精神科医生对中国非自愿住院程序的态度。
Psychiatrists' attitudes towards the procedure of involuntary admission to mental hospitals in China.
机构信息
Department of Forensic Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, China.
出版信息
Int J Soc Psychiatry. 2012 Jul;58(4):440-7. doi: 10.1177/0020764011408541. Epub 2011 Aug 1.
BACKGROUND
In order to protect the rights of the mentally ill, legislation on the standards and procedures of compulsory detention has been made at the local and national level in China.
AIMS
This study aims to examine psychiatrists' attitudes towards seeking involuntary admission in mainland China.
METHOD
Three hundred and fourteen (314) qualified members of the Chinese Psychiatrist Association (CPA) were surveyed using a questionnaire to assess their attitudes about the procedure of involuntary admission to mental hospitals. Data were analysed using χ(2) and logistic regression.
RESULTS
Some psychiatrists in the CPA had several arbitrary attitudes towards the process of admission. Females, aged under 35, with a low education level and a low position in the institution showed stricter attitudes in the procedure of involuntary admission. Areas with mental health legislation showed significant positive relationships with stricter attitudes.
CONCLUSIONS
Every effort needs to be made to minimize these arbitrary attitudes to prevent potential negative outcomes. There is still a long way to go in protecting the rights of people diagnosed with mental illness.
背景
为了保护精神疾病患者的权利，中国在地方和国家层面都制定了有关强制拘留标准和程序的立法。
目的
本研究旨在考察中国大陆精神病医生对寻求非自愿入院的态度。
方法
采用问卷调查法，对 314 名中国医师协会精神科分会合格成员进行调查，评估他们对精神卫生机构非自愿入院程序的态度。采用 χ(2)检验和 logistic 回归进行数据分析。
结果
中国医师协会精神科分会的一些精神病医生对入院过程持有一些任意的态度。女性、年龄在 35 岁以下、教育水平低、机构地位低的医生在非自愿入院程序中表现出更为严格的态度。有心理健康立法的地区与更严格的态度呈显著正相关。
结论
需要尽一切努力最小化这些任意的态度，以防止潜在的负面后果。在保护精神疾病患者的权利方面，还有很长的路要走。
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