Clinical correlates of violent behavior are known, but the underlying mecha
nisms are not well understood. This article reviews recent progress in the
understanding of such mechanisms involving complex interactions between gen
es, prenatal and perinatal environmental factors, and rearing conditions. V
iolent behavior is heterogeneous; that is, impulsive and premeditated viole
nt acts differ in their origins, mechanisms, and management. Recent molecul
ar genetic studies of neurotransmitter regulation are providing new insight
s into pathophysiology of violent behavior. Functional anatomy of neurotran
smitters involved in the regulation of violent behavior is being studied wi
th recently developed brain imaging methods. Increasing evidence indicates
commonalities between the neurobiology of violent and suicidal behavior. Pr
ogress in the prevention and management of violent behavior depends on stud
ies that address biological factors in their social context. This article u
pdates a previous review.