VIOLENCE AND MENTAL DISORDER

对精神疾病态度的研究表明， 社区居民害怕精神病患者，他们认为他们 危险。 研究比较了前精神病患者 病人对公众的影响导致了这项提议 “准确的核心”是公众感知的特征。 然而，这些研究因其排他性而受到挑战。 使用逮捕数据，他们只使用州立医院的病人， 他们未能适应社会人口和环境 变量 拟议中的研究将增加我们对 精神病患者的暴力/非法行为有三种方式。 第一、 自我报告和逮捕率数据将被用作 暴力/非法行为。 二是询价将使用样品 在华盛顿的一项精神病流行病学研究中收集到的 纽约市的高地部分，包括各种 患者类型（N=218），接受药物治疗的患者样本， 酒精或反社会行为问题（N=165）和样本 社区居民（N=267）。 第三，研究将控制 患者和患者之间的相关社会和心理差异 非患者群体。 对于这一建议，患者和社区之间的差异 计算了居民自我报告的暴力/非法行为。 与当前精神病人的逮捕率研究一致 （不包括药物，酒精和反社会的受访者） 比社区居民更有可能参与暴力/非法 行为 具体目标涉及四个问题，以帮助解释 为什么会这样：1）患者是否有社会人口统计学 与高发病率相关的特征 暴力/非法行为？ 2)患者是否有更高的 暴力/非法行为，因为他们是从 这种行为更普遍的社区？3)是 患者的暴力/非法行为发生率较高， 精神病理学的某些方面比如酗酒或吸毒 和4）哪些诊断组占较高的发病率 病人之间的暴力行为， 精神病理学显示暴力的发生率很高 回答这些 问题将与理论相关，并将提供更多 为公众教育目的而提炼知识。 回答 需要资金1）将人口普查区数据合并到个人 2）获取和计算逮捕/定罪数据， 3)以支持数据分析并记录成本。

Studies of attitudes toward mental illness indicate that community residents fear the mentally ill--they perceive them to be dangeous. Studies comparing arrest rates of former mental patients to those of the general public have led to the proposal that a "kernel of accuracy" characterizes the publics' perception. However, these studies have been challenged for their exclusive use of arrest data, their use of state hospital patients only, and their failure to adjust for sociodemographic and contextual variables. The proposed research will add to our knowledge about the violent/illegal behavior of the mentally ill in three ways. First, both self report and arrest rate data will be used as indicators of violent/illegal behavior. Second, the inquiry will use samples collected in a psychiatric epidemiology study of the Washington Heights section of New York City that includes a variety of patient types (N=218), samples of persons in treatment for drug, alcohol or antisocial behavior problems (N=165) and a sample of community residents (N=267). Third, the research will control for relevant social and psychological differences between patient and non-patient groups. For this proposal differences between patients and community residents self reports of violent/illegal behavior were computed. Consistent with arrest rate studies current mental patients (excluding drug, alcohol and antisocial respondents) were more likely than community residents to engage in violent/illegal behavior. The specific aims address four questions to help explain why this is so: 1) Do patients have sociodemographic characteristics that are associated with higher rates of violent/illegal behavior? 2) Do patients have higher rates of violent/illegal behavior because they are selected from neighborhoods where such behavior is more prevalent? 3) Are higher rates of violence/illegal behavior among patients due to specific aspects of psychopathology such as drinking or drug use? and 4) Which diagnostic groups account for the higher rate of violence among patients and do untreated cases of psychopathology show high rates of violence? Answers to these questions will have relevance to theory and will provide more refined knowledge for public education purposes. To answer them funds are needed to 1) to merge census tract data to individual records, 2) to obtain and computerize arrest/conviction data and 3) to support data analysis and write up costs.