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首页> 外文期刊>Nordic journal of psychiatry. >Self-harm as a risk factor for inpatient aggression among women admitted to forensic psychiatric care
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Self-harm as a risk factor for inpatient aggression among women admitted to forensic psychiatric care

机译：自我伤害是接受法医精神病治疗的女性住院侵略的危险因素

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Background: Inpatient aggression among female forensic psychiatric patients has been shown to be associated with self-harm, that is considered to be a historical risk factor for violence. Research on associations between previous or current self-harm and different types of inpatient aggression is missing.Aim: The aim of this register study was to investigate the prevalence of self-harm and the type of inpatient aggression among female forensic psychiatric inpatients, and to study whether the patients' self-harm before and/or during forensic psychiatric care is a risk factor for inpatient aggression.Methods: Female forensic psychiatric patients (n=130) from a high security hospital were included.Results: The results showed that 88% of the female patients had self-harmed at least once during their life and 57% had been physically and/or verbally aggressive towards staff or other patients while in care at the hospital. Self-harm before admission to the current forensic psychiatric care or repeated self-harm were not significantly associated with inpatient aggression, whereas self-harm during care was significantly associated with physical and verbal aggression directed at staff.Conclusions: These results pointed towards self-harm being a dynamic risk factor rather than a historical risk factor for inpatient aggression among female forensic psychiatric patients. Whether self-harm is an individual risk factor or a part of the clinical risk factor Symptom of major mental illness' within the HCR-20V3 must be further explored among women. Thus, addressing self-harm committed by female patients during forensic psychiatric care seems to be important in risk assessments and the management of violence, especially in reducing violence against staff in high-security forensic psychiatric services.
机译：背景：女性法医精神病患者的住院侵略已被证明与自我伤害有关，自我伤害被认为是暴力的历史风险因素。目的：本登记研究的目的是调查女性法医精神病患者的自我伤害患病率和住院类型，以及研究法医精神病学护理之前和/或期间患者的自我伤害是否是住院侵略的危险因素。方法：纳入一名来自高安全性医院的法医精神病患者（n = 130）。结果：结果显示88 ％的女性患者一生中至少遭受过一次自我伤害，而57％的女性患者在医院看护时对工作人员或其他患者表现出身体和/或语言攻击性。进入目前的法医精神病治疗前的自我伤害或反复的自我伤害与住院攻击性没有显着相关，而护理期间的自我伤害与针对工作人员的身体和言语攻击显着相关。结论：这些结果表明自我伤害是女性法医精神病患者住院侵害的动态风险因素，而不是历史风险因素。女性中是否需要进一步探讨HCR-20V3中自我伤害是个人危险因素还是临床危险因素的一部分。因此，解决女性患者在法医精神病治疗过程中造成的自我伤害似乎在风险评估和暴力管理中，尤其是在减少对高安全性法医精神病服务人员的暴力行为方面很重要。

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