[德国各地法医精神病学中强制措施的结构特征及应用]
[Structural Features and Use of Coercive Measures in Forensic Psychiatry Throughout Germany].
作者信息
Reinwald Jonathan Rochus, Horten Barbara, Dreßing Harald, Salize Hans-Joachim
机构信息
Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim der Universität Heidelberg, Mannheim.
Institut für Kriminologie, Ruprecht-Karls-Universität Heidelberg.
出版信息
Psychiatr Prax. 2022 Jan;49(1):22-28. doi: 10.1055/a-1391-0192. Epub 2021 Mar 27.
OBJECTIVE
Nationwide assessment of structural data and the frequency of use of coercive measures in forensic psychiatric hospitals in Germany.
METHODS
Quantitative survey using a postal questionnaire on structural data and on the use of coercive measures in forensic psychiatric hospitals as part of the "ZIPHER" study.
RESULTS
About one fourth of all forensic patients are affected by coercive measures, with seclusion (21.2 %) being way more often than mechanical restraint (3.2 %). This ratio contrasts with general psychiatric hospitals, where restraints are more common than seclusions.
CONCLUSION
The results of the study reveal nationwide peculiarities in the use of coercive measures in forensic psychiatric hospitals. At the same time, it demonstrated the lack of general structural and process data of forensic hospitals in Germany.
目的
对德国法医精神病医院的结构数据及强制手段使用频率进行全国性评估。
方法
作为“ZIPHER”研究的一部分，通过邮政问卷对法医精神病医院的结构数据及强制手段使用情况进行定量调查。
结果
约四分之一的法医患者受到强制手段影响，其中隔离（21.2%）比机械约束（3.2%）更为常见。这一比例与普通精神病医院相反，在普通精神病医院中约束比隔离更为常见。
结论
该研究结果揭示了德国法医精神病医院在使用强制手段方面的全国性特点。同时，也表明德国法医医院缺乏总体结构和流程数据。
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