评估精神病学环境中大规模枪击事件的威胁。

Evaluating threats of mass shootings in the psychiatric setting.

机构信息

Vice Chair for Community and Hospital-based Services, University of California Firearm Violence Research Center, Department of Psychiatry and Behavioral Sciences, Department of Emergency Medicine, University of California, Davis, CA, USA.

Resolve Crisis Services of UPMC Western Psychiatric Hospital, Psychiatrist, UPMC Systemwide Threat Assessment and Response Team, Associate Professor of Psychiatry and Adjunct Professor of Law, University of Pittsburgh, Pittsburgh, PA, USA.

出版信息

Int Rev Psychiatry. 2021 Nov;33(7):607-616. doi: 10.1080/09540261.2021.1947784. Epub 2021 Jul 16.

DOI:10.1080/09540261.2021.1947784

PMID:34269150

Abstract

Psychiatrists may encounter patients at risk of perpetrating mass shootings or other mass violence in various settings. Most people who threaten or perpetrate mass violence are not driven by psychiatric symptoms; however, psychiatrists may be called upon to evaluate the role of mental illness plays in the risk or threat, and to treat psychiatric symptoms when present. Regardless of whether psychiatric treatment is likely to reduce symptoms or the potential for violence, the psychiatrist should collaborate closely with law enforcement, potential targets, and other agencies involved to mitigate risk. Such communications are governed by various privacy laws and duties to third parties. Additional measures, like protective orders, may be a means of restricting the subject's access to firearms.

摘要

精神科医生可能会在各种环境中遇到有实施大规模枪击或其他大规模暴力行为风险的患者。大多数威胁或实施大规模暴力的人并非受精神症状驱使；然而，精神科医生可能会被要求评估精神疾病在风险或威胁中的作用，并在出现精神症状时进行治疗。无论精神科治疗是否可能减轻症状或暴力的可能性，精神科医生都应与执法部门、潜在目标和其他相关机构密切合作，以降低风险。此类沟通受到各种隐私法和对第三方的责任的约束。其他措施，如保护令，可能是限制对象获得枪支的一种手段。