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首页> 外文期刊>The British journal of psychiatry : >Mental disorder and perceived threat to the public: people who do not return to community living
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Mental disorder and perceived threat to the public: people who do not return to community living

机译：心理障碍和对公众的威胁：不重返社区生活的人们

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Background In the UK, people with mental disorder thought to pose a high risk of harm to others are usually put in a high-security (special) hospital. Little is known about what happens after that. Aims To test a hypothesis that, under current services and laws (from the mid-1980s), no one leaving high-security hospitals remains indefinitely institutionalised. Method The special hospitals' case register was used for case ascertainment and admission data; post-discharge data were collected from multiple sources on patients discharged in 1984 (census date 31.12.1995). Results In this discharge cohort ( n =223), 36 (17%) did not return to the community: 17 died in special hospital and 19 continuously lived in other institutions until death or the census date. Over two-thirds of these had mental illness, were older on admission and had lived longer in special hospital than their better-rehabilitated peers. Offending history was irrelevant to this. Most post-discharge institution time was in open psychiatric hospital, or back in special hospital, not in medium secure units or prison. Conclusions The hypothesis was not sustained, but fewer people never reached the community than before the mid-1980s. Atypical antipsychotics might reduce this number. We found no justification for a new tier of long-term medium secure units.
机译：背景技术在英国，被认为对他人构成高风险的精神障碍患者通常被送入高安全性（特殊）医院。关于那之后发生的事情知之甚少。目的为了检验一种假设，即根据当前的服务和法律（从1980年代中期开始），没有人离开高安全性医院仍然会无限期地制度化。方法采用专科医院病案登记簿确定病案和入院资料。出院后的数据是从1984年出院的多个来源收集的（普查日期为1995年12月31日）。结果在该出院队列中（n = 223），有36名（17％）没有返回社区：17名在特殊医院死亡，19名在其他机构持续居住，直到死亡或人口普查为止。这些人中有三分之二以上的人患有精神疾病，入院时年龄较大，并且在专科医院中的寿命比其康复后的同龄人更长。令人反感的历史与这一点无关。出院后的大部分时间都在开放的精神病医院或在专科医院，而不是在中等安全的单位或监狱。结论该假说并不成立，但从未接触过该社区的人数比1980年代中期之前少。非典型抗精神病药可能会减少这一数字。我们没有理由再使用新的长期中型安全装置。

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