Delusion, excitement, violence, and suicide history are risk factors for aggressive behavior in general inpatients with serious mental illnesses: A multicenter study in China
Delusion, excitement, violence, and suicide history are risk factors for aggressive behavior in general inpatients with serious mental illnesses: A multicenter study in China
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妄想、兴奋、暴力和自杀史是一般住院严重精神疾病患者攻击行为的危险因素：中国的一项多中心研究
DOI：
10.1016/j.psychres.2018.12.071
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发表时间：
2019-02-01
影响因子：
11.3
通讯作者：
Wang, Xiaoping
中科院分区：
文献类型：
--
作者：
Li, Qiguang;Zhong, Shaoling;Wang, Xiaoping
在中国的一般临床环境中，对攻击行为的危险因素知之甚少。本研究旨在探讨严重精神疾病住院患者的潜在危险因素。该研究于2013年3月15日至4月14日进行，涉及中国16家普通精神病院。采用标准化数据收集表收集人口统计学和临床特征数据，包括当前幻觉、妄想、抑郁、兴奋、躁狂、冷漠和治疗依从性的信息。还收集了有关终生暴力和自杀史的信息。改良外显攻击量表（MOAS）也被用于显示最近（过去一周）的攻击行为。共纳入511名住院患者。在MOAS得分为5分或以上的基础上，245名住院患者被分配到攻击组，266名住院患者被分配到非攻击组。终生暴力行为史（OR = 3.1, 95% CI = 1.95-5.11）、自杀史（OR = 3.0, 95% CI = 1.49-6.10）以及当前妄想史（OR = 1.92, 95% CI = 1.24-2.97）和兴奋史（OR = 2.63, 95% CI = 1.57-4.39）与攻击性相关。该研究表明，暴力史、自杀史、当前妄想和兴奋是严重精神疾病的普通精神科住院患者的攻击危险因素。
Little is known about the risk factors for aggression in general clinical settings in China. The aim of this study is to explore potential risk factors for inpatients with serious mental illness. The study was conducted from 15 March to 14 April 2013 and involved 16 general psychiatric institutions in China. A standardized data collection form was used to collect demographic and clinical characteristics data, including information on current hallucinations, delusions, depression, excitement, aboulia, apathy, and adherence to treatment. Information on lifetime history of violence and suicidality was also collected. The Modified Overt Aggression Scale (MOAS) was also administered to indicate recent (past week) aggression. A total of 511 inpatients were enrolled. On the basis of a score of five or greater on the MOAS, 245 inpatients were assigned to aggressive group and 266 were assigned to non-aggressive group. A lifetime history of violent behaviour (OR = 3.1, 95% CI = 1.95-5.11), suicide (OR = 3.0, 95% CI = 1.49-6.10), as well as current delusions (OR = 1.92, 95% CI = 1.24-2.97), and excitement (OR = 2.63, 95% CI = 1.57-4.39) were associated with aggression. The study suggested violent history, suicide history, current delusions, and excitement are the risk factors for aggression among general psychiatric inpatients with serious mental illnesses.