Daquin Jane C, Daigle Leah E
Department of Criminology and Criminal Justice, The University of Alabama, Box 870320, Tuscaloosa, AL, 35487-0320, USA.
Department of Criminal Justice and Criminology, Georgia State University, PO Box 4018, Atlanta, GA, 30302, USA.
Crim Behav Ment Health. 2018 Apr;28(2):141-151. doi: 10.1002/cbm.2056. Epub 2017 Aug 31.
There is evidence that people with mental disorders are at increased risk of victimisation in prison. It is unclear whether this risk of victimisation varies across types of disorders or symptoms and what role mental health treatment has on victimisation risk in this context.
To examine the relationship between specific mental disorders, psychiatric symptoms, and victimisation in prison and the effect of treatment for the disorders on victimisation risk.
Using a nationally-representative sample of prisoners, path analyses were conducted to examine the relationship between mental disorder and victimisation. The analyses also examined whether receiving mental health treatment in prison affected any such relationship.
Victimisation risk varied with the type of mental disorder or symptoms. Depression, personality disorder, hopelessness, paranoia, and hallucinations were associated with increased victimisation risk. Psychotic illnesses were otherwise negatively associated with victimisation. Receiving mental health treatment in prison was associated with greater risk of victimisation there. Receiving treatment appeared to mediate the relationship between mental disorders, symptoms, and victimisation.
The findings suggest that not all inmates with mental disorders are at an increased risk of victimisation. Further, mental health treatment in prison also appears to be a risk factor of victimisation. More research is needed to further elucidate the relationship between mental disorders, treatment, and victimisation. Copyright © 2017 John Wiley & Sons, Ltd.
有证据表明，患有精神障碍的人在监狱中遭受伤害的风险更高。目前尚不清楚这种受伤害风险是否因精神障碍类型或症状不同而有所差异，以及在这种情况下心理健康治疗对受伤害风险有何作用。
研究特定精神障碍、精神症状与监狱中受伤害情况之间的关系，以及针对这些障碍的治疗对受伤害风险的影响。
使用全国代表性的囚犯样本，进行路径分析以研究精神障碍与受伤害之间的关系。分析还考察了在监狱中接受心理健康治疗是否会影响这种关系。
受伤害风险因精神障碍类型或症状而异。抑郁症、人格障碍、绝望感、偏执和幻觉与受伤害风险增加相关。而精神病性疾病与受伤害呈负相关。在监狱中接受心理健康治疗与在监狱中受伤害的风险更高相关。接受治疗似乎介导了精神障碍、症状与受伤害之间的关系。
研究结果表明，并非所有患有精神障碍的囚犯受伤害风险都会增加。此外，监狱中的心理健康治疗似乎也是受伤害的一个风险因素。需要更多研究来进一步阐明精神障碍、治疗与受伤害之间的关系。版权所有© 2017约翰·威利父子有限公司。
