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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Assessing and managing threats to commit a massacre
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Assessing and managing threats to commit a massacre

机译：评估和管理致力于批准大屠杀

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Lone actor attacks like those at Port Arthur and Parklands High School Florida remain rare events though more frequent year by year. Psychiatrist are unlikely to see such killers either before or after an attack. What they do encountered on occasion are patients threatening to commit such a massacre. These threats need to be taken seriously primarily because they usually indicate significant distress but also because there is a remote chance they may try and act on the threat. Threats state an intention with the chances of enactment depending on the degree of commitment. Commitment is reflected in the level of preoccupation, plausibility, planning and preparation. Most threats have no commitment to act being an end in themselves motivated by such things as the desire to express an emotion, the wish to frighten, the attempt to manipulate others, though just occasionally they are a warning with some level of commitment to act. The assessment of threats to commit a massacre is considered in terms of the motivation and apparent commitment. Those who threaten mass killings also differ significantly from Lone Actor Attackers in their clinical pictures which further assists assessment of risk. There are some where doubts remain about the level of threat they present. The management of this group is discussed.
机译：孤立者攻击，如港口亚瑟港和公园高中佛罗里达州的攻击仍然是罕见的事件，虽然逐年更频繁。精神科医生不太可能在攻击之前或之后看到这样的杀手。他们偶然遇到的是威胁要犯下这种大屠杀的患者。这些威胁需要认真对待，因为他们通常表明显着的困扰，而且因为他们可能会尝试威胁和威胁。威胁陈述了根据承诺程度的制定机会的意图。承诺反映在关注，合理性，规划和准备程度中。大多数威胁都没有承诺行动，这是一个在自己的目标中，这些事情是表达情感的愿望，令人害怕的希望，试图操纵他人，尽管只是偶尔他们是一种警告，这是对行动的一定程度的承诺。在动机和明显的承诺方面，考虑了对批准屠杀的威胁的评估。那些威胁着大规模杀戮的人在他们的临床照片中，孤立演员攻击者也有显着差异，这进一步有助于评估风险。有一些疑问仍然存在他们存在的威胁水平的地方。讨论了该组的管理。

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