Consequences for Clinicians and Mental Health Services of a Homicide by a Current or Recent Patient: A European Union (EU) Wide Survey
Consequences for Clinicians and Mental Health Services of a Homicide by a Current or Recent Patient: A European Union (EU) Wide Survey
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DOI：
10.1080/14999013.2015.1075627
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发表时间：
2015-01-01
影响因子：
1.4
通讯作者：
Taylor, Pamela J.
中科院分区：
文献类型：
--
作者：
Holliday, Elisabeth;Taylor, Pamela J.
当一名心理健康服务使用者杀人时，人们就会对这项服务产生担忧。我们的目的是检查欧盟（EU）、挪威和瑞士服务的后续审查。完成了对已发表文献的系统回顾，并与来自每个欧盟国家、瑞士和挪威的具有法医专业知识的精神病学家进行了问卷调查。整理后的调查结果分发给答复者以供更正和/或进一步观察。在英国以外的欧盟没有相关的期刊发表。调查结果来自接受调查的30个国家中的28个。调查几乎总是发生在四个国家，至少有时在其他国家，除了五个。在进行调查时，一般是在内部进行，而不是由一个独立机构进行。英国有一个全国性的查询数据库；挪威、荷兰和芬兰在全国范围内收集类似的数据，但大多数欧盟国家没有这样做。法律（民事或刑事）或纪律程序在任何地方都不常见，但在法国和意大利，治疗精神病医生被判犯有过失杀人罪；各地的服务机构似乎或多或少都不受影响。除了调查不变的情况外，受害者的亲属通常是行动的驱动力。杀人后进行个人调查的概念得到广泛认可，也经常发生，但实践各不相同。这一进程的影响仍有待评价。
When a mental health service user kills, concerns arise about that service. Our aim was to examine consequent reviews of services across the European Union (EU), Norway, and Switzerland. A systematic review of published literature and a questionnaire survey with a psychiatrist with forensic expertise from each EU country, Switzerland, and Norway were completed. Collated findings were circulated to respondents for correction and/or further observations. There were no relevant journal publications from the EU outside the UK. Survey responses came from 28 of 30 countries surveyed. An inquiry almost always occurred in four countries and at least sometimes in all but five others. Where an inquiry occurred, it was generally internal rather than by an independent body. The UK has a national inquiry database; Norway, the Netherlands, and Finland collect similar data nationally, but most EU countries do not. Legal (civil or criminal) or disciplinary proceedings were uncommon anywhere, but in France and in Italy a treating psychiatrist has been convicted of manslaughter; service authorities appear more-or-less immune everywhere. Except where inquiry is invariable, victims' relatives generally drive actions. The concept of individual inquiry after homicide is widely recognised and often occurs, but practice varies. The impact of such process still requires evaluation.