Soreff Stephen M., Wadhwa Roopma, Arif Hasan
Daniel Webster College and Boston Uni
South Carolina Department of Mental Health
Aggression and violence remain a central clinical, public health, and safety issue worldwide. In 1996 the World Health Assembly declared violence a major public health issue. As a clinician, you will have to evaluate aggressive patients. This can be a safety issue for your clinical team and the community. In this CME, violence and aggression will be considered together. Aggression is any behavior, including verbal threats, which involves attacking another person, animal, or object with the intent of harming the target. Similarly, violence is intentionally using physical force to hurt, damage, or kill someone or something. This CME describes how to review possible causes of aggression as part of taking a comprehensive history and performing a mental status examination to make a diagnosis. The accurate diagnosis of the patient with aggression leads to proper treatment.
攻击和暴力仍然是全球范围内核心的临床、公共卫生和安全问题。1996年,世界卫生大会宣布暴力是一个主要的公共卫生问题。作为一名临床医生,你将不得不对有攻击行为的患者进行评估。这对你的临床团队和社区来说可能是一个安全问题。在本次继续医学教育中,暴力和攻击将一并讨论。攻击是指任何行为,包括言语威胁,其涉及攻击他人、动物或物体,意图伤害目标。同样,暴力是故意使用身体力量伤害、损害或杀死某人或某物。本次继续医学教育描述了如何在进行全面病史采集和精神状态检查以做出诊断时,将攻击的可能原因纳入评估。对有攻击行为的患者进行准确诊断可带来恰当的治疗。