目的：探讨心理干预对社区重性精神疾病患者肇事肇祸危险度的影响。方法对603例社区重性精神疾病患者进行肇事肇祸危险度评估，并在常规治疗的基础上于随访时进行社区心理干预，观察1a。干预后再次评定患者的肇事肇祸危险度，并与干预前进行对比分析。结果心理干预后入组患者的肇事肇祸等级构成有显著变化（P＜0．05），其中精神分裂症患者和初中及以上文化程度患者的肇事肇祸危险等级显著降低（P＜0．01），精神发育迟滞患者和小学及以下文化程度患者的肇事肇祸危险等级无明显变化（P＞0．05）。结论心理干预能显著降低社区重性精神疾病患者的肇事肇祸危险度，但对精神发育迟滞患者及文化程度低的患者效果不明显。%Objective To explore the effect of mental interventions on trouble‐making risks of patients with severe mental illness (SMI) .Methods Assessments of troublemaking risks were carries out in 603 SMI patients ,community mental interventions given to them on the basis of routine treatment during follow‐up ,and they observed for 1 year .Assessments of troublemaking risks were car‐ries out again after intervention and compared with pre‐intervention assessments .Results After interven‐tion troublemaking grade constitution of SMI patients changed significantly (P<0 .05) ,hazard grades of schizophrenics and patients with educational level of junior high school and above lowered more significant‐ly (P<0 .01) ,and there were no significant changes in hazard grades among patients with mental retarda‐tion and ones with primary school and below (P>0 .05) .Conclusion Psychological intervention could no‐tably reduce the troublemaking risk of SMI patients except patients with mental retardation and ones with primary school and below .
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