在罗马尼亚患者样本中,非自愿入院的风险因素
Radu-Mihai Păun1, Alexandru Neculai Pavel2, Valentin Petre Matei1
1Department of Psychiatry, "Carol Davila" University of Medicine and Pharmacy, 8 Eroii Sanitari Bvd, Bucharest, Romania; "Prof. Dr. Alexandru Obregia" Clinical Psychiatric Hospital, 10-12 Berceni Str, Bucharest, Romania.
International journal of law and psychiatry
|November 13, 2023
概括
罗马尼亚的非自愿精神病医院住院与失业,低收入,城市生活,精神病,躁狂,不服从和侵略有关. 警方或救护车转诊显著增加了这种风险.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 犯罪学 犯罪学
背景情况:
- 非自愿的精神病医院入院标准通常涉及对自己或他人迫在眉的危险.
- 目前关于非自愿入院预测因素的研究主要来自西方国家,东欧的数据有限.
- 罗马尼亚使用非自愿入院为政治镇压的历史需要当代数据收集.
研究的目的:
- 确定罗马尼亚非自愿精神病医院住院的社会人口和临床预测因素.
- 提供当代的,现实世界的数据,在东欧的背景下,非自愿的入院.
主要方法:
- 分析了177名入住布加勒斯特精神病医院的患者 (2022年11月 - 2023年1月).
- 49.7%的入院被归类为非自愿的.
- 通过采访,患者记录,医生和亲属咨询收集数据.
主要成果:
- 预测的社会人口因素包括失业,低收入和城市居住.
- 临床预测因素包括精神病/躁狂诊断,不坚持治疗,高疾病严重程度和侵略性.
- 警方或救护车的转诊显著增加了非自愿住院的风险.
结论:
- 特定的患者子组面临强迫住院的可能性更高.
- 对非自愿入院的确定的风险因素似乎相互关联.
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