在安大略省法医精神卫生系统的患者中存在双重伤害
Mark Mohan Kaggwa1,2, Bailea Erb2,3, Sébastien Prat1,2
1Department of Psychiatry and Behavioral Sciences, McMaster University/St Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada.
PloS one
|January 8, 2025
概括
双重伤害,包括自我伤害和侵略,影响了安大略省3.55%的法医患者. 神经发育障碍增加了风险,而年龄和教育降低了风险.
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
- 犯罪学 犯罪学
背景情况:
- 双重伤害,包括自我伤害和对他人/对象的伤害,是法医精神病学设置中的一个关键问题.
- 了解双重伤害对于患者的护理和康复至关重要,但它仍未得到充分研究.
研究的目的:
- 调查加拿大安大略省法医病人的双重伤害的流行情况.
- 确定与这群人群中双重伤害相关的临床和社会人口因素.
主要方法:
- 一项回顾性研究利用了来自安大略省审查委员会 (ORB) 的数据,涉及1240名法医患者.
- 双重伤害定义为在12个月内同时发生的自我伤害行为和暴力行为 (对他人或对象的攻击).
- 对与双重伤害相关的临床和社会人口因素的分析.
主要成果:
- 在参与双重伤害的患者中,3.55% (43分之1240) 参与了双重伤害.
- 口头攻击是最常见的形式 (3.15%),其次是对物体的攻击 (2.97%).
- 以前的双重伤害史和神经发育障碍增加了风险,而较高的年龄和教育水平降低了风险. 性侵略与人格障碍有关.
结论:
- 双重伤害是安大略省法医患者群体中一个公认的问题,特别是那些对物体表现出侵略性的自我伤害.
- 攻击性患者自我伤害的风险管理策略对于减轻双重伤害至关重要,特别是在神经发育障碍患者中.
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