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死亡案例回顾与法医精神科医生的作用。

Fatality Review and the Role of the Forensic Psychiatrist.

机构信息

Dr. Hatters Friedman is the Phillip Resnick Professor of Forensic Psychiatry, and Professor of Reproductive Biology, Pediatrics, and Law, Case Western Reserve University, Cleveland, Ohio. Dr. Beaman is Assistant Clinical Professor, Chair, Department of Psychiatry and Behavioral Sciences, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma. Dr. Friedman is Assistant Professor of Pediatrics, Case Western Reserve University, and Co-Director, Child Protection Team, Cleveland Clinic Foundation, Cleveland, Ohio.

出版信息

J Am Acad Psychiatry Law. 2021 Sep;49(3):396-405. doi: 10.29158/JAAPL.210027-21. Epub 2021 Jul 21.

DOI:10.29158/JAAPL.210027-21
PMID:34290108
Abstract

Multidisciplinary Fatality Review teams have operated for decades in the United States and across the developed world. Goals of these teams include examining individual deaths in the community to determine preventability and to make recommendations for future prevention. Fatality Review teams initially focused on child deaths but have expanded to include deaths from domestic violence, elder abuse, overdose, and maternal mortality. Case reviews include data from various agencies that have had contact with victims and perpetrators prior to the deaths. Cause of death and preventability are analyzed. Preventable deaths often include those with risk from mental illness or addiction. Recommendations made by Fatality Review teams have led to important changes for mental health services and prevention, including the Safe Haven laws for neonaticide prevention, suicide and homicide prevention, child murder prevention, firearm laws, and domestic violence screening. Fatality Review teams, which already include law enforcement and forensic pathologists, can benefit from collaboration with forensic psychiatrists because of their specialized knowledge about the intersection of mental illness and violence, should forensic psychiatrists have an opportunity to join them.

摘要

多学科死亡事件审查小组(Fatality Review teams)在美国和发达国家已经运作了几十年。这些团队的目标包括审查社区中的个体死亡事件,以确定其可预防性,并为未来的预防措施提出建议。死亡事件审查小组最初专注于儿童死亡事件,但已扩展到包括家庭暴力、虐待老人、药物过量和孕产妇死亡事件。案例审查包括来自在受害者和犯罪者死亡前与他们有过接触的各个机构的数据。对死亡原因和可预防性进行分析。可预防性死亡通常包括那些因精神疾病或成瘾而面临风险的死亡。死亡事件审查小组提出的建议为心理健康服务和预防措施带来了重要的改变,包括预防杀婴的安全避风港法、自杀和杀人预防法、儿童谋杀预防法、枪支法和家庭暴力筛查。由于法医精神病学家在精神疾病和暴力的交叉点方面具有专业知识,因此已经包括执法和法医病理学家的死亡事件审查小组可以从与法医精神病学家的合作中受益,如果有机会,他们应该加入这些小组。

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