Persons with mental disorders and suicidality in crisis or high-risk situations involving police negotiation: a systematic review.

IF 1.4 4区 医学 Q2 CRIMINOLOGY & PENOLOGY
Psychiatry Psychology and Law Pub Date : 2023-04-20 eCollection Date: 2024-01-01 DOI:10.1080/13218719.2023.2175066
Bobbie Clugston, Carla Meurk, Meredith Harris, Philip Burgess, Ed Heffernan
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引用次数: 0

Abstract

Police negotiators respond to crisis and high-risk situations including mental health crises, but little is known about the nature, frequency and characteristics of these events. This systematic review examined literature about mental disorder and suicidality prevalence in negotiation events from peer-reviewed articles published within the last 20 years. Of 1455 articles identified, 11 met study inclusion criteria. Most contributed only indirect evidence using data on fatal police encounters, case reviews and analysis of communication techniques. Reliable prevalence estimates were not found, though findings suggest suicidality was a precipitating factor in more than half of events and was present during most events. Mental disorder (primarily substance use, mood and psychotic disorders) was also identified as a significant factor prior to and during events. Few articles described frequency or characteristics of these critical events. Further research is needed to inform frontline responses, resourcing and support pathways for police providing this crucial service.

涉及警察谈判的危机或高风险情况中的精神障碍和自杀者:系统审查
警务谈判人员需要应对危机和高风险情况,包括心理健康危机,但人们对这些事件的性质、频率和特点知之甚少。本系统性综述研究了过去 20 年内发表的同行评审文章中有关谈判事件中精神障碍和自杀率的文献。在确定的 1455 篇文章中,有 11 篇符合研究纳入标准。大多数文章只提供了间接证据,使用了致命警情数据、案例回顾和沟通技巧分析。虽然研究结果表明自杀是半数以上事件的诱发因素,而且在大多数事件中都存在自杀倾向,但没有找到可靠的流行率估计。精神障碍(主要是药物使用、情绪和精神病)也被认为是事件发生之前和期间的一个重要因素。很少有文章描述这些危急事件的频率或特征。需要开展进一步研究,为提供这一重要服务的警察提供一线应对措施、资源配置和支持途径。
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来源期刊
CiteScore
2.70
自引率
7.70%
发文量
48
期刊介绍: Psychiatry, Psychology and Law is rapidly becoming a driving force behind the up-to-date examination of forensic issues in psychiatry and psychology. It is a fully refereed journal with outstanding academic and professional representation on its editorial board and is aimed at health, mental health and legal professionals. The journal aims to publish and disseminate information regarding research and development in forensic psychiatry, forensic psychology and areas of law and other disciplines in which psychiatry and psychology have a relevance. Features of Psychiatry, Psychology and Law include review articles; analyses of professional issues, controversies and developments; case studies; original empirical studies; book reviews.
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