VIOLENCE IN THE MENTALLY ILL--COLLATERAL INFORMANTS

这项提议充分利用了风险提供的独特机会 约翰·D·麦克阿瑟和凯瑟琳·T·麦克阿瑟资助的评估研究 基金会。风险评估研究正在调查流行率 精神病康复者的暴力行为及其主要因素 住在社区里。1,000名居住在急性呼吸道疾病患者中的样本 三个地点的住院精神病室(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 入院，然后在获释后进行了一系列的五次 为期一年的面试。 这个应用程序试图添加一个潜在的重要信息源 关于被试发生的社区暴力事件：报道 “抵押品”告密者，通常是家庭成员，他们经常 独特的体位观察病人。请拨出资金以 采访1,000名获释患者每人一份抵押品 风险评估研究。每份抵押品将在同一时间接受采访 作为风险评估研究对象的间隔(一年内五次)至 获取关于受试者的暴力行为、情节 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。抵押品报告将合并 有受试者自我报告数据，有逮捕和住院记录 要评估经常使用的关键变量之间的关系， 临床医生的风险评估和实际的暴力行为 社区。 拟议的研究将允许最完整的特征描述 社区中前精神病患者暴力行为的日期。它 对风险评估和风险都有重要的影响 管理层。通过将抵押品报告与来自 麦克阿瑟支持的三个来源--自我报告、逮捕记录和 医院记录--我们将有一个足够敏感的标准变量来 确认导致暴力发生的各种风险因素。

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.