Application of MOAS for Evaluating of Violence Risk in the Inpatients with Mental Disorders / 法医学杂志

OBJECTIVES@#To explore the value of Modified Overt Aggression Scale （MOAS） on predicting serious aggressive behavior in the inpatients with mental disorders and to provide theoretical basis for violence risk assessments in the inpatients with mental disorders.@*METHODS@#Total 918 inpatients in a psychiatric hospital were evaluated by trained medical workers using MOAS in September 2009, and their serious violent behavior were followed up for 2 years. The value of MOAS on predicting violence in the inpatients with mental disorders was analyzed by SPSS 21.0.@*RESULTS@#（1） Compared to the patients without serious aggressive behaviors, the patients with serious aggressive behavior within 2 years showed significantly higher scores （P＜0.05） on verbal aggression, aggression against property, physical aggression and total weighted score of MOAS; （2） Significant correlation was found between the score of verbal aggression and the serious acts of violence within 2 years （P＜0.05）; （3） Scores of verbal aggression, physical aggression and total weighted score of MOAS had predictive value on serious aggressive behaviors within 2 years.@*CONCLUSIONS@#MOAS has certain value on predicting the serious aggressive behaviors of patients with mental disorders within 2 years.

Conductas socialmente indeseables asociadas a agresores y resilientes. Un estudio de casos y controles en Medellín, Colombia. 2003 - 2005 / Deviant behaviors associated with aggressors and resilient subjects. A case-control study in Medellin, Colombia. 2003-2005

Con base en un estudio de casos y controles realizado en Medellín, Colombia, entre 2003 y 2005 con el fin de estimar los factores asociados a formas severas de agresión y delincuencia, así como los factores de resiliencia frente a ellas, se estimaron las conductas socialmente indeseables o anómicas vinculadas a cada uno de los grupos estudiados. Metodología: Se estudiaron cinco grupos: agresores severos (n=62), agresores principalmente de riñas graves (n=81), miembros de las Autodefensas Unidas de Colombia (AUC) no reinsertados, comúnmente denominados paramilitares (n=72), resilientes (n=59) y controles comunitarios (n=103). A todos se les hizo una encuesta, respondida personalmente en las comunidades donde residen, para ello se los identificó y contactó por medio de entidades y personas de las comunidades que les merecieran respeto y confianza. Resultados: La magnitud de la prevalencia y el número de las conductas de agresión abierta, de agresión encubierta, de oposición y el consumo de sicoactivos es mayor entre los miembros de las AUC, los agresores severos y los agresores de riñas que entre los controles y resilientes. Los resilientes presentan menor número de conductas socialmente anómalas que los controles comunitarios y con una proporción de prevalencia menor. El grupo de AUC no se diferencia de los agresores más severos en cuanto a las conductas que están frecuentemente asociadas a cada uno de estos grupos.

Concurrent risky or deviant behaviors of serious offenders, resilient men and community controls were estimated through a case-control study carried out in Medellin, Colombia between 2003 and 2005. Methodology: Cases: serious offenders (n=62), men involved in violent quarrels or brawls (n=81), and members of Autodefensas Unidas de Colombia -Colombian paramilitary army- (AUC), also known as paramilitaries (n=72) were compared to resilient men (n=59) and community controls (n=103). All were interviewed face to face in their communities. Cases were interviewed at the site, day and hour agreed with the group leader. Controls and resilient men were referred by respected and trusted persons of the community and interviewed in their own communities in a place chosen by them. Results: Antecedents of overt and covert aggression, deviant behaviors and oppositional behaviors, and substance abuse was higher among AUC members (paramilitaries), serious offenders and men involved in quarrels than among community controls and resilient men. Resilient men report a smaller number of concurrent deviant and risky behaviors compared to community controls. AUC members (paramilitaries) are not different from serious offenders in their reports of concurrent risky and deviant behaviors.