VIOLENCE IN THE MENTALLY ILL--COLLATERAL INFORMANTS

本提案利用了风险提供的独特机会， 评估研究由约翰D。and Catherine T.麦克阿瑟 基金会 风险评估研究正在调查 精神病康复者使用暴力的情况及主要相关因素 生活在社区里。 一个1,000人的样本居住在急性 在三个地点（马萨诸塞州伍斯特; 匹兹堡;和堪萨斯城）将在第一周接受采访 然后在释放后进行了一系列的五次 一年多的采访。 此应用程序试图添加一个潜在的关键信息源 关于受试者发生社区暴力的情况：报告 “间接”线人，通常是家庭成员，他们经常在 独特的位置来观察病人。 请拨资金用于 为1，000名出院患者中的每一位采访一名抵押品， 风险评估研究。 每个抵押品将在同一时间接受采访， 作为风险评估研究对象（一年内五次）， 获取有关受试者暴力行为、环境 与之相关的，受试者的功能水平，以及 受试者的社会支持网络 将合并附带报告 受试者自我报告数据以及停搏和住院记录 评估经常使用的关键变量之间的关系， 临床医生在风险评估和实际的暴力行为， 社区 拟议的研究将能够最全面地描述 社区中前精神病患者暴力行为的日期。 它 将对风险评估和风险管理 管理 通过将附属报告与来自 三个麦克阿瑟支持的来源-自我报告，逮捕记录， 医院记录--我们将有一个足够敏感的标准变量， 确认发生暴力的各种风险因素。

This proposal capitalizes upon a unique opportunity provided by the Risk Assessment Study funded by the John D. and Catherine T. MacArthur Foundation. The Risk Assessment Study is investigating the prevalence of, and key factors related to, violence by discharged mental patients living in the community. A sample of 1,000 persons who reside on acute inpatient psychiatric units at three sites (Worcester, Massachusetts; Pittsburgh; and Kansas City) will be interviewed during their first week of admission and then followed after release for a series of five interviews over a one-year period. This application seeks to add a potentially crucial source of information about the occurrence of community violence by the subjects: the reports of "collateral" informants, typically family members, who often are in unique positions to observe the patient. Funds are requested to interview one collateral for each of the 1,000 released patients in the Risk Assessment Study. Each collateral will be interviewed at the same intervals as Risk Assessment Study subjects (five times over one year) to obtain data on the subject's violent behavior, the circumstances associated with it, the subject's levels of functioning, and the subject's social support networks. Collateral reports will be combined with subject self-report data and with arrest and hospitalization records to assess the relationships between key variables often used by clinicians in risk assessment and actual violent behavior in the community. The proposed study would permit the most complete characterization to date of violent behavior by former mental patients in the community. It would have important implications for both risk assessment and risk management. By combining collateral reports with information from the three MacArthur-supported sources -- self-report, arrest records, and hospital records -- we will have a criterion variable sensitive enough to validate a wide range of risk factors for the occurrence of violence.