在这里,我们为各种病因的暴力和侵略的评估和治疗提供全面的指导方针,包括精神分裂症引起的精神病性攻击和冲动性攻击,情绪障碍,多动症,或者外伤,以及由于精神病和其他人格障碍引起的掠夺性侵略。这些准则是从一系列处方建议中制定的,临床试验结果,以及在加州州立医院系统中治疗持续暴力或侵略性患者的多年临床经验。这些指南中提供的许多建议都采用了标签外的处方做法;因此,在临床实践中应用这些指南时,必须考虑基于个体患者需求和机构处方集的合理临床判断。
Here we provide comprehensive
guidelines for the assessment and treatment of violence and aggression of various etiologies, including psychotic aggression and impulsive aggression due to schizophrenia, mood disorders, ADHD, or trauma, and
predatory aggression due to psychopathy and other personality disorders. These
guidelines have been developed from a collection of prescribing recommendations, clinical trial results, and years of clinical experience in treating patients who are persistently violent or aggressive in the California Department of State Hospital System. Many of the recommendations provided in these
guidelines employ off-label prescribing practices; thus, sound clinical judgment based on individual patient needs and according to institution formularies must be considered when applying these
guidelines in clinical practice.