まとめ
機能性精神病診断の患者,特にパラノイド妄想や幻覚を経験している患者は,高齢の精神病棟で暴力のリスクが最も大きい. 認知症の患者は攻撃的ですが,武器を使う可能性は低いです.
科学分野:
- 高齢者精神医学は,高齢者の精神医学である.
- 法医学精神医学は,法医学精神医学である.
- 臨床心理学の臨床心理学について
背景:
- 高齢者精神医学における暴力リスクの評価は,患者の安全にとって極めて重要です.
- 暴力的な患者の特徴を理解することは,ターゲットを絞った介入に不可欠です.
研究 の 目的:
- 高齢精神病棟の患者を危険行為について調査する.
- 武器の使用を含む暴力的行動に関連する患者の特徴を特定する.
主な方法:
- 精神病老年病棟に入院した222人の患者を対象に実施した調査.
- 診断基準と観察された行動に基づいて患者の分類.
- 武器の使用による暴力行為と,武器を使用しない暴力行為を区別する.
主要な成果:
- 18人の患者は暴力行為で武器 (銃やナイフ) を使用した.
- 機能的診断 (遅発性パラフレンジア,統合失調症,マニア) は,有機疾患よりも暴力に関連していた.
- 偏執的妄想/幻覚の患者で,明確なセンソリウムで,攻撃を恐れ,最も危険でした.
- 武器を使用しない121人の積極的な患者は,認知症の高い割合を含む,より低い脅威をもたらしました.
結論:
- 機能性精神疾患,特にパラノイアや幻覚を含む疾患は,高齢者の環境における重度の暴力リスクの重要な指標である.
- 認知症に関連した攻撃は,異なるリスクプロファイルを示しており,通常は,武器を握る患者よりも軽度です.
関連する概念動画
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