Flannery Raymond B, Juliano Jerry, Cronin Susan, Walker Andrew P
Department of Psychology, Worcester State Hospital, 305 Belmont Street, Worcester, MA, 01604, USA.
Psychiatr Q. 2006 Fall;77(3):239-49. doi: 10.1007/s11126-006-9011-1.
This study reports on a fifteen-year longitudinal analysis of the characteristics of assaultive patients in one public-sector mental health care system. The data were gathered within the context of the Assaulted Staff Action Program (ASAP), a crisis intervention service for staff victims. The fifteen-year findings were consistent with previous worldwide research on assaultive patients and included both older male patients with schizophrenia and younger personality-disordered patients as high-risk assailants. Both groups had appreciable histories of violence toward others, personal victimization, and substance use disorders. The role of these three clinical variables in association with subsequent assaults, the role of trauma in female assailants, and the consistency of the fundamental characteristics of assaultive patients during several service system initiatives were examined. Implications for research and intervention are discussed.
本研究报告了对一个公共部门精神卫生保健系统中攻击性患者特征的为期15年的纵向分析。数据收集于“受攻击员工行动计划”（ASAP）的背景下，这是一项针对员工受害者的危机干预服务。这15年的研究结果与此前全球范围内关于攻击性患者的研究一致，高风险攻击者包括患有精神分裂症的老年男性患者和患有边缘性人格障碍的年轻患者。两组患者都有明显的对他人暴力史、个人受害经历和物质使用障碍史。研究考察了这三个临床变量与后续攻击行为的关联作用、创伤在女性攻击者中的作用，以及在多个服务系统举措中攻击性患者基本特征的一致性。并讨论了该研究对研究和干预的启示。
