精神科住院病人的暴力风险识别、评估和管理实践

K. Watt, Jennifer E. Storey, S. Hart
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引用次数: 6

摘要

严重精神疾病是暴力的主要风险因素。研究表明,许多精神病住院患者在住院前、住院期间和住院后都有过暴力行为。尽管在精神病住院患者中暴力行为普遍存在并产生影响,卫生保健专业人员有责任识别、评估和管理暴力风险,并开发识别和评估工具以协助卫生保健专业人员履行其职责,但实际上,人们对精神科住院病房中用于识别、评估和管理暴力行为的做法知之甚少。本研究的目的是为了更好地了解精神科住院病人使用的暴力风险识别、评估和管理做法。具体而言,本研究涉及对加拿大西部最大卫生地区13个精神病学住院单位的关键信息提供者进行半结构化访谈。每个被邀请参加这项研究的住院精神病学单位都同意参加。数据分析采用频率分析和内容分析。分析显示,在管理暴力的战略方面,对暴力和多样性的正式识别和评估工具的使用有限。这些发现对于突出当前正在使用的有前途的实践以及确定未来改进的潜在领域具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Violence Risk Identification, Assessment, and Management Practices in Inpatient Psychiatry
Serious mental illness is a major risk factor for violence. Research suggests that many committed psychiatric inpatients have perpetrated violence before, during, and after hospitalization. Despite the prevalence and implications of violence among committed psychiatric patients, the responsibility of health care professionals to identify, assess and manage violence risk, and the development of identification and assessment tools to assist health care professionals in discharging their responsibility, little is actually known about what practices are being used to identify, assess, and manage violence in inpatient psychiatry units. The purpose of this study is to obtain a better understanding of violence risk identification, assessment, and management practices used by inpatient psychiatric units. Specifically, this study involved semistructured interviews with key informants from 13 inpatient psychiatry units in the largest health region in Western Canada. Every inpatient psychiatry unit that was invited to take part in this study agreed to participate. Data were analyzed using frequency and content analysis. The analysis revealed limited use of formal identification and assessment instruments for violence and diversity with respect to strategies used to manage violence. These findings have implications for highlighting promising practices that are currently being used, and identifying potential areas for future improvement.
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