Kuay Hue San, Lee Sarah, Centifanti Luna C M, Parnis Abigail C, Mrozik Jennifer H, Tiffin Paul A
Department of Psychology, University of Durham, Durham, UK; Tees, Esk & Wear Valleys NHS Foundation Trust, The Adolescent Forensic Outpatient Service, The Westwood Centre, Westlane Hospital, Middlesbrough, UK; School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Tees, Esk & Wear Valleys NHS Foundation Trust, The Adolescent Forensic Outpatient Service, The Westwood Centre, Westlane Hospital, Middlesbrough, UK; Sunderland South Tyneside Community Children and Young People's Service, Monkwearmouth Hospital, Sunderland, UK.
Int J Law Psychiatry. 2016 Jul-Aug;47:60-7. doi: 10.1016/j.ijlp.2016.02.035. Epub 2016 Mar 24.
Although family violence perpetrated by juveniles has been acknowledged as a potentially serious form of violence for over 30years, scientific studies have been limited to examining the incidence and form of home violence. The present study examined the prevalence of family aggression as perpetrated by youths; we examined groups drawn from clinic-referred and forensic samples. Two audits of case files were conducted to systematically document aggression perpetrated by referred youths toward their family members. The purpose of the first audit was fourfold: i) to identify the incidence of the perpetration of family aggression among clinical and forensic samples; ii) to identify whether there were any reports of weapon use during aggressive episodes; iii) to identify the target of family aggression (parents or siblings); and iv) to identify the form of aggression perpetrated (verbal or physical). The second audit aimed to replicate the findings and to show that the results were not due to differences in multiple deprivation indices, clinical diagnosis of disruptive behavior disorders, and placement into alternative care. A sampling strategy was designed to audit the case notes of 25 recent forensic Child and Adolescent Mental Health Service (CAMHS) cases and 25 demographically similar clinic-referred CAMHS cases in the first audit; and 35 forensic cases and 35 demographically similar clinic-referred CAMHS cases in the second audit. Using ordinal chi-square, the forensic sample (audit 1=64%; audit 2=82.9%) had greater instances of family violence than the clinical sample (audit 1=32%; audit 2=28.6%). They were more likely to use a weapon (audit 1=69%; audit 2=65.5%) compared to the clinical sample (audit 1 and 2=0%). Examining only the aggressive groups, there was more perpetration of aggression toward parents (audit 1, forensic=92%, clinical=75%; audit 2, forensic=55.17%, clinical=40%) than toward siblings (audit 1, forensic=43%, clinical=50%; audit 2, forensic=27.58%, clinical=30%). Based on these findings, we would urge professionals who work within the child mental health, particularly the forensic area, to systematically collect reports of aggression perpetrated toward family members.
尽管青少年实施的家庭暴力在30多年来一直被公认为是一种潜在的严重暴力形式，但科学研究一直局限于调查家庭暴力的发生率和形式。本研究调查了青少年实施家庭攻击行为的普遍性；我们对来自临床转诊样本和法医样本的群体进行了调查。对病例档案进行了两次审核，以系统记录转诊青少年对其家庭成员实施的攻击行为。第一次审核的目的有四个：i）确定临床样本和法医样本中家庭攻击行为的发生率；ii）确定攻击事件中是否有使用武器的报告；iii）确定家庭攻击行为的目标（父母或兄弟姐妹）；iv）确定实施的攻击形式（言语或身体攻击）。第二次审核旨在重复这些发现，并表明结果并非由于多重剥夺指数、破坏性行为障碍的临床诊断以及进入替代照料机构的差异所致。设计了一种抽样策略，在第一次审核中审核25例近期法医儿童和青少年心理健康服务（CAMHS）病例以及25例人口统计学上相似的临床转诊CAMHS病例的病例记录；在第二次审核中审核35例法医病例和35例人口统计学上相似的临床转诊CAMHS病例。使用有序卡方检验，法医样本（第一次审核=64%；第二次审核=82.9%）的家庭暴力事件比临床样本（第一次审核=32%；第二次审核=28.6%）更多。与临床样本（第一次和第二次审核均为0%）相比，他们更有可能使用武器（第一次审核=69%；第二次审核=65.5%）。仅考察攻击行为群体，对父母实施的攻击行为（第一次审核，法医样本=92%，临床样本=75%；第二次审核，法医样本=55.17%，临床样本=40%）比对兄弟姐妹实施的攻击行为（第一次审核，法医样本=43%，临床样本=50%；第二次审核，法医样本=27.58%，临床样本=30%）更多。基于这些发现，我们敦促从事儿童心理健康工作的专业人员，尤其是法医领域的专业人员，系统收集对家庭成员实施攻击行为的报告。
