Boxer Paul
Department of Psychology, Rutgers University, 101 Warren Street, Newark, NJ 07102, USA.
Am J Orthopsychiatry. 2007 Oct;77(4):636-46. doi: 10.1037/0002-9432.77.4.636.
The goal of this study was to examine the utility of clinical records of psychiatrically hospitalized youth for predicting critical incidents during treatment. Intake data from inpatients (N = 484, mean age = 14 years) in a secure psychiatric facility were coded for the presence of theoretically based individual and contextual risk factor information and analyzed prospectively to predict youths' involvement in incidents of seclusion and restraint. Findings indicated that whereas several individual and contextual risk factors accounted for the likelihood of a youth becoming involved in seclusion or restraint, only histories of various types of aggression, number of prior residential placements and body mass index could predict the extent of this involvement. The implications of these findings with respect to ecologically valid research and empirically informed practice with high-risk youth are discussed.
本研究的目的是检验精神病住院青年的临床记录在预测治疗期间关键事件方面的效用。对一家安全精神病机构中住院患者（N = 484，平均年龄 = 14岁）的入院数据进行编码，以获取基于理论的个体和情境风险因素信息，并进行前瞻性分析，以预测青少年参与隔离和约束事件的情况。研究结果表明，虽然若干个体和情境风险因素说明了青少年参与隔离或约束的可能性，但只有各类攻击行为史、先前居住安置次数和体重指数能够预测这种参与的程度。讨论了这些发现对高危青少年进行生态有效研究和基于实证的实践的意义。
