这是一个被低估的问题吗? 在精神病医院住院之前使用胁迫
Urszula Zaniewska-Chłopik1, Marcin Zarzycki2, Maria Załuska1
1Centre of Mental Health, Bielanski Hospital, Warsaw, Poland.
International journal of law and psychiatry
|January 17, 2025
概括
在精神病医院住院之前的强迫是常见的,影响了53%的患者,非正式的强迫是最普遍的. 这凸显了改善入院前程序和患者护理的必要性.
科学领域:
- 精神病学是一个精神病学.
- 心理健康法 心理健康法
- 临床心理学 临床心理学
背景情况:
- 波兰的"心理健康法" (1994年) 规定了在精神病诊所的直接胁迫.
- 强迫,无论是正式的还是非正式的,都会影响患者的安全,服从治疗和满意度.
- 波兰对住院前胁迫的研究有限,需要进一步调查.
研究的目的:
- 评估在精神病医院住院之前使用强制措施的普遍性.
- 检查入院前强迫和人口统计学和临床因素之间的关系.
主要方法:
- 这项研究是在2013年6月至2014年5月期间在华沙的一家精神病房进行的.
- 收集的数据包括转诊和运输期间的胁迫程度,人口统计和临床信息以及简要精神病学评分表 (BPRS) 评分.
- 专门设计的问卷被用来评估入学前的强迫行为.
主要成果:
- 在入院前,对53%的患者进行了强迫,其中45%的患者经历了非正式的强迫,8%的患者经历了身体上的强迫.
- 男性和患有F10-F19 (酒精/毒品相关疾病) 和F20-F29 (精神分裂症谱) 诊断的患者更有可能受到身体胁迫.
- 强迫患者,特别是那些经历非正式胁迫的患者,年龄较大,BPRS得分较高 (不包括焦虑/抑郁症),强迫与非自愿入院和负面症状有关.
结论:
- 在入境前强迫的高发病率强调了需要更多地关注转诊和运输程序的必要性.
- 建议进行进一步的研究和政策制定,以解决和减轻住院前的强制性做法.
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