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精神科环境中的暴力:被攻击患者的人口学和临床特征。

Violence in Psychiatric Settings: Demographic and Clinical Characteristics of Patients Who Were Targets of Aggression.

机构信息

Department of Psychiatry, Columbia University Medical Center and New York State Psychiatric Institute, New York, New York.

出版信息

J Nerv Ment Dis. 2021 Apr 1;209(4):307-310. doi: 10.1097/NMD.0000000000001311.

Abstract

Violence is a serious concern in the psychiatric inpatient and emergency setting. Much of the research on victims of inpatient violence has focused on identifying and supporting staff who are at risk of being victimized when working in psychiatric settings. This article presents an analysis of 72 patients who were targeted during incidents of patient-on-patient physical aggression in hospital-based psychiatric settings (both inpatient and emergency) from 2014 to 2018. Results suggest that patients who are at risk of being targeted by another patient while in the hospital tend to be younger, are more likely to be male, and present with manic symptoms and recent cannabis use. These variables have all been identified as risk factors for perpetration of violence by patients with mental illness. This study adds to a literature demonstrating a consistent overlap between individuals with mental illness who are victimized and those who initiate violence.

摘要

在精神科住院和急诊环境中,暴力是一个严重的问题。大多数关于住院患者遭受暴力侵害的研究都集中在识别和支持在精神科环境中工作时可能成为受害者的工作人员。本文分析了 2014 年至 2018 年期间在医院精神科环境(包括住院和急诊)中发生的 72 名针对患者的患者间身体攻击事件中的 72 名患者。结果表明,在医院中易受其他患者攻击的患者往往年龄较小,更可能是男性,表现出躁狂症状和近期大麻使用。这些变量都被确定为精神病患者实施暴力的风险因素。这项研究增加了文献的证据,表明遭受暴力侵害的和发起暴力的精神疾病患者之间存在一致的重叠。

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本文引用的文献

1
Physical Assault in the Psychiatry Emergency Room.精神科急诊室中的身体攻击行为。
J Am Acad Psychiatry Law. 2020 Dec;48(4):484-495. doi: 10.29158/JAAPL.200022-20. Epub 2020 Oct 19.
10

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