在1999年至2017年期间从中等安全服务中退役后的再接收:一项回顾性队列研究
Charlotte Hill1, Ruth Bagshaw1,2, Andrew Watt1
1Cardiff School of Sport and Health Sciences, Llandaff Campus, Cardiff Metropolitan University, Cardiff, UK.
Criminal behaviour and mental health : CBMH
|June 20, 2024
概括
中等安全精神病患者的再入院率与较旧的数据相似. 诸如犯罪严重程度和童年创伤等因素,而不是住院进展,预测再入院,表明出院环境是关键.
科学领域:
- 精神病学是一个精神病学.
- 法医精神病学 法医精神病学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 有限的数据存在于中等安全的精神病医院治疗的患者的结果,大多数研究是在2000年之前.
- 了解影响再入院的因素对于改善患者护理和降低再入院率至关重要.
研究的目的:
- 调查患者特异性和住院服务相关因素,与退院后两年内再入院相关.
- 分析从中等安全心理护理出院到社区或开放条件的患者的再接收数据.
主要方法:
- 一项回顾性队列研究分析了1999年至2017年期间从中等安全单位出院的137名患者的数据.
- 数据包括人口统计,诊断,指数违法行为和住院病人的进展,使用危险性理解恢复和紧急情况手册 (DUNDRUM) 尺度进行评估.
- 二元逻辑回归确定了与再入境相关的独立因素.
主要成果:
- 31%的患者在两年内重新入院;17%违反了法律的出院条件.
- 与再入院相关的因素包括较低的指数犯罪严重程度,更高的不良童年经历,药物滥用史和更多以前的精神病医院入院.
- 没有住院进度指标 (DUNDRUM分数) 独立预测了再入院.
结论:
- 观察到的再接收率与先前的国家估计相一致.
- 住院患者的进展与长期结果的关联很小,强调需要检查出院后的环境因素.
- 进一步的研究是必不可少的,以了解排放环境的作用和潜在的重新框架的再接收作为响应性护理的标记.
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