Estroff S E, Swanson J W, Lachicotte W S, Swartz M, Bolduc M
Department of Social Medicine, University of North Carolina at Chapel Hill, USA.
Soc Psychiatry Psychiatr Epidemiol. 1998 Dec;33 Suppl 1:S95-101. doi: 10.1007/s001270050216.
Risk Reconsidered: Targets of violence in the Social Networks of People with Serious Mental illness. This exploratory analysis addresses the questions: 1) Who among the members of the social network of a person diagnosed with a major psychiatric disorder is likely to become a target of violence? 2) What kind of relationships do targets have with respondents in terms of the quality and quantity of interactions?, and 3) What are the risk factors that contribute to being a target of violence for people who are in the social networks of persons with serious mental disorders? The samples of 169 people with serious mental disorders were followed for 30 months. A logistic regression model of the risk for being a target of violence among the members of the cohort's social network reveals that both target and respondent characteristics are salient, and that mothers who live with adult children who have schizophrenia and co-occurring substance abuse bear a substantially elevated risk of becoming a target of violence, compared to other social network members. Other factors that elevate the risk for being a target of violence are being an immediate family members of the respondent, more time in residence with the respondent, and whether the respondent is financially dependent on the family. Respondents with the most mental health center visits had lower odds of committing an act or threat of violence against a social network member.
重度精神疾病患者社交网络中的暴力目标。这项探索性分析探讨了以下问题：1）在被诊断患有重度精神疾病的人的社交网络成员中，谁有可能成为暴力目标？2）就互动的质量和数量而言，目标与受访者之间是何种关系？以及3）在重度精神疾病患者的社交网络中，导致成为暴力目标的风险因素有哪些？对169名重度精神疾病患者进行了为期30个月的跟踪调查。一项关于该队列社交网络成员中成为暴力目标风险的逻辑回归模型显示，目标特征和受访者特征都很显著，与其他社交网络成员相比，与患有精神分裂症且并发药物滥用的成年子女同住的母亲成为暴力目标的风险大幅升高。其他增加成为暴力目标风险的因素包括是受访者的直系家庭成员、与受访者居住的时间更长，以及受访者是否在经济上依赖家庭。心理健康中心就诊次数最多的受访者对社交网络成员实施暴力行为或威胁的几率较低。
