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心理健康专业人员在急性心理健康环境中的常规心理健康评估中询问儿童期性虐待的情况吗?实质性文献综述。

Do mental health professionals enquire about childhood sexual abuse during routine mental health assessment in acute mental health settings? A substantive literature review.

机构信息

Greater Manchester West Mental Health NHS Foundation Trust, Moorside Unit, Trafford General Hospital, Manchester, UK.

出版信息

J Psychiatr Ment Health Nurs. 2013 Aug;20(6):473-83. doi: 10.1111/j.1365-2850.2012.01939.x. Epub 2012 Jun 15.

DOI:10.1111/j.1365-2850.2012.01939.x
PMID:22702227
Abstract

This literature review examines the extent to which mental health professionals enquire about childhood sexual abuse during routine mental health assessments in acute mental health settings. Five electronic databases were searched for papers which explored the nature of enquiry about childhood sexual abuse by mental health professionals. The literature was searched between December 2008 and March 2010, with an update in October 2011. Of the 332 papers identified, 54 papers were selected as potentially relevant and data extraction was performed. Eleven studies met the inclusion criteria. Eleven studies were identified that either examined the prevalence of childhood sexual abuse enquiry documented in medical records, or directly asked mental health professionals about their own practice in relation to this subject. The studies found that while many professionals acknowledged the importance of enquiry, there was little evidence of widespread routine enquiry during mental health assessments in acute settings. Mental health professionals do not routinely enquire about childhood sexual abuse during mental health assessment in acute mental health settings. Service providers may have to consider incorporating mandatory enquiry into mental health assessments.

摘要

本文献回顾探讨了在急性心理健康环境中的常规心理健康评估中,心理健康专业人员询问儿童期性虐待问题的程度。 检索了五个电子数据库,以寻找探讨心理健康专业人员询问儿童期性虐待问题性质的论文。 文献检索时间为 2008 年 12 月至 2010 年 3 月,并于 2011 年 10 月进行了更新。在确定的 332 篇论文中,有 54 篇被认为可能相关,并进行了数据提取。符合纳入标准的研究有 11 项。 确定了 11 项研究,这些研究要么检查了病历中记录的儿童期性虐待询问的发生率,要么直接询问心理健康专业人员有关他们在该主题方面的实践情况。这些研究发现,尽管许多专业人员承认询问的重要性,但在急性环境中的心理健康评估中几乎没有广泛例行询问的证据。心理健康专业人员在急性心理健康环境中的心理健康评估中并未例行询问儿童期性虐待问题。服务提供者可能需要考虑将强制性询问纳入心理健康评估中。

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