Abstract Purpose This study sought to understand how officer, individual, and incident-level characteristics influence officer decisions to arrest, detain in emergencies, and refer individuals to services relative to taking no action in encounters with persons in mental health crises. This study allowed for the analysis of informal, scarcely examined outcomes. Methods We examined all available crisis incidents (n = 19,648) over a three-year period from the Seattle Police Department (SPD) using a large administrative dataset. We conducted a multinomial logistic regression. Results We found that arrest was the least frequent outcome followed by no action, referral to services, and emergency detention. Further, arrests occurred primarily in the context of person and property-related crimes as well as when officers perceived individuals as belligerent and disruptive. Emergency detention was significantly more likely when officers perceived a suicide risk than when they did not. Conclusions Largely, in the absence of a criminal offense, police officers utilized less restrictive resolutions and in many cases officers attempted to connect individuals to mental health services either through immediate emergency detention or referrals to services. Majority of crisis incidents did not involve an offense and may be better resolved by mental health professionals.

中文翻译：

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西雅图警察局和心理健康危机：逮捕、紧急拘留和转介服务

摘要 目的本研究旨在了解官员、个人和事件级别的特征如何影响官员在紧急情况下逮捕、拘留的决定，以及将个人转介到与在遇到心理健康危机的人时不采取行动相关的服务。这项研究允许对非正式的、很少检查的结果进行分析。方法 我们使用大型行政数据集检查了西雅图警察局 (SPD) 三年内所有可用的危机事件 (n = 19,648)。我们进行了多项逻辑回归。结果 我们发现逮捕是最不常见的结果，其次是不采取行动、转介服务和紧急拘留。更多，逮捕主要发生在与人身和财产有关的犯罪以及警官认为个人好战和具有破坏性的情况下。当警官意识到有自杀风险时，紧急拘留的可能性要明显高于未察觉时。结论 很大程度上，在没有刑事犯罪的情况下，警察使用限制性较小的解决方案，并且在许多情况下，警察试图通过立即紧急拘留或转介服务来将个人与心理健康服务联系起来。大多数危机事件不涉及犯罪，心理健康专业人员可能会更好地解决。警官使用限制较少的决议，在许多情况下，警官试图通过立即紧急拘留或转介服务的方式，将个人与心理健康服务联系起来。大多数危机事件不涉及犯罪，心理健康专业人员可能会更好地解决。警官使用限制较少的决议，在许多情况下，警官试图通过立即紧急拘留或转介服务的方式，将个人与心理健康服务联系起来。大多数危机事件不涉及犯罪，心理健康专业人员可能会更好地解决。