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自伤行为和法医系统相关因素:对安大略省审查委员会数据库的分析
Mark Mohan Kaggwa1,2,3, Gary Andrew Chaimowitz4,5, Bailea Erb4
1Forensic Psychiatry Program, St Joseph's Healthcare Hamilton, 100 West 5th, Hamilton, ON, L89 3K7, Canada. kaggwam@mcmaster.ac.
被认为不适合接受审判的法医患者或住院患者更有可能从事自我伤害行为. 了解这些法医系统因素对于实施保护措施和提高患者安全至关重要.
科学领域:
- 法医精神病学 法医精神病学
- 公共卫生 公共卫生
- 犯罪学 犯罪学
背景情况:
- 在加拿大,确保省级审查委员会系统中的公众安全和被指控个人的福利至关重要.
- 之前的研究表明,在法医精神病学环境中,自我伤害行为存在显著风险,但缺乏对系统相关因素的大规模研究.
研究的目的:
- 分析患病率,并确定与安大略省自伤行为相关的法医系统相关因素.
- 为临床实践提供信息,以减轻法医群体的自我伤害行为.
主要方法:
- 安大略省审查委员会 (ORB) 数据库 (2014-2015) 的分析,包括1211个人.
- 后勤回归模型被用来探索法医系统因素 (ORB状态,法律状态,犯罪类型,犯罪史,受害者关系) 和自我伤害行为之间的关系,控制临床和社会人口统计学变量.
主要成果:
- 在研究期间,法医系统中约有4%的个人从事自我伤害行为.
- 被认为不适合接受审判的个人和住院患者表现出明显更高的自我伤害行为的可能性.
- 在犯罪类型,受害者关系或以前的犯罪史和自我伤害行为之间没有发现显著的关联.
结论:
- 法医精神病学住院患者需要密切观察,查和针对自伤行为量身定制的管理策略.
- 法医系统相关的因素,特别是法律地位 (不适合接受审判) 和住院状态,是安大略省法医患者自我伤害行为的重要贡献者.
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