Dean K, Moran P, Fahy T, Tyrer P, Leese M, Creed F, Burns T, Murray R, Walsh E
Department of Forensic Mental Health Science, Institute of Psychiatry, Kings College London, London, UK.
Acta Psychiatr Scand. 2007 Nov;116(5):345-53. doi: 10.1111/j.1600-0447.2007.01078.x. Epub 2007 Sep 14.
The aim of this study was to establish the prevalence and predictors of violent victimization amongst a community-dwelling sample of individuals with psychosis.
The 2-year prevalence of self-reported violent victimization was estimated for a sample of 708 individuals with chronic psychosis living in the community in four urban UK centres. Baseline socio-demographic and clinical factors were examined as possible risk factors for victimization over the 2-year follow-up period.
The 2-year prevalence of violent victimization in the sample was 23%. Four factors were found to be independently predictive of victimization - history of victimization, less than daily family contact, young age at illness onset and the presence of co-morbid Cluster B personality disorder.
Those with psychotic illnesses are at elevated risk of being assaulted. Given the likely adverse health implications, clinicians should routinely enquire about victimization in their assessments of those with psychotic disorders particularly amongst those who are socially isolated, with a younger age of illness onset and in those with co-morbid personality disorder.
本研究旨在确定社区居住的精神病患者样本中暴力受害情况的患病率及其预测因素。
对英国四个城市中心社区的708名慢性精神病患者样本进行自我报告的暴力受害情况的两年患病率估计。研究了基线社会人口统计学和临床因素，作为两年随访期内受害情况的可能风险因素。
样本中暴力受害情况的两年患病率为23%。发现有四个因素可独立预测受害情况——受害史、与家人的日常接触少于每日一次、发病时年龄较小以及并存B类人格障碍。
患有精神疾病的人遭受攻击的风险较高。鉴于可能对健康产生的不利影响，临床医生在对患有精神疾病的患者进行评估时，应常规询问其受害情况，特别是在那些社会孤立、发病年龄较小以及并存人格障碍的患者中。
