Flannery R B, Rachlin S, Walker A P
Massachusetts Department of Mental Health, 25 Staniford Street, Boston, MA 02114, USA.
Int J Emerg Ment Health. 2001 Summer;3(3):155-61.
Emergency service providers, including mental health care providers, are often called upon to impose restraint procedures. These procedures may result in physical injury and psychological distress and provide a unique opportunity for emergency mental health personnel to be of assistance. Reviews of the literature on restrained patients have suggested that clinical variables studied need to be added to demographic factors in order to better clarify those at high risk for restraint procedures. This study compared restrained and non-restrained subjects on basic demographic variables and the clinical variables of histories of violence toward others, personal victimization and substance use disorder. The clinical variables did not enhance the prediction of the use of restraints. The implications for reducing the use of restraints, for needed emergency mental health services and future research directions are explored.
包括精神卫生保健提供者在内的急救服务人员经常被要求实施约束程序。这些程序可能会导致身体伤害和心理困扰，并为紧急心理健康人员提供了一个提供帮助的独特机会。对有关受约束患者的文献综述表明，为了更好地阐明那些有接受约束程序高风险的人群，除了人口统计学因素外，还需要将所研究的临床变量纳入考量。本研究比较了受约束和未受约束的受试者在基本人口统计学变量以及对他人暴力史、个人受害经历和物质使用障碍等临床变量方面的情况。临床变量并未增强对约束措施使用的预测能力。本文探讨了减少约束措施使用的意义、所需的紧急心理健康服务以及未来的研究方向。
