PDF(Pubmed)
Abstract：
Persons with severe mental illness (PwSMI) are at risk of being victimized due to persistent cognitive, emotional, and behavioral symptoms, which can become potential threats for effective reintegration into the community. A total of 217 PwSMI, receiving outpatient psychiatric treatment from a tertiary hospital, were screened for abuse, and if they were identified as abuse, then information about contextual factors contributing to abuse, sociodemographic, family, and clinical and legal profiles was created. Overall, 150 PwSMI were victimized, of which 56% were females, 50.7% were married, 20.7% were educated up to middle school, and 31.4% were homemaker. The most common form of diagnosis was schizophrenia (43.3%), with a mean duration of illness of 14 years. All the victimized PwSMI were subjected to emotional abuse. PwSMI were more likely to be victimized by multiple family members due to poor knowledge and understanding about illness (24%). The majority of the PwSMI had disclosed abuse (62.7%) to nonformal sources (33.3%) with no documentation in the clinical file (82.7%). PwSMI experience ongoing abuse and are more likely to be re-victimized, which increases the need for regular screening and culturally sensitive and comprehensive community-coordinated care and support.
摘要：
患有严重精神疾病（PwSMI）的人由于持续的认知而面临受害的风险，情感,和行为症状，这可能成为有效重返社区的潜在威胁。共有217个PwSMI，从三级医院接受精神病门诊治疗，被筛查虐待，如果他们被认定为虐待，然后有关导致滥用的上下文因素的信息，社会人口统计学，家庭,并创建了临床和法律档案。总的来说,150名PwSMI受害，其中56%是女性，50.7%已婚，20.7%的人受过中学教育，31.4%是家庭主妇。最常见的诊断形式是精神分裂症（43.3％），平均患病时间为14年。所有受害的PwSMI都遭受了情感虐待。由于对疾病的知识和了解不足，PwSMI更有可能成为多个家庭成员的受害者（24％）。大多数PwSMI已将滥用（62.7％）披露给非正式来源（33.3％），而临床文件中没有文档（82.7％）。PwSMI经历持续的虐待，更有可能再次受害，这增加了对定期筛查以及对文化敏感和全面的社区协调护理和支持的需求。
