Krumm Silvia, Checchia Carmen, Kilian Reinhold, Becker Thomas
Universität Ulm, Klinik für Psychiatrie und Psychotherapie II am BKH Günzburg.
Psychiatr Prax. 2018 Mar;45(2):66-77. doi: 10.1055/s-0043-119484. Epub 2017 Dec 13.
Although adult victimization among psychiatric patients is frequent, the subject is neglected within the mental health service literature in Germany.
Systematic review on adult victimization prevalences, introduction of risk factors and discussion against theoretical concepts and findings on disclosure of victimization.
International studies consistently indicate high adult victimization risks compared to general population. Risk factors include psychopathology, substance abuse, (former) experiences of violence, and a lack of social integration. Disclosure of victimization is hindered by several barriers.
Preventive and interventive measures should be provided at individual, service, and societal level. More research is needed regarding prevalences for German user populations, disclosure within (mental) health services, and situational, interactive and sociocultural factors of victimization.
尽管成年精神病患者遭受侵害的情况屡见不鲜，但德国心理健康服务文献中却忽视了这一主题。
对成年患者遭受侵害的患病率进行系统综述，引入风险因素，并结合有关侵害披露的理论概念和研究结果展开讨论。
国际研究一致表明，与普通人群相比，成年患者遭受侵害的风险较高。风险因素包括精神病理学、药物滥用、（既往）暴力经历以及社会融合度不足。侵害披露受到多种障碍的阻碍。
应在个体、服务机构和社会层面采取预防和干预措施。对于德国用户群体的患病率、（心理）健康服务机构内部的披露情况以及侵害的情境、互动和社会文化因素，还需要开展更多研究。
