65例精神病人暴力行为特征分析

目的探讨精神病人暴力行为特征及相关因素。方法对1998~2007近10年间住院的65例精神病人暴力行为的病历资料进行综合分析。结果精神病人暴力行为以青壮年(84.61%)、男性(75.38%)、精神分裂症(83.07%)居多;低文化、病前性格内向、敏感、多疑,未正规接受抗精神病药物治疗与暴力行为密切相关;激发因素以幻觉妄想病理性动机占首位(66.15%);伤害对象主要为亲属及近邻(73.84%);暴力手段采用锐器及重物钝器伤及躯体重要部位,致死、致残率高(41.53%)。结论强化精神病人的药物治疗和社会监管力度,加强社会群体精神卫生知识宣传,是避免和减少精神病人暴力行为必不可少的防范措施。

Analysis on Characteristics of Violence of 65 Psychotics

Objective To explore characteristics and relative factors of violence of the psychotics. Methods Analysis by synthesis on violent behavior reports of 65 inpatient psychotics between 1998 and 2007. Results Among samplings, 84.61% are youth and postadolescent, 75.38% are male, 83.07% are schizophrenia; low-literacy, introversion before being ill, sensitive, skeptical and no receiving regular treatment of antipsychotic drugs are related with violence; hallucinations and delusions are the most frequent motivating factors(66.15%); the injured are mainly kin and near neighbour(73.84%); Dead parts of boby are hurted by taking sharp instruments and heavy blunts, lethaliy and disability rate(41.53%) are high. Conclusion Strengthing medication of psychotics and social supervision, reinforcing propaganda of mental health on sociogroup are essential precautionary measures of avoiding and reducing violence of the psychotics.