摘要
目的对社区重性精神疾病患者暴力行为的危险性等级进行评估，并分析影响患者发生暴力行为的相关因素。方法由精神专科医院医生与社区民警、残联工作人员、社区医生、居委会或村委等相关人员成立重性精神疾病防治小组，对501例社区重性精神疾病患者用暴力行为危险性评估表进行评估，同时对一般人口学、病史及暴力行为史资料进行调查；应用Logistic回归法分析影响患者发生暴力行为的相关因素。结果501例患者中危险性等级0级124例，1级165例，2级118例，3级59例，4级28例，5级7例；Logistic回归分析结果得出精神分裂症（OR值4．139）、不服药（OR值6．883）、病情不稳定（OR值234．534）及既往暴力行为次数（OR值3．457）4个危险因素（P〈0．05），Logistic回归方程为：Logit（有严重暴力行为）=-8．511＋1．420（精神分裂症）＋1．929（不服药）＋5．458（病情不稳定）＋1．241（既往暴力行为次数）。结论暴力行为危险性等级评估结果及危险因素对重性精神疾病管理具有指导意义。
Objective To assess the violence risk levels of the community patients with severe mental ill- ness and Analyze the associated factors. Methods A working group composed of psychiatrists, community police, FIMITIC staff,community physicians, neighborhood or village committee members was established. 501 community patients with severe mental illness were evaluated with Violence Risk Assessment Scale by working group. While the data of the general demographic, medical history and violence history was investigated. Logistic regression anal- ysis was used to explore the factors associated with violence. Results In 501 patients,risk levels of grade 0 ： 124 cases （24.8%） ,grade 1 ： 165 cases （32.9%） ,grade 2：118 cases （23.5%） ,grade 3：59 cases （11.8%）, grade 4：28 cases （5.6%） and grade 5：7 cases （1.4%）. Logistic regression analysis showed four significant risk factors ,which were schizophrenia （ OR 4. 139 ） , no taking medicine （ OR 6. 883 ）, unstable condition （ OR 234.534） the number of previous violence（ OR 3. 457） （P 〈 0.05 ）. Logistic regression equation ： Logit （ severe violence） = - 8. 511 ± 1. 420 （schizophrenia） ＋1. 929 （ no taking medicine） ＋ 5. 458 （ unstable condition） ± 1. 241 （the number of previous violence）. Conclusion The results of violence risk assessment and risk factors have directive significance for management of community patients with severe mental illness.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2012年第11期1029-1031,共3页
Chinese Journal of Behavioral Medicine and Brain Science
