Benjaminsen S
Odense Sygehus, psykiatrisk afdeling P.
Ugeskr Laeger. 1991 Aug 5;153(32):2217-20.
The majority of psychiatric patients are not violent during hospitalisation. A minority behave violently during hospitalisation on repeated occasions but violent episodes are mainly concerned and these do not result in corporeal injuries. Gross violence rarely occurs. Violence involves the caring staff most frequently and, more rarely, fellow patients. The patients who are most frequently violent are the most severely ill and untreated psychotic patients. The commonest diagnosis among the violent patients is schizophrenia. Younger patients are often violent. No sex differences exist for violent behaviour. Manic patients are rarely violent and depressive illness is negatively correlated with violence. Approximately 1/5 of the demented patients show violent behaviour. The review demonstrates many methodological deficiencies in the investigations mentioned and presents recommendations concerning the design of investigations in future investigations.
大多数精神科患者在住院期间并无暴力行为。少数患者在住院期间多次出现暴力行为，但主要是暴力事件，并未导致身体伤害。严重暴力行为很少发生。暴力行为最常涉及护理人员，较少涉及其他患者。最常出现暴力行为的患者是病情最严重且未接受治疗的精神病患者。暴力患者中最常见的诊断是精神分裂症。年轻患者常常出现暴力行为。暴力行为不存在性别差异。躁狂患者很少出现暴力行为，而抑郁症与暴力行为呈负相关。约五分之一的痴呆患者表现出暴力行为。该综述揭示了上述研究所存在的许多方法学缺陷，并针对未来研究的调查设计提出了建议。
