在法医精神病医院入院时与隔离和克制相关的因素:一项10年的回顾性研究
Elke Ham1, Soyeon Kim1,2, N Zoe Hilton1,3,4
1Waypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada.
PloS one
|July 23, 2025
概括
识别法医医院隔离和克制的风险因素对于减少强制措施至关重要. 年轻的成年人,男性,以及那些有侵略性或认知问题的人更有可能被孤立或克制.
科学领域:
- 法医精神病学 法医精神病学
- 心理健康护理研究 心理健康护理研究
- 临床心理学 临床心理学
背景情况:
- 隔离和克制等强制措施是常见的,但在法医精神卫生保健中存在争议.
- 减少这些干预措施需要了解患者特定的风险因素,这些风险因素可以在入院时检测到.
研究的目的:
- 识别和确认患者的特征与隔离和克制在入院法医医院时.
- 为旨在减少使用强制措施的有针对性的干预提供信息.
主要方法:
- 来自安大略省心理健康报告系统 (2013-2023) 的横截面入院数据的分析.
- 包括来自10家法医精神病医院的成年患者.
- 后勤通用线性混合模型 (GLMM) 用于评估患者因子与入院前三天内隔离/限制之间的关联.
主要成果:
- 30.2%的患者被隔离,3.7%的患者在入院后三天内被束.
- 与隔离相关的因素包括年轻的成年人年龄,男性性别,更高的攻击性得分,与健身相关的入院,缺乏洞察力,不坚持药物治疗,躁狂和认知障碍.
- 神经认知障碍诊断和逃跑行为是防止隔离的保护. 克制与类似的因素有关,加上情绪,焦虑,神经发育或人格障碍.
结论:
- 临床医生可以在入院早期识别出具有更高隐居和克制风险的个体.
- 积极评估已识别的指标可以指导有针对性的策略,以减少法医环境中的强制干预.
相关概念视频
Psychological and Sociocultural Causes of Schizophrenia
190
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...
190
The Stanford Prison Experiment
23.7K
The famous and controversial Stanford Prison Experiment, conducted by social psychologist Philip Zimbardo and his colleagues at Stanford University, demonstrated the power of social roles, social norms, and scripts.
23.7K
Theory of Romantic Attachment in Adulthood
44.6K
Attachment is a long-standing connection or bond with others. While Attachment Theory was conceived in developmental psychology to describe infant-caregiver bonding, it's been extended into adulthood to include romantic relationships.
44.6K
Biological Causes of Schizophrenia
149
Schizophrenia, a severe psychiatric disorder, arises from a complex interplay of biological factors, including genetic predisposition, structural brain abnormalities, neurotransmitter dysregulation, and developmental irregularities. These factors collectively contribute to the onset and progression of the disorder, which typically manifests in late adolescence or early adulthood.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
149
Factors Affecting the Risk of Infection
12.3K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.3K
Psychosurgery
112
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
112


