Bhavsar Vishal, McManus Sally, Saunders Katherine, Howard Louise M
Section of Women's Mental Health, King's College London, UK; and NIHR Biomedical Research Centre, South London and Maudsley NHS Foundation Trust, London, UK.
Violence and Society Centre, City University of London, UK; and National Centre for Social Research, London, UK.
BJPsych Open. 2023 Apr 12;9(3):e64. doi: 10.1192/bjo.2023.51.
Intimate partner violence perpetration (IPVP) is associated with psychiatric disorders, but an association with mental health service use has not been fully established and is relevant for policy. Mental health service contact by perpetrators of intimate partner violence presents an opportunity for reducing harmful behaviours.
To examine the association between IPVP and mental health service use.
Analysis of national probability sample data from the 2014 Adult Psychiatric Morbidity Survey, testing for associations between lifetime IPVP and mental health service use. We assessed the impact of missing data with multiple imputation and examined misreporting using probabilistic bias analysis.
The prevalence of reported lifetime IPVP was similar for men (8.0%) and women (8.6%). Before adjustments, IPVP was associated with mental health service use (odds ratio (OR) for any mental health service use in the past year for men: 2.8 (95% CI: 1.8-4.2), for women: 2.8 (95% CI: 2.1-3.8)). Adjustments for intimate partner violence victimisation and other life adversities had an attenuative influence. Associations remained on restricting comparisons with those without criminal justice involvement (OR for any mental health service use in the past year for men: 2.9 (95% CI: 1.7-4.8), for women: 2.3 (95% CI: 1.7-3.2)).
The strong association of IPVP with mental health service use is partly attributable to the concurrent presence of intimate partner violence victimisation and other life adversities. Efforts to improve the identification and assessment of IPVP in mental health services could benefit population health.
亲密伴侣暴力行为（IPVP）与精神障碍有关，但与心理健康服务利用之间的关联尚未完全确立，且这一点对政策制定具有重要意义。亲密伴侣暴力行为的实施者与心理健康服务的接触为减少有害行为提供了契机。
研究亲密伴侣暴力行为（IPVP）与心理健康服务利用之间的关联。
对2014年成人精神病患病率调查的全国概率样本数据进行分析，检测终身亲密伴侣暴力行为（IPVP）与心理健康服务利用之间的关联。我们采用多重填补法评估了缺失数据的影响，并使用概率偏差分析检查了误报情况。
报告的终身亲密伴侣暴力行为（IPVP）患病率在男性（8.0%）和女性（8.6%）中相似。在进行调整之前，亲密伴侣暴力行为（IPVP）与心理健康服务利用有关（过去一年中男性使用任何心理健康服务的比值比（OR）：2.8（95%置信区间：1.8 - 4.），女性：2.8（95%置信区间：2.1 - 3.8））。对亲密伴侣暴力受害情况和其他生活逆境进行调整后有减弱作用。在限制与无刑事司法介入者的比较时，关联仍然存在（过去一年中男性使用任何心理健康服务的比值比（OR）：2.9（95%置信区间：1.7 - 4.8），女性：2.3（95%置信区间：1.7 - 3.2））。
亲密伴侣暴力行为（IPVP）与心理健康服务利用之间的强关联部分归因于亲密伴侣暴力受害情况和其他生活逆境的同时存在。改善心理健康服务中亲密伴侣暴力行为（IPVP）的识别和评估工作可能有益于人群健康。
