Abstract This study identified factors that predicted which of 713 clinically documented incidents of aggression—threats to kill, assault, or sexual assault—committed by 404 forensic psychiatric patients were linked to court findings of guilt. Individuals had, on average, 1.7 aggressive incidents and were found guilty of an average of 0.3 offenses against persons during the study period. Aggressive incidents were mostly assaults, followed by uttering death threats, and sexual assaults. The victims of aggressive incidents were mainly other patients or staff, but some incidents involved family members or friends (16%) and strangers (14%). Most of the aggressive incidents (84%) did not lead to findings of guilt. Incidents of aggression linked to court findings were significantly associated with province; personality disorder; fewer prior aggressive incidents; and incidents involving strangers compared to staff or co-patients or to family or friends. These findings have implications for research in terms of understanding how criminal records underestimate histories of aggression. These findings also point to the need for the development of more consistent policies and procedures for responding to patient aggression, including when it is necessary or productive to report to police.

中文翻译：

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预测哪些临床记录的侵略事件会导致法医精神病学样本中的内lt感

摘要这项研究确定了可预测404名法医精神病患者犯下的713起临床记录的侵略事件中的哪些因素，包括杀戮，攻击或性攻击的威胁，这些因素与法庭的有罪判决相关。在研究期间，个人平均有1.7起侵略性事件，平均被判犯有0.3次侵害人的罪行。侵略性事件主要是攻击，其次是发出死亡威胁和性攻击。侵略性事件的受害者主要是其他患者或工作人员，但一些事件涉及家庭成员或朋友（16％）和陌生人（14％）。大多数侵略性事件（84％）没有导致有罪感。与法庭调查结果相关的侵略事件与省份显着相关；人格障碍; 先前的侵略性事件更少；与员工，同事，家人或朋友相比，涉及陌生人的事件。这些发现对于了解犯罪记录如何低估了侵略历史具有重要意义。这些发现还指出，有必要制定更一致的政策和程序来应对患者的侵害，包括何时有必要或有成效地向警察报告。