Background

Violence and aggression have mental and physical health consequences and costs for individuals and society. The aim of this review is to identify recent cross-sector innovative approaches in psychosocial interventions for managing violence and aggression in adults.

Methods

We used a horizon scanning approach. Inclusion criteria were clinical trials published or registered 2017–2020 evaluating interventions for perpetrators. We searched three electronic databases (Cinahl, Medline, PsycINFO) and international trials registries to identify documents and synthesized findings narratively.

Results

Eighteen published and four registered trials were identified. Participants included veterans, intimate partner violence perpetrators, and prison inmates. Interventions where improvements were reported for participants on structured outcome measures included expressing gratitude, emotion recognition training, motivational plans/interviewing, art-psychotherapy, and trauma-informed shared narratives. Of interventions reviewed ‘signals’ or indicators of potential innovation were identified for reducing psychological aggression (e.g. denigration) and aggressive behaviour. A range of aggression outcome measures were utilized though all were not standardised and few were observational.

Conclusions

The recent innovative cross-sector approaches to managing violence and aggression in adults identified indicate a small but promising evidence base. Future research will add to this by using rigorous designs, developing standardised outcome measures and focussing on reducing aggressive behaviour leading to trauma and violence.

中文翻译：

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使用水平扫描方法对减少成年人暴力和侵略的心理社会干预的最新创新进行审查

背景

暴力和侵略会对个人和社会造成身心健康后果和代价。本综述的目的是确定最近在管理成人暴力和侵略的心理社会干预方面的跨部门创新方法。

方法

我们使用了水平扫描方法。纳入标准是 2017-2020 年发表或注册的临床试验，评估对肇事者的干预措施。我们检索了三个电子数据库（Cinahl、Medline、PsycINFO）和国际试验注册中心，以叙述性地识别文件和综合结果。

结果

确定了 18 项已发表的试验和 4 项已注册的试验。参与者包括退伍军人、亲密伴侣暴力施暴者和监狱囚犯。报告参与者在结构化结果测量方面有所改善的干预措施包括表达感激之情、情绪识别训练、激励计划/面试、艺术心理治疗和创伤知情共享叙述。在干预措施中，审查了潜在创新的“信号”或指标，以减少心理攻击（例如诋毁）和攻击行为。使用了一系列攻击性结果测量，尽管所有这些都没有标准化，而且很少是观察性的。

结论

最近确定的管理成人暴力和侵略的创新跨部门方法表明，证据基础虽小但很有希望。未来的研究将通过使用严格的设计、制定标准化的结果衡量标准并专注于减少导致创伤和暴力的攻击行为来增加这一点。