Youth violence is a complex and multifactorial issue that has severe health and social consequences. While treatment options exist to treat/reduce violence in at-risk populations such as schizophrenia, there remains limitations in the efficacy of current interventions. Virtual reality (VR) appears to be a unique possibility to expose offenders and to train coping skills in virtual situations that are capable of eliciting aggression‐relevant behavior without threatening others. The focus of this paper is to provide a comprehensive review of studies using VR to manage violence across several at-risk populations, with a particular emphasis on youth with schizophrenia. Despite the encouraging success of VR applications for the treatment of different mental health problems, no studies have explored the usability of VR to specifically treat violence in patients with schizophrenia. A limited number of studies have focused on violence risk factors in other mental health problems (i.e., emotion regulation in individual suffering from post-traumatic disorders) that may be targeted in treatments to reduce the risk of violence. The preliminary studies using VR as a therapeutic element have shown reductions in anger, improvements in conflict-resolution skills as well as in empathy levels, and decreases in aggression. Possible applications of these interventions in youth with schizophrenia will be discussed.

青少年暴力是一个复杂且多因素的问题，会造成严重的健康和社会后果。虽然存在治疗/减少精神分裂症等高危人群暴力的治疗方案，但当前干预措施的功效仍然存在局限性。虚拟现实（VR）似乎是一种独特的可能性，可以揭露罪犯并训练虚拟情境中的应对技能，能够在不威胁他人的情况下引发与攻击相关的行为。本文的重点是对使用 VR 管理多个高危人群暴力的研究进行全面回顾，特别关注患有精神分裂症的青少年。尽管 VR 应用在治疗不同的心理健康问题方面取得了令人鼓舞的成功，但还没有研究探索 VR 是否可用于专门治疗精神分裂症患者的暴力行为。少数研究关注其他心理健康问题中的暴力风险因素（即患有创伤后疾病的个体的情绪调节），这些因素可能是降低暴力风险的治疗目标。使用虚拟现实作为治疗元素的初步研究表明，可以减少愤怒，提高解决冲突的技能和同理心水平，并减少攻击性。将讨论这些干预措施在青少年精神分裂症患者中的可能应用。