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出院后精神科住院患者身体攻击行为的过程和预测因素:1 年随访。

Course and predictors of physical aggressive behaviour after discharge from a psychiatric inpatient unit: 1 year follow-up.

机构信息

Department of Neurosciences, University of Parma, Strada del Quartiere 2/A, 43100, Parma, Italy.

出版信息

Community Ment Health J. 2013 Aug;49(4):451-6. doi: 10.1007/s10597-012-9530-1. Epub 2012 Jul 21.

DOI:10.1007/s10597-012-9530-1
PMID:22820931
Abstract

The present study analyzes course and predictors of physically aggressive behaviour over a 1-year follow up in a sample of patients discharged from a psychiatric inpatient unit. One hundred and eighty-six patients discharged from a locked short-term Psychiatric Inpatient Unit at the Bologna University Hospital. After discharge, two data collection contacts at 1 month and at 1 year were scheduled. In particular, psychiatrists, nurses, and other professionals were interviewed by the research staff using the Overt Aggression Scale. About 20 % of discharged patients showed physical aggressiveness in subsequent follow-up contacts. Risk factors for physical violence in the short-time period were social problems and a longer time from the first psychiatric contact. Living in residential facilities and physical aggressiveness during hospitalization were correlated to violence in the long-time period. Risk factors for physically violent behaviour differed in the short-term and long-term follow-ups; different causes of violent behaviour could be hypothesized.

摘要

本研究分析了在博洛尼亚大学医院的封闭短期精神科住院病房出院的患者样本中,1 年内身体攻击行为的过程和预测因素。186 名从博洛尼亚大学医院的封闭短期精神科住院病房出院的患者。出院后,计划在 1 个月和 1 年进行两次数据收集联系。特别是,研究人员使用 Overt Aggression Scale 对精神科医生、护士和其他专业人员进行了访谈。大约 20%的出院患者在随后的随访接触中表现出身体攻击性。短期身体暴力的风险因素是社会问题和从第一次精神科接触到的时间更长。住院期间住在住所和身体攻击性与长期暴力有关。短期和长期随访中身体暴力行为的风险因素不同;可以假设暴力行为的不同原因。

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本文引用的文献

1
Violent behavior in acute psychiatric inpatient facilities: a national survey in Italy.急性精神科住院设施中的暴力行为:意大利的一项全国性调查。
J Nerv Ment Dis. 2009 Oct;197(10):772-82. doi: 10.1097/NMD.0b013e3181bb0d6b.
2
Anger and functioning amongst inpatients with schizophrenia or schizoaffective disorder living in a therapeutic community.生活在治疗性社区中的精神分裂症或分裂情感障碍住院患者的愤怒情绪与功能状况
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Predictors of violent behavior among acute psychiatric patients: clinical study.
急性精神病患者暴力行为的预测因素:临床研究
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An actuarial model of violence risk assessment for persons with mental disorders.针对精神障碍患者的暴力风险评估精算模型。
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