精神障碍青少年的暴力侵害行为:是生活方式/日常活动还是控制视角调节了精神疾病与受害之间的关系?

Michelle N. Harris
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摘要

与普通人群相比,患有精神障碍的青少年,尤其是涉及刑事司法系统的青少年,遭受暴力侵害的比例更高。尽管如此,却很少有研究从犯罪学理论中提取中介因素来解释为什么这类人群的受害率高于普通人群,也很少有研究确定哪些因素可以解释基于精神障碍类型的不同暴力受害风险。戒毒之路研究是一项对 1354 名被判刑的青少年罪犯进行的纵向研究,该研究利用路径分析对来自生活方式/日常活动和控制视角的因素的直接和间接影响进行了估算,以了解这些因素是否对两种不同的障碍类型(情绪障碍和药物使用/依赖障碍)与暴力伤害之间的关系起到了中介作用。对于这两种障碍类型,接近动机犯罪者的直接和间接影响会显著增加受害几率,并完全介导障碍类型与受害之间的关系。将情绪障碍和药物使用障碍与受害联系起来的机制表明,由于与生活方式/常规活动理论相关的关键因素,这类人群更有可能受害。另一方面,控制视角并不能调节精神疾病与暴力受害之间的关系。本文讨论了干预措施、理论和未来研究的意义。
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Violent Victimization of Youth With Mental Disorders: Does Lifestyles/Routine Activities or Control Perspectives Mediate the Relationship Between Mental Illness and Victimization?
Youth with mental disorders, especially those involved in the criminal justice system, experience violent victimization at greater rates when compared to the general population. Despite this, few studies examine mediating factors drawn from criminological theory to explain why this population experiences victimization at greater rates than the general population, nor identifies factors that explain differential risk for violent victimization based on disorder type. Using the Pathways to Desistance Study, a longitudinal study of 1,354 adjudicated adolescent offenders, direct and indirect effects of factors drawn from lifestyles/routine activities and control perspectives using path analyses are estimated to understand if they mediate the relationship between two different disorder types (mood and substance usage/dependence disorders) and violent victimization. For both disorder types, direct and indirect effects of proximity to motivated offenders significantly increased the odds of victimization and fully mediated the relationship between disorder type and victimization. Mechanisms linking mood and substance usage disorders to victimization suggest that this population are more likely to be victimized because of key elements connected to lifestyles/routine activities theory. Control perspectives, on the other hand, did not mediate the relationship between mental illness and violent victimization. Implications for interventions, theory, and future research are discussed.
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