Ho Patrick A, Finn Christine
Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.
Telemed J E Health. 2024 Jan;30(1):298-300. doi: 10.1089/tmj.2023.0173. Epub 2023 Jul 20.
Background:Telemedicine in psychiatry (telepsychiatry) is an emerging and rapidly developing tool which is used in many areas of psychiatry. While telepsychiatry has been shown to be efficacious and improves access to psychiatric care, it can also help to mitigate the risk of bodily injury caused by patient assault. The telepsychiatry equipment, however, may be vulnerable to damage from patient assault.
Patient Case:We present the case of a 24 year old man being treated for disorganized behaviors and delusional thoughts at a regional hospital. As the regional hospital did not have access to psychiatry, telepsychiatry consultation was used. This patient behaved with violence towards the telepsychiatry equipment.
Discussion:There currently is no literature establishing best practices to minimize the risk of violence towards equipment during telepsychiatry encounters. Using this case report, we aim to illustrate the risk of violence in telepsychiatry encounters and to discuss best practices to minimize this risk.
精神病学中的远程医疗（远程精神病学）是一种新兴且迅速发展的工具，在精神病学的许多领域都有应用。虽然远程精神病学已被证明是有效的，并且改善了获得精神科护理的机会，但它也有助于降低患者攻击造成身体伤害的风险。然而，远程精神病学设备可能容易受到患者攻击的损坏。
我们介绍一名24岁男性的案例，他在一家地区医院接受针对行为紊乱和妄想思维的治疗。由于该地区医院没有精神科服务，因此使用了远程精神病学咨询。该患者对远程精神病学设备表现出暴力行为。
目前尚无文献确立在远程精神病学诊疗过程中尽量降低设备遭受暴力风险的最佳做法。通过本病例报告，我们旨在说明远程精神病学诊疗中暴力行为的风险，并讨论将这种风险降至最低的最佳做法。
