Purcell Rosemary, Harrigan Susy
Principal Research Fellow and Psychologist, The Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, and; Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.
Research Fellow and Statistician, The Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia.
Australas Psychiatry. 2017 Apr;25(2):135-139. doi: 10.1177/1039856216658826. Epub 2016 Jul 11.
Research on crime victimisation in the mentally ill has focused on middle aged cohorts with long-standing illness and functional disability. The rates and correlates of victimisation in young cohorts is largely unknown.
Participants ( n=776) were aged 12-25 years attending headspace centres in Australia, who consented to a clinical interview and provided self-reported data regarding lifetime victimisation.
A quarter of the sample (24.5%) reported crime victimisation, including 18.5% who experienced violent victimisation (mainly physical or sexual assault) and 14.1% non-violent crime. Both forms of victimisation were associated with illicit substance use, sexual orientation, and young adult age, while male gender was specifically associated with non-violent victimisation. Participants who reported violent victimisation were significantly more impaired both functionally and clinically than those reporting non-violent victimisation or no victimisation.
Young people with mental ill-health are vulnerable to criminal victimisation, particularly violent assaults, although the lifetime rates of victimisation are substantially lower than those observed in older cohorts with serious mental illness. Effective, early intervention to address modifiable factors may reduce the risk of further victimisation.
对精神病患者犯罪受害情况的研究主要集中在患有长期疾病和功能残疾的中年人群体。年轻人群体中受害情况的发生率及其相关因素在很大程度上尚不清楚。
参与者（n = 776）年龄在12至25岁之间，他们前往澳大利亚的青少年心理健康服务中心，同意接受临床访谈并提供关于终身受害情况的自我报告数据。
四分之一的样本（24.5%）报告曾遭受犯罪侵害，其中18.5%经历过暴力侵害（主要是身体或性侵犯），14.1%遭受过非暴力犯罪。这两种受害形式都与非法药物使用、性取向和青年年龄有关，而男性则特别与非暴力受害有关。报告遭受暴力侵害的参与者在功能和临床方面的受损程度明显高于报告遭受非暴力侵害或未遭受侵害的参与者。
患有精神疾病的年轻人容易受到犯罪侵害，尤其是暴力袭击，尽管终身受害率远低于患有严重精神疾病的老年人群体。针对可改变因素进行有效、早期干预可能会降低进一步受害的风险。
