Flannery Raymond B
Worcester State Hospital, Massachusetts Department of Mental Health, USA.
Int J Emerg Ment Health. 2007 Winter;9(1):5-11.
Violent psychiatric patients present a safety risk for Emergency Medical Services (EMS) personnel and other health care providers. Although there have been numerous studies of the demographic and clinical characteristics of assaultive patients, these studies have yielded limited information in predicting violence. Recent research has begun to examine possible specific precipitants to patient assaults. This paper reviews the published studies from 2004 to 2006. Psychosis, organic impairment, staff interactions, and limit setting were cited as frequently occurring precipitants. The implications of these findings and specific strategies to reduce these precipitant risks for EMS and other health care providers are presented.
暴力精神病患者对紧急医疗服务（EMS）人员及其他医护人员构成安全风险。尽管已有众多关于攻击性患者的人口统计学和临床特征的研究，但这些研究在预测暴力行为方面提供的信息有限。最近的研究已开始探讨患者攻击行为可能的具体诱发因素。本文回顾了2004年至2006年发表的研究。精神病、器质性损伤、工作人员互动及设定限制被列为常见的诱发因素。文中阐述了这些研究结果的意义以及为降低EMS和其他医护人员面临的这些诱发因素风险的具体策略。
