Young Myla H, Justice Jerald V, Erdberg Philip
California Department of Mental Health Psychiatric Program, 1630 North Main Street, No. 357, Walnut Creek, CA, USA.
J Forensic Sci. 2004 Jan;49(1):141-9.
Studies have described measures associated with assault in the community, but few have identified measures associated with assault in prison or prison psychiatric treatment. In this study, prison assault histories and assaults while in prison psychiatric treatment for 222 randomly selected male inmates were evaluated. Using record reviews, interviews, neuropsychological, Rorschach, and psychopathy measures, risk factors for assault in prison and in prison psychiatric treatment were identified. Youth Authority placement, inhalant use, antisocial lifestyle, neurological injury, neuropsychological impairment, and higher PCL-R Factor II ratings were associated with assault in prison. Absence of major mental disorder, neurological impairment, or psychotic thinking, but presence of psychopathy was associated with assault in prison psychiatric treatment. In identifying risk for violence, the importance of (1) the context in which violence occurs; (2) the need for clear admission criteria for prison psychiatric treatment; and (3) the need to develop risk assessments that are specific to prison environments are emphasized.
已有研究描述了社区中与攻击行为相关的因素，但很少有研究确定与监狱或监狱精神治疗中的攻击行为相关的因素。在本研究中，对222名随机挑选的男性囚犯的监狱攻击史以及在监狱精神治疗期间的攻击行为进行了评估。通过查阅记录、访谈、神经心理学测试、罗夏墨迹测验和心理变态测量，确定了监狱中和监狱精神治疗中的攻击行为风险因素。青少年管理局安置、吸入剂使用、反社会生活方式、神经损伤、神经心理学损伤以及较高的PCL-R因子II评分与监狱中的攻击行为有关。没有严重精神障碍、神经损伤或精神病性思维，但存在心理变态与监狱精神治疗中的攻击行为有关。在确定暴力风险时，强调了以下几点的重要性：(1)暴力发生的背景；(2)监狱精神治疗明确的入院标准的必要性；(3)制定针对监狱环境的风险评估的必要性。
