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This article considers the literature on threats made by individuals, with particular reference to threats made by patients against health care workers. It is in two parts. The first part considers the definitions and classification of threats, the prevalence of threat‐making and suggestions for assessment and management. The second part concerns the characteristics of those who threaten and the impact of the threats on the victims, and considers threats as predictors of, and part of, the escalating process which leads to further violence.

This article considers the literature on threats made by individuals, with particular reference to threats made by patients against health care workers. This is the second of two parts, and concerns the characteristics of those who threaten and the impact of the threats on the victims. It considers threats as predictors of, and part of, the escalating process which leads to further violence.

An audit of 100 referrals made to anger management groups provided by a forensic community mental health team over a four‐year period was carried out to help identify the characteristics of those who benefit from the group programme. It was hypothesised that certain factors might predominate in unsuitable referrals. Only 43 individuals actually attended the initial assessment, and 17 completed the group. Chisquare tests of association established no association between attendance and any of the variables identified. Clinical assessment suggested some differences between those who completed the groups and those who did not, but the numbers were small. Given the low completion rate and the fact that variables which characterise unsuitable referrals have not been identified, it is concluded that it may be more useful to use resources in other ways.