violence or physical abuse; and recent stressors such as losing a job, getting divorced, or being a victim of crime.

There is also an increased possibility that someone with a mental illness may be violent if they are not accessing mental health services or complying with treatment. Dr. Malcolm also explained, that for persons experiencing symptoms of a psychotic illnesses such as frightening hallucinations and delusions as well as paranoia, there is a small chance they may become violent when they are scared and misinterpret what is happening around them.

The Department is therefore advising the public that if you encounter a mentally ill person who appears to be aggressive or violent, maintain a calm demeanour and do not overreact, as this may cause the individual’s behaviour to escalate. Also, stay out of arms reach, avoid arguing or getting into a power struggle and call for help.
To family members and caregivers of mentally ill persons, encourage your love one to comply with their treatment regimen and follow-up regularly with their doctor. Also, immediately report any noticeable changes in their behaviour to a mental health professional.
Many persons with even the most serious of mental illnesses can and do recover. They can manage their conditions and go on to lead happy, healthy, productive lives.

As a community, we must embrace persons with mental illnesses for who they are  — normal human beings experiencing a difficult time who need your open mind, caring attitude, and helpful support.

Remember, mental illness is not a choice and could happen to anybody.

For more information on caring for someone who is mentally ill or to receive post traumatic counselling, contact the Department of Mental Health and Substance Dependence.