Monahan John, Vesselinov Roumen, Robbins Pamela Clark, Appelbaum Paul S
Dr. Monahan is with the School of Law, University of Virginia, Charlottesville (e-mail:
Psychiatr Serv. 2017 May 1;68(5):516-519. doi: 10.1176/appi.ps.201600135. Epub 2017 Feb 1.
This research examined the frequency of and characteristics associated with three forms of violence among persons with mental illness-violence directed at others, self-directed violence, and violence directed at them by others.
Previously unreported data from a follow-up sample of 951 patients from the MacArthur Violence Risk Assessment Study were analyzed to characterize involvement in violence directed at others, self-directed violence, and violence directed at them by others.
Most patients (58%) experienced at least one form of violence, 28% experienced at least two forms, and 7% experienced all three forms. Several diagnostic, social, and historical variables distinguished the groups.
Given the substantial overlap among the three forms of violence, clinicians should routinely screen patients who report one form for the occurrence of the other two. Co-occurrence of several forms of violence may require a package of interventions with components geared to each.
本研究调查了精神疾病患者中三种暴力形式的发生频率及相关特征——针对他人的暴力、自我导向暴力以及他人对他们的暴力。
对麦克阿瑟暴力风险评估研究中951名患者随访样本的先前未报告数据进行分析，以描述针对他人的暴力、自我导向暴力以及他人对他们的暴力的参与情况。
大多数患者（58%）经历过至少一种暴力形式，28%经历过至少两种形式，7%经历过所有三种形式。几个诊断、社会和历史变量区分了这些组别。
鉴于三种暴力形式之间存在大量重叠，临床医生应常规筛查报告一种暴力形式的患者是否存在另外两种暴力形式。多种暴力形式的共现可能需要一套针对每种形式的干预措施组合。
