精神疾病
精神科
心理学
心理干预
精神病理学
心理健康
毒物控制
临床心理学
自杀预防
医学
医疗急救
作者
James L. Knoll,Park Elliott Dietz
出处
期刊:JAMA Psychiatry
[American Medical Association]
日期:2023-02-01
卷期号:80 (2): 186-186
被引量:1
标识
DOI:10.1001/jamapsychiatry.2022.4191
摘要
Importance Psychiatry has struggled to clarify the types of mental turmoil that are associated with mass violence. While the problem is complex, it may present an opportunity to improve research, as well as inform public dialogue about what types of mental illness are actually associated with such mass tragedies. Observations Assuring the diagnostic accuracy of those who commit mass violence is challenging due to the retrospective nature of the analysis and lack of reliable psychiatric data. Psychiatric research has begun to use a dimensional approach that may be well suited to the study of mental illness in perpetrators of mass violence. This approach aggregates psychiatric symptoms into 3 domains of psychopathology: (1) internalizing, (2) externalizing, and (3) psychotic experience. This approach has practical clinical use and research support. A dimensional approach may help clear up misconceptions about the rate of psychosis in mass violence perpetrators, as well as reveal the most common dimensions of mental functioning associated with perpetrators. Conclusions and Relevance Improved research methods are needed to clarify and prevent mass violence. More precisely identifying the symptoms and mental turmoil of perpetrators may be associated with improved early identification and prevention. Because adolescence is a critical and formative period in which internalizing and externalizing problems arise, early interventions may have the best chance of reducing future mass violence.
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