Argent Sarah Elizabeth, Riddleston Laura, Warr Jodie, Tippetts Hannah, Meredith Zoe, Taylor Pamela Jane
School of Medicine, Cardiff University, Cardiff, UK.
School of Psychology, Cardiff University, Cardiff, UK.
Crim Behav Ment Health. 2018 Feb;28(1):85-99. doi: 10.1002/cbm.2046. Epub 2017 Jul 14.
Most secure psychiatric hospital patients are of childbearing age, but their parental status is minimally researched.
The aim of the study is to describe the parent patients in one regional secure hospital and explore post-admission child-parent contact.
A 9-year records survey of a complete secure hospital admissions cohort was conducted.
Nearly half of the cohort of 165 patients (46%) were parents. Parent patients were less likely than childless patients to have diagnostic co-morbidity or to have received childhood mental health care but were more likely to have committed a homicide/life-threatening index offence with family or friend victims. Men, whether fathers or not, and childless women were unlikely ever to have harmed a child, but it was more likely than not that mother patients had. Records indicated minimal discussion about childlessness. Ninety-four (60%) of the 157 children involved were under 18 years on parental admission. Adult children who had been living with the parent patient before the parent's admission invariably maintained contact with them afterwards, but nearly half (48%) of such under 18-year-olds lost all contact. The only characteristic related to such loss was the index offence victim having been a nuclear family member.
As the discrepancy in whether or not parent patients and their children continued contact with each other after the parent's admission seemed to depend mainly on the child's age and his or her resultant freedom to choose, acquisition of accurate data about affected children's perspective on visiting seems essential. Given that parent patients had experienced relative stability in interpersonal relationships and had rarely had childhood disorders, parenting support in conjunction with treatment seems appropriate. Copyright © 2017 John Wiley & Sons, Ltd.
大多数安全型精神病院的患者处于育龄期，但对他们的父母身份研究极少。
本研究旨在描述一家地区安全型医院中的父母患者，并探讨入院后儿童与父母的接触情况。
对一个完整的安全型医院入院队列进行了为期9年的记录调查。
165名患者队列中近一半（46%）是父母。与无子女患者相比，父母患者患共病或接受过儿童心理健康护理的可能性较小，但更有可能对家人或朋友受害者实施过杀人/危及生命的严重罪行。男性，无论是否为父亲，以及无子女的女性不太可能伤害过儿童，但母亲患者很可能伤害过儿童。记录显示关于无子女的讨论极少。157名涉及的儿童中，94名（60%）在父母入院时未满18岁。在父母入院前与父母患者一起生活的成年子女在父母入院后总是与他们保持联系，但近一半（48%）的18岁以下儿童失去了所有联系。与这种失去联系唯一相关的特征是严重罪行的受害者是核心家庭成员。
由于父母患者入院后他们与子女是否继续保持联系的差异似乎主要取决于孩子的年龄及其由此产生的选择自由，获取受影响儿童对探视看法的准确数据似乎至关重要。鉴于父母患者在人际关系中经历了相对稳定，且很少有童年疾病，结合治疗提供育儿支持似乎是合适的。版权所有© 2017约翰·威利父子有限公司。
