強制ケア:危険性からリスク評価へ
1Service de psychiatrie, hôpital universitaire de Bruxelles, route de Lennik 808, 1080 Bruxelles, Belgique; Laboratoire de psychiatrie développementale, université Libre de Bruxelles, Bruxelles, Belgique.
L'Encephale
|December 20, 2025
まとめ
構造化されたリスク評価ツール、法精神医学スキルの向上、学際的なアプローチは、ヨーロッパにおける精神科的危険性評価における主観的バイアスを軽減することにより、強制ケアの決定を改善できる。
科学分野:
- 法精神医学; メンタルヘルス法; リスク評価
背景:
- 精神科的危険性評価は、強制ケアの決定に不可欠です。ベルギー、フランス、英国、オランダにおける現在の慣行は、強制措置の使用が増加していることを示しています。主観的な評価方法と時代遅れの法的基準には限界があります。
主な方法:
- 立法枠組み(ベルギー、フランス、英国、オランダ)の比較分析。文献および統計データを通じた評価慣行のレビュー。HCR-20 V3などの構造化されたリスク評価ツールの検討。
結論:
- 構造化されたツール、法精神医学のトレーニング、および学際性は、主観的なバイアスとスティグマを軽減できます。これらの介入の有効性を確認するには、さらなる研究が必要です。強制ケアの決定に関連するトラウマを軽減する可能性があります。
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