Clinical versus actuarial predictions of violence of patients with mental illnesses.

Clinical versus actuarial predictions of violence of patients with mental illnesses.
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精神疾病患者暴力行为的临床与精算预测。

DOI:
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发表时间:
1996
影响因子:
5.9
通讯作者:
Esther C. Shaw
Esther C. Shaw
中科院分区:
心理学1区
文献类型:
--
作者:
W. Gardner;C. Lidz;E. Mulvey;Esther C. Shaw

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本研究比较了精神疾病患者预测社区暴力的精算程序的准确性与临床医生对患者暴力的关注评级的准确性。数据来自一项研究,在该研究中,患者在精神病急诊室就诊后,在社区随访6个月。对精算预测的准确性进行回顾性估计,并对资本化概率进行统计校正。精算预测的假阳性和假阴性错误率低于临床预测。由精算预测器正确识别的暴力的严重性(真阳性)与临床医生识别的严重性相似。仅基于患者暴力史的精算预测比临床预测更准确,不使用病史信息的精算预测也比临床预测更准确。
This study compared the accuracy of an actuarial procedure for the prediction of community violence by patients with mental illness with the accuracy of clinicians' ratings of concern about patients' violence. Data came from a study in which patients were followed in the community for 6 months after having been seen in a psychiatric emergency room. Accuracy of actuarial prediction was estimated retrospectively, with a statistical correction for capitalization on chance. Actuarial prediction had lower rates of false-positive and false-negative errors than clinical prediction. The seriousness of the violence correctly identified by the actuarial predictor (the true positives) was similar to the seriousness identified by clinicians. Actuarial predictions based only on patients' histories of violence were more accurate than clinical predictions, as were actuarial predictions that did not use information about histories.
DOI: 10.1001/jama.1993.03500080055032
发表时间: 1993-02
期刊: JAMA
影响因子: --
作者:
C. Lidz;E. Mulvey;W. Gardner
通讯作者: C. Lidz;E. Mulvey;W. Gardner
社区中的暴力和精神疾病:来自流行病学区域调查的证据。
DOI: 10.1176/ps.41.7.761
发表时间: 1990
期刊: Hospital & community psychiatry
影响因子: --
作者:
Swanson,JW;Holzer3rd,CE;Ganju,VK;Jono,RT
通讯作者: Jono,RT
社交网络和社会支持对严重精神疾病患者暴力的影响。
DOI: 10.1176/ps.45.7.669
发表时间: 1994
期刊: Hospital & community psychiatry
影响因子: --
作者:
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评估精神疾病与暴力之间联系的证据。
DOI: 10.1176/ps.45.7.663
发表时间: 1994
期刊: Hospital & community psychiatry
影响因子: --
作者:
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通讯作者: Mulvey,EP