在评估急性机构青年暴力风险时,应考虑"不知道"分数
Anniken Lucia Willumsen Laake1,2, John Olav Roaldset2, Tonje Lossius Husum1
1Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
Frontiers in psychiatry
|February 27, 2026
概括
在青年暴力风险评估 (V-RISK-Y) 中,缺少的信息 ("不知道"得分) 与更暴力事件有关. 这些分数,特别是"缺乏同情心"的分数,表明风险更高,在临床实践和研究中需要注意.
科学领域:
- 精神病学是一个精神病学.
- 犯罪学 犯罪学
- 发展心理学 发展心理学
背景情况:
- 在评估过程中,暴力风险评估工具往往缺乏完整的数据.
- "不知道"分数表明缺少信息,可能具有临床意义,但在研究中经常被忽视.
- 青年暴力风险评估清单 (V-RISK-Y) 选了青少年 (12-18岁) 的暴力风险.
研究的目的:
- 为了确定V-RISK-Y上的"不知道"分数是否与机构化青少年登记暴力事件的风险增加有关.
- 为了比较与"不知道"分数和V-RISK-Y上的"不"分数相关的风险.
主要方法:
- 利用了来自多中心V-RISK-Y研究的数据,该研究涉及517名精神病患者和住院护理的年轻人.
- 进行了二次分析,包括对暴力事件的"不知道"和"不"得分的频率计数.
- 执行了项目级的后勤回归,将"不知道"与"不"的分数进行比较,控制性别和机构类型.
主要成果:
- 在V-RISK-Y项目中得分为"不知道"的青少年在机构逗留期间经历的暴力事件比得分为"不"的青少年多.
- 在12项V-RISK-Y项目中,有9项显示"不知道"得分的概率比率大于1,预测了记录的暴力行为.
- 项目"缺乏同情心"显著预测了与记录的暴力相关的"不知道"得分.
结论:
- 在V-RISK-Y上的"不知道"得分似乎具有临床相关性,表明青少年暴力风险增加.
- 这些发现支持在临床实践和未来的暴力风险研究中考虑"不知道"分数.
- 该研究强调了解决青少年暴力风险评估中缺少数据的重要性.
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