精神病和监狱中的自我伤害:一个基于人口的病例控制研究
Nabila Z Chowdhury1, Ye In Jane Hwang2, Erin Spike3
1School of Population Health, University of New South Wales, Sydney, New South Wales, Australia nabila.chowdhury1@unsw.edu.au.
BMJ open
|September 29, 2025
概括
与没有精神病的囚犯相比,患有精神病的囚犯的自我伤害风险明显更高. 改进信息共享和适当使用监狱警报可以提高对这一弱势群体的照顾.
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
- 公共卫生 公共卫生
背景情况:
- 自我伤害和自杀是惩教机构内重大问题.
- 有限的理解存在于监禁的个体与精神病的自我伤害行为.
研究的目的:
- 为了调查新南威尔士 (NSW) 监狱中被诊断患有精神病的囚犯的自我伤害行为.
- 检查自我伤害相关警报在管理患有精神病的囚犯中的作用.
主要方法:
- 一个回顾性病例控制数据链接研究,利用澳大利亚新南威尔士州 (2001-2020) 的行政数据.
- 包括被诊断患有精神病的个人 (病例) 和年龄/性别匹配的没有精神病的对照,所有人在研究期间被监禁.
主要成果:
- 与对照组 (3.6%) 相比,患有精神病的囚犯表现出更高的自我伤害率 (15.0%).
- 精神分裂症和相关的精神病与自我伤害的可能性最高 (aOR=4.84).
- 原住民遗产和精神病患者的自我伤害风险增加,而男性性别和第一次监禁时的年龄更大是有保护作用的.
结论:
- 精神病患者自我伤害的风险增加,需要改善机构间心理健康信息共享,以改善监护护理.
- 监狱警报可以是一个宝贵的工具,工作人员在管理精神病的囚犯的福祉,当有效地实施.
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