Walsh Elizabeth, Moran Paul, Scott Charles, McKenzie Kwame, Burns Tom, Creed Francis, Tyrer Peter, Murray Robin M, Fahy Tom
Institute of Psychiatry, Section of Forensic Mental Health, Denmark Hill, London, UK.
Br J Psychiatry. 2003 Sep;183:233-8. doi: 10.1192/bjp.183.3.233.
Since de-institutionalisation, much has been written about the risk posed to the community by those with severe mental illness. However, violent victimisation of people with mental illnesses has received little attention.
To establish the 1-year prevalence of violent victimisation in community-dwelling patients with psychosis and to identify the socio-demographic and clinical correlates of violent victimisation.
A total of 691 subjects with established psychotic disorders were interviewed. The past-year prevalence of violent victimisation was estimated and compared with general population figures. Those who reported being violently victimised were compared with those who did not on a range of social and clinical characteristics.
Sixteen per cent of patients reported being violently victimised. Victims of violence were significantly more likely to report severe psychopathological symptoms, homelessness, substance misuse and previous violent behaviour and were more likely to have a comorbid personality disorder.
Those with psychosis are at considerable risk of violent victimisation in the community. Victimisation experience should be recorded in the standard psychiatric interview.
自去机构化以来，已有大量关于重症精神疾病患者给社区带来风险的著述。然而，精神疾病患者遭受暴力侵害的情况却很少受到关注。
确定社区居住的精神病患者中暴力侵害的1年患病率，并确定暴力侵害的社会人口学和临床相关因素。
共对691名确诊为精神障碍的受试者进行了访谈。估计过去一年暴力侵害的患病率，并与一般人群数据进行比较。将报告遭受暴力侵害的人与未遭受暴力侵害的人在一系列社会和临床特征方面进行比较。
16%的患者报告遭受过暴力侵害。暴力受害者更有可能报告严重的精神病理症状、无家可归、药物滥用和以前的暴力行为，并且更有可能患有共病性人格障碍。
患有精神病的人在社区中遭受暴力侵害的风险相当大。应在标准的精神科访谈中记录受害经历。
