Jun Hyun-Jin, DeVylder Jordan E, Fedina Lisa
Health Soc Work. 2020 May 27;45(2):81-89. doi: 10.1093/hsw/hlaa003.
Police violence is reportedly common among those diagnosed with mental disorders characterized by the presence of psychotic symptoms or pronounced emotional lability. Despite the perception that people with mental illness are disproportionately mistreated by the police, there is relatively little empirical research on this topic. A cross-sectional general population survey was administered online in 2017 to 1,000 adults in two eastern U.S. cities to examine the relationship between police violence exposure, mental disorders, and crime involvement. Results from hierarchical logistic regression and mediation analyses revealed that a range of mental health conditions are broadly associated with elevated risk for police violence exposure. Individuals with severe mental illness are more likely than the general population to be physically victimized by police, regardless of their involvement in criminal activities. Most of the excess risk of police violence exposure related to common psychiatric diagnoses was explained by confounding factors including crime involvement. However, crime involvement may necessitate more police contact, but does not necessarily justify victimization or excessive force (particularly sexual and psychological violence). Findings support the need for adequate training for police officers on how to safely interact with people with mental health conditions, particularly severe mental illness.
据报道,在那些被诊断患有以精神病性症状或明显情绪不稳定为特征的精神障碍的人群中,警察暴力行为很常见。尽管人们认为患有精神疾病的人受到警察的虐待比例过高,但关于这个话题的实证研究相对较少。2017年,在美国东部两个城市对1000名成年人进行了一项在线横断面普通人群调查,以研究警察暴力暴露、精神障碍和犯罪参与之间的关系。分层逻辑回归和中介分析的结果显示,一系列心理健康状况与警察暴力暴露风险升高广泛相关。患有严重精神疾病的个体比普通人群更有可能受到警察的身体伤害,无论他们是否参与犯罪活动。与常见精神疾病诊断相关的警察暴力暴露的大部分额外风险是由包括犯罪参与在内的混杂因素解释的。然而,犯罪参与可能需要更多与警察的接触,但这并不一定能成为遭受伤害或过度使用武力(特别是性暴力和心理暴力)的理由。研究结果支持需要对警察进行充分培训,以了解如何与有心理健康问题的人,特别是严重精神疾病患者进行安全互动。