警方转介至精神科急诊服务及其对处置决定的影响。
Police referral to psychiatric emergency services and its effect on disposition decisions.
作者信息
Watson M A, Segal S P, Newhill C E
机构信息
Institute for Scientific Analysis, Berkeley, California 94704.
出版信息
Hosp Community Psychiatry. 1993 Nov;44(11):1085-90. doi: 10.1176/ps.44.11.1085.
OBJECTIVE
Some clinicians and researchers have questioned the appropriateness of police referrals to psychiatric emergency services and have suggested that police exercise undue influence on hospital admission decisions. The purpose of this study was to test these assertions.
METHODS
Research clinicians in nine emergency services in California observed staff evaluations of 772 cases and rated patients' symptom severity, danger to self or others, and grave disability. They also reviewed the criminal justice records of these patients both before and for 18 months after the index evaluation. A total of 186 patients referred by police were compared with 577 patients not referred by police.
RESULTS
Patients brought by police were more likely to be subsequently hospitalized, but they were also more psychiatrically disturbed. They were more dangerous to others and more gravely disabled. They were no more likely to have a criminal record than patients not referred by police.
CONCLUSIONS
Police did not exercise undue influence on dispositions nor were the patients they brought in more "criminal" than others.
目的
一些临床医生和研究人员对警方将患者转介至精神科急诊服务的适当性提出了质疑，并指出警方对医院的收治决定施加了不当影响。本研究旨在验证这些说法。
方法
加利福尼亚州九家急诊服务机构的研究临床医生观察了工作人员对772例病例的评估，并对患者的症状严重程度、对自身或他人的危险性以及严重残疾情况进行了评分。他们还查阅了这些患者在索引评估之前以及之后18个月的刑事司法记录。将警方转介的186名患者与未被警方转介的577名患者进行了比较。
结果
被警方送来的患者随后住院的可能性更大，但他们的精神障碍也更严重。他们对他人更具危险性，残疾程度也更严重。与未被警方转介的患者相比，他们有犯罪记录的可能性并不更高。
结论
警方并未对处置决定施加不当影响，他们送来的患者也并不比其他人更“具犯罪性 ”。
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