Psychiatric Assessment of Aggressive Patients: A Violent Attack on a Resident
| Autor: | Joe Y Kwon, Paul R.S. Burton, Dolores Malaspina, Eve Caligor, Lara Fuchs, Farah Herbert, Ze’ev Levin, Daniel Antonius, Tara Straka, Joanna L. Fried |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Poison control Comorbidity Violence Risk Assessment Suicide prevention Occupational safety and health Dangerous Behavior Injury prevention medicine Humans Psychiatry Psychotropic Drugs Risk Management Mood Disorders business.industry Aggression Prisoners Psychiatric assessment Internship and Residency Human factors and ergonomics Antisocial Personality Disorder Psychiatry and Mental health Firesetting Behavior Commitment of Mentally Ill Drug Therapy Combination medicine.symptom business Risk assessment Clinical psychology |
| Zdroj: | American Journal of Psychiatry. 167:253-259 |
| ISSN: | 1535-7228 0002-953X |
| DOI: | 10.1176/appi.ajp.2009.09010063 |
| Popis: | Aggressive patients often target psychiatrists and psychiatric residents, yet most clinicians are insufficiently trained in violence risk assessment and management. Consequently, many clinicians are reluctant to diagnose and treat aggressive and assaultive features in psychiatric patients and instead focus attention on other axis I mental disorders with proven pharmacological treatment in the hope that this approach will reduce the aggressive behavior. Unclear or nonexistent reporting policies or feelings of self-blame may impede clinicians from reporting assaults, thus limiting our knowledge of the impact of, and best response to, aggression in psychiatric patients. The authors pre-sent the case of a young adult inpatient with a long history of antisocial and assaultive behavior who struck and injured a psychiatric resident. With this case in mind, the authors discuss the diagnostic complexities related to violent patients, the importance of assessing violence risk when initially evaluating a patient, and the relevance of risk assessment for treatment considerations and future management. This report illustrates common deficiencies in the prevention of violence on inpatient psychiatric units and in the reporting and response to an assault, and has implications for residency and clinician training. |
| Databáze: | OpenAIRE |
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