是否实施非自愿住院治疗：精神科住院医师作为非自愿住院治疗决策中的一个变量
To commit or not to commit: the psychiatry resident as a variable in involuntary commitment decisions.
作者信息
Sattar S Pirzada, Pinals Debra A, Din Amad U, Appelbaum Paul S
机构信息
Creighton University School Of Medicine, Omaha VA Medical Center, 4101 Woolworth Ave. #116A, Omaha, Nebraska 68105, USA
出版信息
Acad Psychiatry. 2006 May-Jun;30(3):191-5. doi: 10.1176/appi.ap.30.3.191.
OBJECTIVE
To study whether psychiatry residents' personal variables (such as age, gender, level of training, previous experience with patient suicide, or lawsuits) and their temperamental predispositions have an impact on their decisions to seek involuntary commitment.
METHOD
In a prospective pilot study, all psychiatry residents in Massachusetts were surveyed using a questionnaire that assessed their risk-taking behavior and clinical vignettes of patients with risk of harm to self or others. Data were analyzed using chi-squares and t tests.
RESULTS
Level of training and the residents' risk-taking behavior may be linked to their likelihood to seek involuntary commitment.
CONCLUSIONS
Psychiatric residency training should address nonpatient variables that might inappropriately influence the residents' decisions to seek involuntary commitment.
目的
研究精神科住院医师的个人变量（如年龄、性别、培训水平、既往处理患者自杀或诉讼的经历）及其气质倾向是否会影响他们做出非自愿住院治疗的决定。
方法
在一项前瞻性试点研究中，使用一份评估其冒险行为以及有自我伤害或伤害他人风险患者的临床案例的问卷，对马萨诸塞州的所有精神科住院医师进行了调查。使用卡方检验和t检验对数据进行分析。
结果
培训水平和住院医师的冒险行为可能与他们寻求非自愿住院治疗的可能性有关。
结论
精神科住院医师培训应关注可能不适当地影响住院医师做出非自愿住院治疗决定的非患者变量。
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