Analysis of influencing factors of violent behaviors among unmedicated patients with severe mental disorders in Shenzhen
10.3760/cma.j.cn113661-20200708-00322
- VernacularTitle:深圳市社区严重精神障碍不服药患者发生暴力行为的影响因素分析
- Author:
Xiaodong PENG
1
;
Zhijian ZHOU
1
;
Jianqiang BI
1
;
Fengsu HOU
1
;
Haiyan XIE
1
;
Liqin YOU
1
;
Lingyun ZENG
1
;
Chiyi HU
1
;
Tiebang LIU
1
Author Information
1. 深圳市精神卫生中心（深圳市康宁医院）公共卫生部 518020
- Publication Type:Journal Article
- Keywords:
Mental disorders;
Violence;
Community mental health services;
Influencing factors
- From:
Chinese Journal of Psychiatry
2021;54(2):125-131
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to examine the incidence and risk factors of violent behaviors in community-dwelling unmedicated patients with severe mental disorders in Shenzhen.Methods:The baseline and follow-up data of unmedicated patients with severe mental disorders were collected from the Information Management System of Mental Health Prevention and Control in Shenzhen. The incidence of violent behaviors in unmedicated patients was described. The influencing factors of violent behaviors were analyzed using logistic regression model.Results:A total of 3 163 patients were included. The incidence of violent behaviors was 9.1% (288/3 163) in 2019. Multivariate logistic regression analysis showed that having an acute illness onset ( OR=1.589, 95 %CI 1.181-2.139) was the risk factor of violent behaviors, while having cohabitants ( OR=0.596, 95 %CI 0.410-0.867), being diagnosed as mental retardation comorbid with psychotic disorders ( OR=0.432, 95 %CI 0.199-0.938), having application for carers allowances ( OR=0.440, 95 %CI 0.319-0.606), and participating in family doctor services ( OR=0.642, 95 %CI 0.492-0.838) and community face-to-face interviews during 2019 ( OR (1-2 times vs. 0 times)=0.633, 95 %CI 0.466-0.861; OR (3-4 times vs. 0 times)=0.546, 95 %CI 0.368-0.811) were the protective factors. Conclusions:The incidence of violent behaviors is high in unmedicated patients with severe mental disorders with acute illness onset. The improvement of comprehensive level of community mental health services and the development of targeted intervention measures would help to reduce the occurrence of violent behaviors among unmedicated patients with severe mental disorders in the community.
