南通市城区与郊区重性精神疾病患者肇事肇祸风险比较

目的:对江苏南通市城区与郊区重性精神疾病患者肇事肇祸风险进行比较。方法:由精神科医师对南通市城区(524 339人)和郊区(188 781人)常住居民根据中国精神障碍分类与诊断标准第3版诊断标准进行重性精神病的诊断筛查,并进行肇事肇祸危险度的评估比较。结果:两区比较,城区检出患者肇事肇祸危险度高于郊区(t=2.61,P0.01)。精神分裂症、精神发育迟滞伴发精神障碍肇事肇祸危险度城区高于郊区(t=2.12,t=2.75;P0.05或P0.001)。无论城区还是郊区,男性(t=3.42,t=2.05)、45岁(t=2.79,t=3.54)、≤小学文化程度(t=2.68,t=2.79)肇事肇祸危险度均较高(P0.05或P0.001);其中男性(t=3.01)、≥45岁(t=3.55)、不同文化程度(t=2.02,t=3.16)的城区重性精神疾病患者平均危险度高于郊区(P0.05或P0.001)。结论:重性精神疾病患者肇事肇祸的危险度城区高于郊区。

ComParison of risKs of cause trouble in Patient With severe mental disorder betWeen urban area and suburban area in Nantong district

Objective：To compare the risk of cause trouble in patient with severe mental disorder be-tween urban area and suburban area in Nantong districtrisk of Jiangsu province. Method：According to classi-fication and diagnostic criteria of mental disorders in China（3rd edition）,524 339 people in urban area and 188 781 people in suburban area of Nantong districtrisk were made diagnostic screening of severe mental disor-der by psychiatrists,and the risk of causing trouble was assessed and compared. Results：Between the two ar-eas,the risk of cause trouble in urban area patients was significantly higher than that in suburban area（t=2.61, P〈0.01）.The risk of cause trouble in patients with schizophrenia and mental retardation in urban area were sig-nificantly higher than those in suburban area（t=2.12,t=2.75;P〈0.05 or P〈0.001）.Whether urban or sub-urb areas,the risk of cause trouble in male patients,or less than 45 years old,or primary school cultural level were significantly higher（P〈0.05 or P〈0.001）.The risk of cause trouble in male（t=3.01）,or over than 45 years old（t=3.55）,or with different level of education（t=2.02,t=3.16）of severe mental patients in urban ar-ea were significantly higher than those in suburban area（ P〈0.05 or P〈0.001 ）. Conclusion：The risk to cause trouble in patient with severe mental disorder in urban area is higher than that in rural area.