Violent and destructive behavior among the severely mentally ill in rural areas: evidence from Arkansas' community mental health system.

作者: Brian J. Cuffel

DOI: 10.1007/BF02189065

关键词: Occupational safety and healthRural areaPsychiatryInjury preventionSuicide preventionMedical recordEnvironmental healthPoison controlMental healthHuman factors and ergonomicsMedicine

摘要: A comparison of rates violence among admissions to the Arkansas State Hospital system between urban and rural areas tested hypothesis that thresholds for admission hospital were greater in than areas. Data on violent destructive behavior recorded from medical records 609 patients. Logistic regression was used model presence or absence vilent controlling selected demographic clinical characteristics. Results indicated patients showed incrreased likelihood prior supporting barriers mental health services may be creating differential service access utilization. The increased rate particularly evident those using substances suggesting community management violent, substance abusing patient difficult

参考文章(18)
Predictors of Violence in Civilly Committed Acute Psychiatric Patients American Journal of Psychiatry. ,vol. 145, pp. 965- 970 ,(1988) , 10.1176/AJP.145.8.965
T.W. Ilvento, A.E. Luloff, F.L. Farmer, Rural community poverty: a LISREL measurement model Rural Sociology. ,vol. 54, pp. 491- 508 ,(1989)
Simon Davis, Violence by psychiatric inpatients: a review. Hospital and community psychiatry. ,vol. 42, pp. 585- 590 ,(1991) , 10.1176/PS.42.6.585
Stanley Lemeshow, David W. Hosmer, Applied Logistic Regression ,(1989)
Chung -Chou Chu, Harriet S. Sallach, Helen E. Klein, Differences in symptomatology and social adjustment between urban and rural schizophrenics. Social Psychiatry and Psychiatric Epidemiology. ,vol. 21, pp. 10- 14 ,(1986) , 10.1007/BF00585316
Peter A. Keller, J. Dennis Murray, Psychology and rural America. Current status and future directions. American Psychologist. ,vol. 46, pp. 220- 231 ,(1991) , 10.1037//0003-066X.46.3.220
BRIAN J. CUFFEL, Prevalence estimates of substance abuse in schizophrenia and their correlates. Journal of Nervous and Mental Disease. ,vol. 180, pp. 589- 592 ,(1992) , 10.1097/00005053-199209000-00008
Richard E. Nisbett, Violence and U.S. regional culture. American Psychologist. ,vol. 48, pp. 441- 449 ,(1993) , 10.1037/0003-066X.48.4.441
Marilyn A. Davies, Evelyn J. Bromet, S. Charles Schulz, Leslie Oden Dunn, Merle Morgenstern, Community adjustment of chronic schizophrenic patients in urban and rural settings. Psychiatric Services. ,vol. 40, pp. 824- 830 ,(1989) , 10.1176/PS.40.8.824
Leona L. Bachrach, Deinstitutionalization of mental health services in rural areas. Psychiatric Services. ,vol. 28, pp. 669- 672 ,(1977) , 10.1176/PS.28.9.669