肇事肇祸精神疾病患者的临床特征及其相关因素研究

Studies of clinical feature and correlation factor for troublemaking mental disorder patients

目的探讨肇事肇祸精神疾病患者的临床特征及其相关因素。方法对139例肇事肇祸精神疾病患者进行一般人口学、卫生经济学、相关因素调查及PANSS量表评定。结果肇事肇祸患者以精神分裂症为主,其PANSS量表评分显著高于全国常模(P<0.01)。首发年龄低、病程短、住院次数少、男性、家族史阴性、家庭负担重、无医保支持、监护差是患者发生肇事肇祸行为的高危因素。结论曾有精神异常史却因缺乏监管及经济支持而未能得到及时治疗的男性复发精神疾病患者易发生肇事肇祸行为。

Objective To investigate the clinical feature and correlation factor for troublemaking mental disorder patients. Methods 139 troublemaking mental disorder patients were investigated about demography, medical economics, correlation factor and PANSS scale. Results The majority of troublemaking mental disorder patients were diagnosed with schizophrenia, and their PANSS score were significantly higher than the nationwide norm（ P 〈0. 01 ）. Low first episode age, short course of disease ,few hospitalization time, male, family history negative, heavy family burden, without medical insurance and bad guardianship were high risk factors for patient＇ s troublemaking. Conclusions The male relapsed mental disorder patients who had emotional disturbance but were not treated because of no supervise and economic support shortage, were. more easy to make trouble.