Harvard Medical School, University of Massachusetts Medical School, Worcester, MA, USA.
Cambridge Health Alliance, Department of Psychiatry, 1493 Cambridge Street, Cambridge, MA, 02139, USA.
Psychiatr Q. 2018 Jun;89(2):497-503. doi: 10.1007/s11126-017-9552-5.
In studying psychiatric patient assaults, assessing the person x event x environment interaction is important in enhancing safety and ensuring quality care. Precipitants to patient assaults have traditionally received less attention than the patient characteristics of such assaults. Reviews of inpatient precipitants from 1960 to 2012 noted acute psychosis, denial of services, and substance abuse as commonly occurring precipitants. The present study reviewed the literature on precipitants from 2013 to 2017. A variety of precipitants, including acute psychosis, substance abuse, and denial of services were observed. The literature in this review broke new ground in subjects, methodologies, and precipitants. These new findings and a detailed methodological inquiry are presented.
在研究精神科患者攻击行为时，评估人与事件与环境的相互作用对于提高安全性和确保高质量的护理至关重要。传统上，与患者特征相关的攻击行为相比，患者攻击行为的诱发因素受到的关注较少。对 1960 年至 2012 年住院患者诱发因素的综述指出，急性精神病、拒绝服务和药物滥用是常见的诱发因素。本研究回顾了 2013 年至 2017 年期间关于诱发因素的文献。观察到了各种诱发因素，包括急性精神病、药物滥用和拒绝服务。本综述中的文献在主题、方法和诱发因素方面有了新的突破。这些新发现和详细的方法学探究都被呈现出来。
