摘要
目的分析上海市某城区连续3年严重精神障碍患者应急处置案例,为社区处置应急事件提供科学依据。方法对上海市某城区2016~2018年连续3年共964例的严重精神障碍应急处置工作记录表进行梳理、统计、分析。结果964例应急处置中,在册患者435例,非在册529例;危害公共安全事件876例,占90.87%;2018年应急处置案例数远超于2016年和2017年应急处置数,占41.28%;危险评估主要以0级~3级为主,共882例,占91.49%;疾病分类中以精神分裂症和其他精神病性障碍为主,共523例占54.25%;发生1次应急处置的患者650人次,≥2次133人共314人次。结论应急处置以"危害公共安全或者危害他人安全"事件为主。做好社区精神障碍患者应急处置工作,能有效控制和减少严重精神障碍患者危险行为的发生,维护公共安全和社会和谐稳定。
Objective To analyze the case of emergency treatment of severe mental disorders for 3 consecutive years in a certain urban area of Shanghai,and provide a scientific basis for the community to deal with emergency events.Methods The serious spirit of 964 cases in a city in Shanghai for 2016~2018 for 3 consecutive years The obstacle emergency response work record table was sorted,counted and analyzed.Results 964 cases of emergency treatment,435 cases of registered patients,529 cases of non-books;876 cases of public safety incidents,accounting for 90.87%.The number of emergency disposal cases in 2018 is far more than the number of emergency treatments in 2016 and 2017,accounting for 41.28%.The risk assessment is mainly based on 0 to 3,a total of 882 cases,accounting for 91.49%.The disease classification is mainly schizophrenia and other mental disorders,A total of 523 cases accounted for 54.25%;650 patients had one emergency treatment,≥2 times 133 people 314 times.Conclusion Emergency disposal is based on the"Hazard to public safety or harm to others"incident.Do a good job in community mental disorders emergency treatment can effectively control and reduce the occurrence of dangerous behaviors of patients with severe mental disorders,maintain public safety and the harmony and stability of the society.
作者
宣国
朱益
蒋怡华
王颖
XUAN Guo;ZHU Yi;JIANG Yihua(Mental Health Center of Minhang District,Shanghai 201112,China)
出处
《国际精神病学杂志》
2020年第1期80-84,共5页
Journal Of International Psychiatry
关键词
严重精神障碍
应急处置
危险行为
社区
Severe mental disorders
Emergency response
Dangerous behavior
Community
