NEWS Mental Health News Study Uncovers Clear Link Between Narcissism and Aggressive Behavior By Joni Sweet Joni Sweet Joni Sweet is an experienced writer who specializes in health, wellness, travel, and finance. Learn about our editorial process Updated on June 07, 2021 Fact checked Verywell Mind content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Nicholas Blackmer Fact checked by Nicholas Blackmer LinkedIn Nick Blackmer is a librarian, fact-checker, and researcher with more than 20 years’ experience in consumer-oriented health and wellness content. He keeps a DSM-5 on hand just in case. Learn about our editorial process Share Tweet Email Print Malte Mueller / Getty Images Key Takeaways A review of more than 400 studies discovered a strong connection between narcissism and aggression, regardless of people's age or gender.The research also showed that people high in narcissism are more likely to behave violently, even when unprovoked.While therapy can help treat narcissism, those with the disorder may be unwilling to get help or acknowledge they have a mental health issue, experts say. Narcissism goes beyond having an inflated sense of self importance. It’s also a risk factor for violence and aggressive behavior, a comprehensive new study has found. The research, published in the journal Psychological Bulletin, analyzed the results of more than 400 studies from around the world and found that people high in narcissism were more likely to be aggressive, even when nothing provoked them. It also uncovered a nearly equally strong link between narcissism and violence intended to cause someone physical harm. Here’s what the research found on the link between narcissism and aggression. The Study For the meta-analytic review, researchers from The Ohio State University looked at 437 studies on narcissism conducted worldwide. The research involved a total of 123,043 participants. The average age of participants ranged from 8 to 62 years old, depending on the study they were involved in. The results showed that narcissism is a strong risk factor for aggressive behavior, such as cyberbullying, pushing others around, name calling, and spreading rumors. The study also found a robust link between narcissism and violence (defined as “aggressive behavior intended to cause extreme physical harm, such as injury or death”). The connection between narcissism and violence was slightly weaker than its association with aggression, but still strong. Interestingly, the researchers discovered that these results held true regardless of whether a narcissistic person was provoked. However, their “thin skins” made them even more likely to lash out in aggressive or violent ways when they were threatened, humiliated, insulted, criticized, or provoked in other ways, or did not receive special treatment they felt entitled to, the authors say. Lina Haji, PsyD ‘Thin skin’ is explained as a fragile ego or a poor self-image. This negative view of oneself results in a superficially inflated ego. — Lina Haji, PsyD “‘Thin skin’ is explained as a fragile ego or a poor self-image. This negative view of oneself results in a superficially inflated ego,” says Lina Haji, PsyD, a licensed clinical psychologist, licensed mental health counselor, and founder of Rise Psychological Services in Miami, Florida. “As a result, narcissists are prone to aggress against others who evaluate them negatively.” The researchers found little to no difference in the results among participants of different genders or ages, or based on when and where the original study took place. “This is a well-written and methodologically sound investigation,” says Samuel Hawes, PhD, a licensed clinical psychologist and assistant professor of psychology at Florida International University. “The large number of studies included in this meta-analysis (more than 400) offers relatively robust statistical support for the finding of a significant and modest association between narcissism and aggression.” Understanding the Link While not the first to review earlier studies on narcissism and aggression, this research deepens scientific understanding of the ways in which even undiagnosed narcissism can result in violent tendencies. “It goes beyond previous attempts by considering sub-clinical narcissism, various ways in which it manifests, and aggression that is unprovoked versus being provoked,” says Michael Roeske, PsyD, a licensed clinical psychologist and executive director at Newport Academy, a mental health treatment center. Experts say that narcissists’ limited capacity to empathize with others and feeling exempt from certain rules and social norms may drive them toward aggression when they aren’t treated like the “center of the universe.” “The reasons for this largely center around the need to protect a fragile self-image and maintain their inflated self-views,” explains Dr. Haji. “The aggression serves as attention-seeking, a sense of entitlement, to bolster self-esteem, and display a need to have their own way. In addition, the aggression toward others is self-indulgent.” Other underlying mental health disorders—such as psychopathy—may also make some narcissistic individuals more prone to violence and aggression, but further study is needed, says Dr. Hawes. Samuel Hawes, PhD Psychopathy and narcissism are both marked by several underlying vulnerabilities, such as callousness, grandiosity, and manipulativeness. — Samuel Hawes, PhD “Psychopathy and narcissism are both marked by several underlying vulnerabilities, such as callousness, grandiosity, and manipulativeness,” he says. “These features, sometimes referred to as ‘psychopathy-linked narcissism,’ have been shown to be uniquely related to unprovoked aggression.” Dr. Hawes adds: “It would be interesting to know how much the relationship between narcissism and aggression is attenuated when statistically controlling for psychopathy.” Curbing Aggression and Violence Directing more mental health resources toward people high in narcissism could, in theory, help reduce aggression and violence. But that doesn’t necessarily mean narcissistic individuals will be receptive to therapy, let alone recognize they may have a personality disorder. “Because of their limited insight into how they are perceived by others, those high in narcissism will rarely seek treatment for that issue,” says Dr. Roeske. “Instead, other things will bring them into our care, such substance misuse, depression, or other mental health concerns.” Fortunately, therapists have tools that can help people high in narcissism cultivate empathy and reduce rage. Looking for signs of narcissism—even if that’s not what drove a person to seek mental health support—could give therapists an opportunity to help people work through these issues and avoid aggression. Katherine M. Hertlein, PhD Narcissists need to work on being able to engage and collaborate with others, cultivate empathy for others, appreciate others, and appreciate constructive feedback. — Katherine M. Hertlein, PhD “Narcissists need to work on being able to engage and collaborate with others, cultivate empathy for others, appreciate others, and appreciate constructive feedback,” says Katherine M. Hertlein, PhD, LMFT, professor in the couple and family therapy program at the University of Nevada, Las Vegas. If you find yourself at the receiving end of aggression or violence from a narcissistic person, it’s important to distance yourself physically, set boundaries, and seek support from others. “A victim of aggression can benefit from having an ally present or informing an ally (like a friend, family member, or co-worker) of the behaviors in order to avoid gaslighting and other techniques that narcissists tend to use,” says Dr. Haji. Finally, Dr. Roeske says, “It’s important to understand that this is not about you, even if the individual high in narcissism tries to blame you.” What's the Difference Between a Narcissist and a Sociopath? What This Means For You New research has uncovered a strong connection between narcissism and aggressive behavior—even without provocation. The findings help deepen scientific understanding of the underlying factors that may drive someone to commit violence.If you are dealing with aggressive behavior from a narcissistic person, it’s important to remove yourself from the situation right away and tell someone about it. That can help you avoid the gaslighting and other techniques narcissists sometimes use to further victimize others. 1 Source Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Kjærvik SL, Bushman BJ. The link between narcissism and aggression: a meta-analytic review. Psychol Bull. Published online May 24, 2021. doi:10.1037/bul0000323 By Joni Sweet Joni Sweet is an experienced writer who specializes in health, wellness, travel, and finance. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.