دانلود مقاله درک نقش سلامت روان بزرگسالان در ارتکاب اعمال خشونت آمیز
چکیده
روش ها
نتایج
بحث
منابع
Abstract
Methods
Results
Discussion
References
چکیده
این مطالعه ارتباط بین نیاز برآورده نشده به خدمات سلامت روان، بیمه سلامت، سوء مصرف مواد، دوره افسردگی اساسی (MDE) و افکار خودکشی در انجام اعمال خشونت آمیز را بررسی کرد. داده های مقطعی از یک مطالعه مبتنی بر جمعیت، نظرسنجی ملی در مورد مصرف مواد مخدر و سلامت بزرگسالان (n = 42567) در ایالات متحده در سال 2019 استفاده شد. رگرسیون لجستیک پیمایشی برای تعیین عوامل پیش‌بینی کننده مرتبط با حملاتی که قصد آسیب رساندن جدی به دیگران را داشتند، انجام شد. این مطالعه نشان داد که شیوع اعمال خشونت آمیز تنها 1.1 درصد است. احتمال ارتکاب حملات خشونت آمیز در افرادی که نیازهای برآورده نشده برای خدمات سلامت روان، افکار خودکشی، MDE، الکل و سایر سوء مصرف مواد غیرقانونی گزارش شده بودند، بیشتر بود. در صورت وجود نیاز برآورده نشده به خدمات سلامت روان، بین عوامل پیش‌بینی‌کننده و ارتکاب خشونت رابطه معناداری وجود داشت. یافته‌های مطالعه بر اهمیت توسعه مصرف هدفمند مواد در آینده و تلاش‌های درمان افسردگی اساسی در میان بزرگسالان خشن تأکید می‌کند.
توجه! این متن ترجمه ماشینی بوده و توسط مترجمین ای ترجمه، ترجمه نشده است.
Abstract
This study explored the association between unmet need for mental health services, health insurance, substance abuse, major depressive episode (MDE), and suicidal ideation in perpetrating violent acts. Cross-sectional data from a population-based study National Survey on Drug Use and Health of Adults (n = 42,567) in the US 2019 was used. Survey logistic regression was conducted to determine the predictive factors associated with attacks intended to seriously hurt others. This study found that prevalence of violent acts was only 1.1%. The odds of committing violent attacks were higher in those reported unmet needs for mental health services, suicidal ideation, MDE, alcohol, and other illicit drug abuse. In the presence of unmet need for mental health services, there were significant interaction terms between predictors and violence perpetration. Study findings highlight the importance of developing future targeted substance use and major depression treatment efforts among violent adults.
Introduction
Violence is defned as “the intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, that either results, or has a high likelihood of resulting, in injury, death, psychological harm, maldevelopment, or deprivation” (Rutherford et al., 2007). In 2019, the rate of violent crime incidents was 367 per 100,000 population, and approximately 0.4% above levels were seen in 2015 (Federal Bureau of Investigation, 2020). Violence has often been viewed from the criminal justice perspective lens rather than a public health problem. The current view of violence as a public health concern is based on the perception that violence is a result of complex and interconnected, biological, systemic, environmental, and social risk factors (Dahlberg & Mercy, 2009). Therefore, a public health-based approach to violence needs to be advocated for, due to its signifcant consequences on long-term health and impact on economic burden (Senior et al., 2020).
Results and analyses
Table 1 presents the descriptive analysis of the study sample stratifed by reported violent behavior. Of the 42,567 adults aged 18 years and older in the 2019 NSDUH dataset, 469 (1.1%) reported attacking someone with the intent to seriously hurt in the last 12 months. Participants reporting violent attacks were more likely to be male, younger age, non-Hispanic Black, with low family income, lower education, and never married (see Table 1). Those with violent behavior in the last 12 months were also more likely to report unmet needs for mental health, time without health insurance, experienced suicidal ideation, MDE, and substance abusers (see Fig. 1 and Table 1).