Psychiatry Residence, University Hospital of Santa Maria, Santa Maria, RS, Brazil; Department of Neuropsychiatry, Federal University of Santa Maria, Santa Maria, RS, Brazil.
Medicine Course, Federal University of Santa Maria, Santa Maria, RS, Brazil.
Psychiatry Res. 2018 Jul;265:13-18. doi: 10.1016/j.psychres.2018.04.031. Epub 2018 Apr 12.
The current study investigates the relationship between involuntary hospitalization, severity of psychopathology, and aggression. Adult psychiatric inpatients hospitalized from August, 2012 to January, 2013 were evaluated via the Brief Psychiatric Rating Scale (BPRS) and the Overt Aggression Scale (OAS). Individuals were compared regarding voluntariness of hospitalization. Of the 137 hospitalizations in the period, 71 were involuntary (INV). The variables associated with involuntariness were being brought to hospital by ambulance or police, and aggression in the first 24 h of admission. Risk of suicide at admission, and having personal income were associated with voluntariness. The dimensions of the BPRS associated with involuntary hospitalization were activation, resistance, and positive symptoms. Involuntary psychiatric hospitalization was associated with agitation, psychosis and aggression. The data support the indication of involuntary hospitalization for treatment of patients with severe mental illness.
本研究调查了非自愿住院、精神病理学严重程度和攻击行为之间的关系。通过简明精神病评定量表（BPRS）和外显攻击量表（OAS）对 2012 年 8 月至 2013 年 1 月住院的成年精神科住院患者进行评估。比较了自愿住院患者的情况。在这段时间的 137 次住院中，71 次是非自愿的（INV）。与非自愿性相关的变量包括被救护车或警察送往医院，以及入院前 24 小时的攻击行为。入院时的自杀风险和个人收入与自愿性有关。与非自愿住院相关的 BPRS 维度包括活动、抵抗和阳性症状。非自愿性精神病住院与激越、精神病和攻击行为有关。这些数据支持对严重精神疾病患者进行非自愿住院治疗的指示。
