Sandberg D A, McNiel D E, Binder R L
Department of Psychiatry, University of California, San Francisco, USA.
Am J Psychiatry. 1998 Aug;155(8):1102-5. doi: 10.1176/ajp.155.8.1102.
The purpose of this study was to identify demographic and clinical characteristics of psychiatric inpatients who stalk, threaten, or harass hospital staff after discharge.
The authors retrospectively summarized the demographic and clinical characteristics of 17 inpatients who engaged in this type of behavior and a comparison group of 326 inpatients.
The patients who stalked, threatened, or harassed staff after discharge were significantly more likely than the comparison patients to have a diagnosis of personality disorder and/or paranoid disorder, erotomanic subtype, and to have a history of physically assaultive or fear-inducing behavior. The data suggest that they were more likely to be male and never married and to have histories of multiple hospitalizations, suicidal or self-injurious behavior, and substance abuse or dependence.
The findings reveal several risk factors that may be useful in identifying a subgroup of patients who pose a risk of directing aggressive behavior toward hospital staff after discharge.
本研究旨在确定出院后跟踪、威胁或骚扰医院工作人员的精神科住院患者的人口统计学和临床特征。
作者回顾性总结了17名有此类行为的住院患者以及326名对照住院患者的人口统计学和临床特征。
出院后跟踪、威胁或骚扰工作人员的患者比对照患者更有可能被诊断为人格障碍和/或偏执性障碍（色情型），并有身体攻击或引发恐惧行为的病史。数据表明，他们更可能为男性且未婚，并有多次住院、自杀或自我伤害行为以及药物滥用或依赖的病史。
研究结果揭示了几个风险因素，这些因素可能有助于识别出一组出院后有对医院工作人员实施攻击行为风险的患者。
