在一个大型住院患者行为健康系统中了解身体攻击的风险因素
Tobias Wasser1, Kevin Xia1, David M O'Sullivan1
1Department of Psychiatry, Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, Connecticut (Wasser, Xia, Newfield); Department of Psychiatry and Behavioral Health, Hartford HealthCare, Fairfield, Connecticut (Wasser, Newfield); Department of Research Administration, Hartford HealthCare, Hartford, Connecticut (O'Sullivan); Department of Psychiatry, Yale School of Medicine, New Haven (Teitelbaum).
Psychiatric services (Washington, D.C.)
|May 21, 2025
概括
犯下袭击的住院精神病患者更有可能是年轻人,男性,黑人或患有精神障碍. 伴随性物质使用障碍与攻击的可能性较低有关.
科学领域:
- 精神病学是一个精神病学.
- 犯罪学 犯罪学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 住院精神病学环境可能会带来患者暴力的风险.
- 了解与患者攻击相关的因素对于安全至关重要.
研究的目的:
- 确定与精神病医院患者的身体攻击有关的人口和临床因素.
- 探索住院精神病医院暴力的风险因素.
主要方法:
- 从一个大型,单个州的医疗保健系统中,对3年 (2021-2023) 的数据进行了回顾性图表审查.
- 从风险管理数据库分析身体攻击,与电子医疗记录进行交叉匹配.
- 患者之间的统计比较谁犯了攻击和那些没有.
主要成果:
- 在15186名住院患者中,359名 (2.4%) 犯下了556起身体攻击.
- 攻击患者更有可能是男性,年轻人,黑人/非裔美国人,患有精神障碍,处于监护下,非自愿入院或有先前的攻击史.
- 伴随性物质使用障碍与攻击的可能性较低有关.
结论:
- 这项研究提供了对美国住院精神病患者攻击率的最大调查的见解.
- 结果可以为改善患者暴力风险评估和管理策略的开发提供信息.
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