住院评估专家共识：日本新法医心理健康系统调查。
Expert consensus on hospitalization for assessment: a survey in Japan for a new forensic mental health system.
机构信息
Department of Psychiatry, Chiba University Hospital, Chiba, Japan.
Division of Law and Psychiatry, Chiba University Center for Forensic Mental Health, Chiba, Japan.
出版信息
Ann Gen Psychiatry. 2011 Apr 8;10:11. doi: 10.1186/1744-859X-10-11.
BACKGROUND
In Japan, hospitalization for the assessment of mentally disordered offenders under the Act on Medical Care and Treatment for the Persons Who Had Caused Serious Cases under the Condition of Insanity (the Medical Treatment and Supervision Act, or the MTS Act) has yet to be standardized.
METHODS
We conducted a written survey that included a questionnaire regarding hospitalization for assessment; the questionnaire consisted of 335 options with 9 grades of validity for 60 clinical situations. The survey was mailed to 50 Japanese forensic mental health experts, and 42 responses were received.
RESULTS
An expert consensus was established for 299 of the options. Regarding subjects requiring hospitalization for assessment, no consensus was reached on the indications for electroconvulsive therapy (ECT) or for confronting the offenders regarding their offensive behaviors.
CONCLUSIONS
The consensus regarding hospitalization for assessment and its associated problems were clarified. The consensus should be widely publicized among practitioners to ensure better management during the hospitalization of mentally disordered offenders for assessment.
背景
在日本，根据《关于对因精神错乱而造成严重案件者进行医疗和监管的法律》（医疗和监管法，简称 MTS 法）对有精神障碍的罪犯进行评估而住院治疗的问题尚未得到规范。
方法
我们进行了一项书面调查，其中包括一份关于住院评估的问卷；问卷包括 335 个选项和 60 种临床情况下的 9 个等级的有效性。该调查以邮件形式发给了 50 名日本法医精神病学专家，共收到 42 份回复。
结果
299 个选项达成了专家共识。关于需要住院评估的对象，对于电痉挛疗法（ECT）的适应证，以及对于罪犯的攻击性行为的应对方式，没有达成共识。
结论
明确了住院评估及相关问题的共识。应在从业者中广泛宣传这一共识，以确保在有精神障碍的罪犯因评估而住院期间得到更好的管理。
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