在精神分裂症的女性法医住院患者中,暴力的风险因素
Viviane Wolf1,2, Juliane Mayer2, Ivonne Steiner2
1Department of Psychiatry and Psychotherapy, Medical Faculty, LVR-Clinic Duesseldorf, Heinrich Heine University Duesseldorf, Duesseldorf, Germany.
Frontiers in psychiatry
|July 17, 2023
概括
这项研究在患有精神分裂症谱系障碍 (SSD) 的女性患者中确定了不同类型暴力的不同风险因素. 了解这些因素对于改善这种代表性不足的人群中的暴力风险评估至关重要.
科学领域:
- 法医精神病学 法医精神病学
- 临床心理学 临床心理学
- 心理病理学 心理病理学
背景情况:
- 精神分裂症谱系障碍 (SSD) 与暴力风险增加有关,但对女性患者的研究有限.
- 了解女性SSD患者的暴力风险因素对于有效治疗和公共安全至关重要.
- 现有的暴力风险评估可能无法充分捕捉这一人口群中的暴力细微差别.
研究的目的:
- 在女性SSD患者中确定与不同类型的暴力 (指数犯罪,住院,复发) 相关的特定风险因素.
- 评估HCR-20 V3暴力重犯风险评估工具的预测准确性.
- 评估FAM (功能评估手册) 对性别响应性风险评估的附加值.
主要方法:
- 对99名女性SSD患者进行了回顾性随访研究,这些患者从法医精神病治疗中出院 (2001-2017年).
- 使用文献审查和两种风险评估工具 (HCR-20 V3,FAM) 分析风险因素.
- 对三种暴力措施的检查:暴力指数犯罪,住院暴力和暴力重犯.
主要成果:
- 索引犯罪期间的暴力与精神病症状相关.
- 住院暴力与情感/行为不稳定,暴力思想,精神病症状和治疗不响应有关.
- 暴力重犯与不遵守,认知不稳定,缺乏洞察力,儿童反社会行为和贫困有关.
- HCR-20 V3显示中度的预测准确性 (AUC=0.695);FAM没有提供增量有效性.
结论:
- 在女性SSD患者中,暴力的风险因素因暴力的类型而异.
- 区分暴力形式对于准确的风险评估至关重要.
- 这项研究为代表性不足的暴力风险评估领域提供了重要的数据,该领域是SSD的女性犯罪者.
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