Fisher Kayla
Patton State Hospital, California Department of State Hospitals, 3102 East Highland Avenue, Patton, CA 92369, USA; Department of Psychiatry, University of California, Riverside School of Medicine, Riverside, CA 92521, USA.
Psychiatr Clin North Am. 2016 Dec;39(4):567-577. doi: 10.1016/j.psc.2016.07.005. Epub 2016 Aug 31.
Inpatient violence constitutes a major concern for staff, patients, and administrators. Violence can cause physical injury and psychological trauma. Although violence presents a challenge to inpatient clinicians, it should not be viewed as inevitable. By looking at history of violence, in addition to clinical and other historical factors, clinicians can identify which patients present the most risk of exhibiting violent behavior and whether the violence would most likely flow from psychosis, impulsivity, or predatory characteristics. With that information, clinicians can provide environmental and treatment modifications to lessen the likelihood of violence.
住院患者暴力行为是工作人员、患者及管理人员主要关注的问题。暴力会导致身体伤害和心理创伤。尽管暴力行为给住院临床医生带来了挑战,但不应将其视为不可避免。通过查看暴力史,结合临床及其他病史因素,临床医生能够识别出哪些患者表现出暴力行为的风险最高,以及暴力行为最有可能源于精神病、冲动性还是掠夺性特征。有了这些信息,临床医生可以对环境和治疗进行调整,以降低暴力发生的可能性。