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首页> 外文期刊>BMC Public Health >Criminally violent victimisation in schizophrenia spectrum disorders: the relationship to symptoms and substance abuse
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Criminally violent victimisation in schizophrenia spectrum disorders: the relationship to symptoms and substance abuse

机译：精神分裂症频谱疾病的犯罪暴力受害者：与症状和药物滥用的关系

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Background Violent victimisation among people with major mental illness is well-documented but the risk factors for criminal violent victimisation are not well understood. Methods We examined the relationship between illness-related variables, indices of substance abuse and previous history of violence in a sample of 23 male criminally violently victimized and 69 non-criminally violently victimized male patients with DSM-IV-TR diagnoses of schizophrenia and schizoaffective disorder that were resident in the community and in contact with public mental health services in Victoria Australia. Data on criminal victimisation was acquired from the police database. Results Demographic, a history of violence or illness-related variables did not distinguish between those had been the victim of a violent crime and those who had not. Our data indicated that drug abuse was a key factor in distinguishing between the groups, but the age of onset of substance abuse was not a significant factor. Scores on measures of drug abuse were modest predictors of criminal victimisation status in our Receiver Operator Characteristic analyses. Conclusion Overall, our findings suggest that substance abuse (particularly drug abuse) is a key predictor of violent victimisation based on criminal statistics. The latter has implications for mental health professions involved in the care planning and community management of patients with major mental illness and work points to the importance of substance abuse treatment in the prevention of victimisation as well as violence perpetration.
机译：背景资料重大精神疾病患者中的暴力受害情况有据可查，但对犯罪暴力受害的危险因素却知之甚少。方法我们在23名患有DSM-IV-TR诊断为精神分裂症和精神分裂症的男性犯罪暴力受害男性和69名非犯罪暴力受害男性患者的样本中，研究了疾病相关变量，药物滥用指数和以前的暴力史之间的关系。居住在社区中并与澳大利亚维多利亚州的公共精神卫生服务机构联系。从警察数据库获取了有关犯罪受害者的数据。结果人口统计学，暴力史或与疾病有关的变量，无法区分是暴力犯罪的受害者和没有暴力犯罪的受害者。我们的数据表明，药物滥用是区分人群的关键因素，但药物滥用的发作年龄并不是重要因素。在我们的接收者操作者特征分析中，滥用药物的评分是犯罪受害状况的适度预测指标。结论总的来说，我们的研究结果表明，基于犯罪统计，滥用药物（尤其是滥用药物）是暴力受害的关键预测指标。后者对参与重大精神疾病患者的护理计划和社区管理的精神卫生专业产生了影响，并且工作指出药物滥用治疗对预防受害和暴力行为的重要性。

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