在有物质使用障碍的个体中评估暴力风险
Visnja Banjac Baljak1, Nera Zivlak-Radulovic2, Sreten Vicentic3
1Clinic of Psychiatry, University Clinical Center of the Republic of Srpska, 78000 Banjaluka, Bosnia and Herzegovina; Faculty of Medicine, University of Banjaluka, 78000 Banjaluka, Bosnia and Herzegovina.
Actas espanolas de psiquiatria
|December 24, 2025
概括
与那些依赖其他精神活性物质 (PAS) 的人相比,酒精依赖的个人表现出更高的暴力行为风险. 对暴力的风险评估对于酒精和PAS依赖的个人来说都至关重要,以防止复发和重复的暴力行为.
科学领域:
- 法医心理学 法医心理学
- 成精神病学成精神病学
- 犯罪学 犯罪学
背景情况:
- 滥用精神活性物质 (PAS) 与增加的攻击性行为有关,风险因物质类型而异.
- 了解酒精依赖者和其他PAS之间的暴力风险对于有针对性的干预至关重要.
研究的目的:
- 确定和比较酒精依赖和依赖其他PAS的人群中暴力行为的风险和程度.
主要方法:
- 一项涉及100名酒精或其他PAS依赖的参与者的横截面研究.
- 历史临床风险管理-20版本3 (HCR-20V3) 工具被用于评估暴力风险.
主要成果:
- 对于一般暴力风险,群体之间的HCR-20V3得分没有显著的整体差异.
- 酒精依赖的个体在统计学上显示出暴力存在 (p=0.042),暴力思想 (p<0.001) 和暴力行为的风险更高 (p=0.016).
- 暴力风险 (p=0.009) 和暴力思想 (p<0.001) 的相关性在酒精依赖组中也更为明显.
结论:
- 与其他PAS依赖相比,酒精依赖与暴力的风险更大.
- 常规暴力风险评估对于酒精和其他PAS依赖的人来说都是必不可少的.
- 医疗保健和门诊服务必须优先考虑禁欲和复发预防,以减轻与暴力相关的反复行为.
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