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暴力倾向与危机干预团队对紧急情况的应对有何关联?

How does violence potential relate to crisis intervention team responses to emergencies?

作者信息

Skeem Jennifer, Bibeau Lynne

机构信息

Department of Psychology and Social Behavior, School of Social Ecology, 3311 Social Ecology II, Irvine CA 92697-7085, USA.

出版信息

Psychiatr Serv. 2008 Feb;59(2):201-4. doi: 10.1176/ps.2008.59.2.201.

DOI:10.1176/ps.2008.59.2.201
PMID:18245166
Abstract

OBJECTIVE

This study explored whether a crisis intervention team (CIT) promotes public safety and diversion from jail to treatment.

METHODS

Police reports (N=655) were analyzed for CIT events that occurred between March 2003 and May 2005 to determine each subject's potential for violence to self or others.

RESULTS

Some 45% of CIT events involved suicide crises, 26% involved a threat to others, and average violence potential ratings suggested minor to moderate risk. Officers' use of force related strongly to violence potential (eta of .54). Nevertheless, officers used force in only 15% of 189 events posing serious to extreme risk of violence and used low-lethality methods. Of events, 74% were resolved through hospitalization, whereas only 4% were resolved through arrest.

CONCLUSIONS

Although the study lacked a comparison group, the results are consistent with some studies suggesting that CIT holds promise in meeting safety and jail diversion goals.

摘要

目的

本研究探讨危机干预团队(CIT)是否能促进公共安全以及实现从监狱到治疗的分流。

方法

分析了2003年3月至2005年5月期间发生的CIT事件的警方报告(N = 655),以确定每个对象对自身或他人的暴力潜在可能性。

结果

约45%的CIT事件涉及自杀危机,26%涉及对他人的威胁,平均暴力潜在可能性评级表明风险为轻度至中度。警察使用武力与暴力潜在可能性密切相关(eta为0.54)。然而,在189起构成严重至极端暴力风险的事件中,警察仅在15%的事件中使用了武力,并采用了低致命性方法。在这些事件中,74%通过住院治疗得以解决,而只有4%通过逮捕解决。

结论

尽管该研究缺乏对照组,但结果与一些研究一致,表明CIT在实现安全和监狱分流目标方面具有前景。

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Commentary: Police and Suicide Prevention.评论:警察与自杀预防
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