Flannery R B, Fisher W, Walker A P, Littlewood K B, Spillane M J
Massachusetts Department of Mental Health, 25 Staniford Street, Boston, MA 02114, USA.
Psychiatr Q. 2001 Spring;72(1):19-27. doi: 10.1023/a:1004853802285.
Health care staff on psychiatric inpatient units are at high risk for work-related assaults by patients. Recent studies have begun to document similar patient assaults toward staff in community-based residences. Earlier community studies did not control for the level of patient assault prior to community discharge, and it remains unknown whether the community residence assaults were a function of community placement or a reflection of ongoing control issues by the recently discharged patients. This preliminary inquiry retrospectively tracked the nature and frequency of assaults by patients newly discharged to community residences from a state hospital setting where there had been no assaults by these patients for a two-and-one half-year period. While base rates remain to be determined, the findings in this study suggest the assaultive patients to be younger males with diagnoses of schizophrenia and histories of violence toward others, substance abuse, and violence toward self. Nine patients committed the majority of the assaults. There was a significant decline in the frequency of assaults nine months post-discharge. The implications are discussed.
精神病住院部的医护人员面临着遭受患者工作场所暴力侵害的高风险。最近的研究开始记录在社区居住场所患者对工作人员的类似攻击行为。早期的社区研究没有对社区出院前患者攻击行为的程度进行控制，目前尚不清楚社区居住场所的攻击行为是社区安置的结果，还是刚出院患者持续控制问题的反映。这项初步调查回顾性地追踪了从一家州立医院出院后新入住社区居住场所的患者的攻击行为的性质和频率，在该州立医院环境中，这些患者在两年半的时间里没有发生过攻击行为。虽然基础比率仍有待确定，但本研究的结果表明，具有攻击性的患者为年轻男性，诊断为精神分裂症，有对他人暴力、药物滥用和自我暴力的病史。九名患者实施了大部分攻击行为。出院九个月后攻击行为的频率显著下降。文中讨论了相关影响。
