精神科急诊患者攻击行为危险因素的初步研究  

Preliminary study about risk factors of aggressive behaviors in psychiatric emergency patients

作　　者：王威[1] 潘轶竹[1] 马征[1] 朱辉[1] 李广泽[1] 付彤[1] 李颖[1] 及晓 李京渊 李小强[1] 尹利[1] 陈媛[1] 田腾飞[1] 郑伟[1] 

机构地区：[1]首都医科大学附属北京安定医院,北京市100088

出　　处：《精神医学杂志》2016年第3期170-173,共4页Journal of Psychiatry

基　　金：2014年首都卫生发展科研专项-青年项目(编号:首发2014-4-2125)

摘　　要：目的对精神科急诊患者攻击风险行为的发病相关因素进行初步调查研究。方法 1 325例精神科急诊非取药患者接受一般情况调查、攻击风险评估表（ARAS）、简明精神评定量表（BPRS）、YOUNG氏躁狂评定量表（YMRS）评估。根据ARAS评分分为非攻击组（评分Ⅰ~Ⅱ级）和攻击组（评分为Ⅲ~Ⅳ级）,比较两组之间的差异。结果攻击组与非攻击组比较有多个因素差异有统计学意义（P〈0.05）,包括：性别、婚姻状况、职业、是否在职或在读、家庭收入、就诊季节、发病诱因、来诊目的、临床诊断、用药、给药途径（肌肉给药、口服给药）、急诊后去向（住院、留观、回家）,以及受教育年限、BPRS总分、YMRS总分。结论男性、离异、无业、低收入、低教育水平、幻觉妄想状态、躁狂状态等,是精神科急诊患者发生攻击行为的风险因素。Objective To explore risk factors of aggressive behaviors in psychiatric emergency patients. Methods 1 325 psychiatric emergency patients except those returning for getting medication were assessed with general information questionnaire, Attack Risk Assessment Scale （ARAS） , Brief Psychiatric Rating Scale （BPRS） and Young Mania Rating Scale （YMRS）. Patients were divided into non-aggressive group （ scores of ARAS range between level I and Ⅱ ） and aggressive group （ scores of ARAS range between level IH and 1V ） , and the differences between the two groups were explored. Results There were many significant differences between the two groups, including gender, marital status, profession, in-service or not, family income, visiting season, trigger, visiting objective, clinical diagnosis, medication, administration route （muscular injection or oral taking） , disposition after emergency treatment （hospitalization, stay observation or returning home） , education background and total scores of BPRS and YMRS （ P 〈 0.05 ）. Conclusion Risk factors of aggressive behaviors in psychiatric emergency patients consist of male, divorced, unemployed, low income, low education level, diagnosed with hallucination/delusion state or mania state, etc.

关 键 词：精神科急诊 攻击行为 攻击风险评估表 

分 类 号：R749[医药卫生—神经病学与精神病学]