在精神分裂症中对攻击性行为的风险评估
Maritta Välimäki1, Tella Lantta2, Raija Kontio2
1School of Public Health, University of Helsinki, Helsinki, Finland.
The Cochrane database of systematic reviews
|May 2, 2024
概括
结构化风险评估方法可以减少精神分裂症患者的侵略性事件. 然而,目前的证据不足以证实它们的有效性,建议进一步研究将这些方法与干预措施结合起来.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 基于证据的医学基于证据的医学.
背景情况:
- 精神分裂症的攻击性行为是公众关注的问题.
- 结构化风险评估旨在识别暴力高风险的个人.
- 现有的干预措施往往耗时,需要广泛的培训.
研究的目的:
- 评估对精神分裂症患者结构化侵略/暴力风险评估方法的有效性.
主要方法:
- 随机对照试验 (RCT) 的系统审查.
- 搜索了多个数据库,包括MEDLINE,Embase和PsycINFO.
- 使用GRADE方法提取数据并评估偏差风险.
主要成果:
- 一个RCT (1852名参与者) 建议结构化风险评估可以减少严重的攻击事件 (RR0.59,95% CI 0.37至0.93;中等确定性证据).
- 对使用隔离观察到的效果有限或不存在.
- 没有发现对逃跑,跌倒或窒息等不良事件有明确的影响.
结论:
- 目前的证据不足以确定精神分裂症结构化风险评估的有效性.
- 未来的研究应该探索将结构化风险评估与预防侵略的干预措施相结合.
相关概念视频
Psychological and Sociocultural Causes of Schizophrenia
84
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
84
Aggression
27.8K
Humans engage in aggression when they seek to cause harm or pain to another person. Aggression takes two forms depending on one’s motives: hostile or instrumental. Hostile aggression is motivated by feelings of anger with intent to cause pain; a fight in a bar with a stranger is an example of hostile aggression. In contrast, instrumental aggression is motivated by achieving a goal and does not necessarily involve intent to cause pain (Berkowitz, 1993); a contract killer who murders for...
27.8K
Antisocial Personality Disorder
46
Antisocial personality disorder is a chronic mental health condition characterized by persistent patterns of disregard for the rights and well-being of others. Individuals with antisocial personality disorder exhibit behaviors that include deceitfulness, impulsivity, irresponsibility, aggression, and a profound lack of empathy. These traits often manifest early in life and persist into adulthood, leading to significant personal, social, and legal consequences.
Behavioral Characteristics and...
Behavioral Characteristics and...
46
Schizophrenia
76
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
76
Positive Symptoms of Schizophrenia: Hallucinations and Delusions
82
Schizophrenia is a complex mental health disorder that can manifest with various positive symptoms, including thought, movement, and behavior disorders. These symptoms significantly disrupt cognitive and motor functions, leading to profound effects on an individual's ability to engage with the world.
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
82
Conduct Disorder
33
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
33


