Elbogen Eric B, Beckham Jean C, Butterfield Marian I, Swartz Marvin, Swanson Jeffrey
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27710, USA.
J Trauma Stress. 2008 Feb;21(1):113-7. doi: 10.1002/jts.20283.
Although empirical research has examined factors associated with increased violence risk among individuals with severe mental illness (SMI) and among veterans without SMI, less attention has been devoted to identifying violence risk factors among veterans with SMI. Using multivariable analysis of a large pooled sample of individuals with SMI, this study examines violence risk factors of N = 278 veterans with SMI. In multivariate modeling, violence by veterans with SMI was associated with head injury, posttraumatic stress disorder (PTSD), substance abuse, and homelessness. Results support the view clinicians assessing violence risk among veterans with SMI should consider a combination of characteristics empirically related to violence by non-veterans with SMI (e.g., homelessness) and veterans without SMI (e.g., PTSD).
尽管实证研究已经考察了与严重精神疾病（SMI）患者以及无SMI的退伍军人暴力风险增加相关的因素，但对于识别患有SMI的退伍军人的暴力风险因素却较少关注。本研究通过对大量患有SMI的个体汇总样本进行多变量分析，考察了N = 278名患有SMI的退伍军人的暴力风险因素。在多变量建模中，患有SMI的退伍军人的暴力行为与头部受伤、创伤后应激障碍（PTSD）、药物滥用和无家可归有关。结果支持这样一种观点，即评估患有SMI的退伍军人暴力风险的临床医生应考虑一系列特征，这些特征在经验上与患有SMI的非退伍军人（如无家可归）和无SMI的退伍军人（如PTSD）的暴力行为相关。
