Ruijne Roos E, Kamperman Astrid M, Trevillion Kylee, Garofalo Carlo, Jongejan Femke E, Bogaerts Stefan, Howard Louise M, Mulder Niels L
Epidemiological and Social Psychiatric Research Institute, Department of Psychiatry,Erasmus University Medical Centre Rotterdam,the Netherlands.
Epidemiologist, Assistant Professor, Epidemiological and Social Psychiatric Research Institute,Department of Psychiatry,Erasmus University Medical Centre Rotterdam,the Netherlands.
BJPsych Open. 2019 Mar;5(2):e29. doi: 10.1192/bjo.2019.8.
Despite the high prevalence of domestic violence and abuse (DVA) among patients with psychiatric conditions, detection rates are low. Limited knowledge and skills on DVA in mental healthcare (MHC) professionals might contribute to poor identification.AimsTo assess the level of, and factors associated with, DVA knowledge and skills among MHC professionals.
A total of 278 professionals in Dutch MHC institutions completed a survey assessing factual knowledge, perceived knowledge, perceived skills and attitudes about DVA.
On average, low scores were reported for perceived skills and knowledge. MHC professionals in primary care scored higher than those working with individuals with severe mental illness (P<0.005). Levels of factual knowledge were higher; levels of attitudes moderate. Previous training was positively associated with skills (odds ratios (OR) = 3.0) and attitudes (OR = 2.7). Years of work was negatively associated with factual knowledge (OR = 0.97). Larger case-loads predicted higher scores on skills (OR = 2.1).
Training is needed, particularly for clinicians working with patients with severe mental illness.Declaration of interestNone.
尽管家庭暴力和虐待（DVA）在精神疾病患者中普遍存在，但检出率却很低。精神卫生保健（MHC）专业人员对DVA的知识和技能有限，这可能导致识别能力较差。
评估MHC专业人员对DVA的知识和技能水平及其相关因素。
荷兰MHC机构的278名专业人员完成了一项调查，评估他们对DVA的事实性知识、感知到的知识、感知到的技能和态度。
平均而言，感知到的技能和知识得分较低。初级保健中的MHC专业人员得分高于从事严重精神疾病患者工作的人员（P<0.005）。事实性知识水平较高；态度水平中等。以前接受过培训与技能（优势比（OR）=3.0）和态度（OR = 2.7）呈正相关。工作年限与事实性知识呈负相关（OR = 0.97）。更大的工作量预示着技能得分更高（OR = 2.1）。
需要进行培训，特别是针对为严重精神疾病患者提供服务的临床医生。
无。
