Dr. Cooke is Acting Associate Professor, Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA.
J Am Acad Psychiatry Law. 2020 Dec;48(4):468-472. doi: 10.29158/JAAPL.200085-20. Epub 2020 Oct 14.
In their article, Swanson and colleagues examine the long-term risk of firearm-related and other violent crime in a large population of adults with serious mental illnesses following a gun-disqualifying involuntary civil commitment, compared with similar individuals who were evaluated for commitment but released or voluntarily admitted and with a third group with no holds or commitments. They build on prior research from a sample of individuals from public behavioral health systems of two large counties in Florida. This commentary provides further context for their research by highlighting additional factors related to mental health in the state of Florida. Understanding recent legislation regarding the medical privacy of firearm owners, mental health spending, trends in involuntary examinations, and related firearm laws in Florida will contribute to describing the backdrop of the current study. While Swanson's research proposes greater policy implications, this commentary will examine the direct impact on the practice of clinical psychiatrists.
在他们的文章中，Swanson 及其同事研究了一大批患有严重精神疾病的成年人在被非自愿性民事拘留剥夺枪支权利后，与那些接受拘留评估但被释放或自愿入院的人以及第三组没有拘留或承诺的人相比，长期面临与枪支相关的和其他暴力犯罪的风险。他们借鉴了佛罗里达州两个大县公共行为健康系统中个体的样本的先前研究。本评论通过突出佛罗里达州与心理健康相关的其他因素，为他们的研究提供了更多的背景信息。了解有关佛罗里达州枪支所有者医疗隐私的最新立法、心理健康支出、非自愿检查趋势以及相关枪支法律的情况，将有助于描述当前研究的背景。虽然 Swanson 的研究提出了更大的政策影响，但本评论将研究对临床精神科医生实践的直接影响。
