Xu Jiuyan saw how many people were looking at herself, and continued: "For another example, a patient hears a voice out of thin air, complimenting him on how talented he is, so that he can go to a certain place to receive an important thing before midnight the next day." Appointment.” So, the patient walked out of the house without any preparation and boarded the train to other places.
In short, due to the danger of imperative auditory hallucinations in terms of content and unpredictability in terms of time, family members must pay great attention to this. If the patient is found to have this symptom, family members should be with the patient at all times. To be on the safe side, it is best to send the patient to hospital. "
Everyone was terrified after hearing it, as if they had heard a ghost story. Brother Chuan swallowed and said, "What you said is too weird."
"How is this weird? This is based on science." Xu Jiuyan said.
Liang Yien agreed and said: "Xiao Jiu is right. This is a common condition for patients with schizophrenia. When I performed a biopsy on Wei Qiang, he told me that someone wanted to kill him. In fact, this is also schizophrenic. A symptom."
Xu Jiuyan explained: “The delusion of persecution is one of the most common symptoms of all mental patients. Most patients adopt an attitude of patience and avoidance, and a few patients will also “act first to be strong” and take the initiative to attack his “imaginary enemy”. Therefore, the most important thing is to understand the patient’s delusion object, that is: who the patient thinks is the victim of him. If the patient’s delusion object is a family member, try to keep the family member away from the patient, at least not to let him be alone with the patient Together.
At the same time, patients with schizophrenia may experience depression and even pessimism at different stages of their illness. It is particularly important to note that a considerable number of patients who succeeded in suicide committed suicide during the recovery period of the disease. After the psychiatric symptoms were eliminated, the patient was burdened with a heavy thought burden on his back, unable to correctly deal with practical problems such as further education, employment, and marriage, and felt desperate, so he chose to commit suicide. In this regard, family members must take precautions before they occur, discover the patient’s psychological distress as soon as possible, and rectify them in time.
For patients who have clearly expressed their suicidal ideas, family members should neither panic nor evasive. They should take the initiative to discuss the pros and cons of suicide with the patient, help the patient comprehensively and objectively evaluate various difficulties encountered in reality, and find practical and feasible ones. Solution.
In addition, before committing suicide, such patients are carefully considered and fully prepared, such as writing a suicide note, packing up old things, saying goodbye to family members, choosing a time for suicide, preparing suicide tools, etc. The suicide method of such patients is also relatively mild, and most of them commit suicide by taking drugs. Therefore, he needs a certain amount of time to accumulate a sufficient amount of medicine, and then he can see the importance of keeping the medicines by his family. As long as family members closely observe the patient's emotional changes, it is not difficult to detect the patient's suicide attempt early. "
Everyone nodded, and Tian Yuming said: "Now you know why Director Shi Jinyu asked us to monitor him 24 hours a day? Xiao Liang, how is your drug check?"
Liang Yien replied: “One of the side effects of antipsychotics is that they may cause inexplicable restlessness, helplessness, palpitation, sweating, fear, etc. These manifestations are mostly episodic, and most of them occur in the afternoon to the evening. Some patients have the above symptoms within 2-3 days after the long-acting injection. This regularity of time helps family members to determine whether the patient’s anxiety is caused by drugs. The results of drug testing will take some time. It's already going on.
In schizophrenia, the patient is eager to get rid of this intense pain, and will have the impulse to injure or self-injure. These behaviors are only for venting and liberation, and do not take death as the ultimate goal. Family members can give the patient a small dose of antipsychotic drugs when the patient has an attack, or adjust the dose or variety of antipsychotic drugs under the guidance of a doctor, so that the patient's anxiety attack can be effectively controlled.
The psychiatric symptoms of patients are manifested as serious thinking disorder, disorganized speech, and lack of purpose in behavior. Such patients may also injure themselves or destroy others. Because the patient's excitement and restlessness are continuous, family members are well prepared and it is generally easier to prevent it. Family members should take good care of dangerous items such as knives, scissors, fire, gas, etc., but the most fundamental way is to use large doses of drugs with a strong sedative effect to control the patient's excitement. If it is really difficult to care for the patient at home, the patient can be forced to be hospitalized. "
"Very well, these things are handed over to Xiaoliang. Be sure to investigate the source of the drugs." Tian Yuming said in his heart, "Then we will continue to look at the case except for those mentioned by Director Shi Jinyu. Our case is not acceptable. Let go. Tell me what everyone thinks."
Tian Yuming looked at Yu Shuhui and said, "What do you think?" Yu Shuhui said in a weird way: "What can I say?"
Tian Yuming didn't flatter Yu Shuhui, turned her head to ask Xu Jiuyan, and said, "Do you have any thoughts now?"
Xu Jiuyan said: "I think the key lies with Wei Qiang. We will continue to investigate Wei Qiang's social circle, find suspicious people, and figure out their contact information and division of labor network. We can also see this. A barrister, because he is the only outsider who can come into contact with Wei Qiang."
Yu Shuhui said: "We all know that Wei Qiang is going to be tried, the question is how to do it? This question has bothered us for a long time."
Xu Jiuyan said: “We can only cast a wide net and fish more. By listing the suspect’s silent behavior and using logical relationships to evaluate the many contradictions in his behavior, silence is acquiescence, and silence means nothing to say. Make them aware that the silence of their choice is not a clever move. In interrogation activities, there are usually many ways to list and reveal the logical contradictory relationships.
The first is the contradiction between the talkative and good communication of the criminal suspect in daily life and the silence when he is being interrogated; the second is the existence of objective facts, silence is acquiescence, silence is nothing to say, because it exists objectively, so there is no need for excuse; It is clearly informed that the Criminal Procedure Law of our country clearly stipulates that the criminal suspect should answer truthfully, and the behavior of deliberate silence is contradictory; fourth, since it can answer other questions, what is the reason for being silent on the subject of interrogation? To make the criminal suspect realize that silence violates the logical relationship of pragmatic behavior. It is his own behavioral error and contradictions in his behavior. In order to cover up the contradiction, he had to choose to speak. "(End of this chapter)