| 赖福香,梁晓敏,马亚荣,张杰,何红波.急性期精神障碍患者暴力风险的相关因素[J].四川精神卫生杂志,2022,35(2):149-152.Lai Fuxiang,Liang Xiaomin,Ma Yarong,Zhang Jie,He Hongbo,Factors associated with the risk of violent behaviour in patients with acute mental disorders[J].SICHUAN MENTAL HEALTH,2022,35(2):149-152 |
| 急性期精神障碍患者暴力风险的相关因素 |
| Factors associated with the risk of violent behaviour in patients with acute mental disorders |
| 投稿时间：2021-09-13 |
| DOI：10.11886/scjsws20210913001 |
| 中文关键词: 急性期 精神障碍 暴力行为 相关因素 |
| 英文关键词:Acute period Mental disorders Violence Influencing factors |
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| 中文摘要: |
| 目的 探讨急性期精神障碍住院患者暴力风险的相关因素，为医务人员对精神障碍患者暴力风险的早期识别与干预提供参考。方法 查阅广州医科大学附属脑科医院病历系统，选取2016年1月-12月急性发病的1 107例住院精神障碍患者为研究对象，均符合《国际疾病分类（第10版）》（ICD-10）诊断标准。入院时采用危险性评估表评定患者的暴力行为危险性等级，选取一般人口学资料和临床资料共8个变量探讨急性期精神障碍住院患者暴力风险的相关因素。采用Logistic回归分析精神障碍患者高暴力风险的影响因素。结果 在1 107例急性期精神障碍患者中，高暴力风险者357例（32.25%）。回归分析显示：男性（OR=1.747，95% CI：1.303~2.342）、诊断为躁狂发作（OR=2.018，95% CI：1.310~3.108）、急诊入院（OR=4.244，95% CI：3.083~5.840）是患者存在高暴力风险的危险因素。诊断为抑郁障碍（OR=0.397，95% CI：0.233~0.677）的患者较其他精神障碍患者的暴力风险更低。结论 对于急性期精神障碍患者，急诊入院的男性以及诊断为躁狂发作的患者更可能存在高暴力风险。 |
| 英文摘要: |
| Objective To explore the factors associated with the risk of violent behaviour in inpatients with acute mental disorders， and to provide references for early detection and intervention of violent behaviour in patients with acute mental disorders.Methods Based on the medical record system of the Affiliated Brain Hospital of Guangzhou Medical University， 1 107 inpatients with acute mental disorders from January to December 2016 were selected， all of whom met the diagnostic criteria of International Classification of Diseases， tenth edition （ICD-10）. At admission， the risk assessment tools were used to assess the risk level of violent behaviour of inpatients， and 8 variables containing general demographic data and clinical data were selected to explore the factors associated with the risk of violent behaviour in inpatients with acute mental disorders. Thereafter， Logistic regression analysis was performed to screen the factors affecting the high risk of violent behaviour among inpatients.Results Among the 1 107 inpatients with acute mental disorders， 357 （32.25%） patients were at high risk of violence. Regression analysis showed that gender of male （OR=1.747， 95% CI： 1.303~2.342）， manic episodes （OR=2.018， 95% CI： 1.310~3.108） and emergency admission （OR=4.244， 95% CI： 3.083~5.840） were risk factors affecting the high risk of violent behaviour of inpatients. Among different types of mental disorders， patients with depressive disorder had a relatively low risk of violent behaviour （OR=0.397， 95% CI： 0.233~0.677）.Conclusion Among inpatients with acute mental disorders， patients of emergency admission， being male and manic episodes are more likely to be at high risk of violent behaviour. |
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