Factors associated with repetitive violent behavior of psychiatric inpatients

Autor: Elise S. Dan Glauser, Valérie Moulin, Mehdi Gholam-Rezaee, Didier Camus, Jacques Gasser
Rok vydání: 2021
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Substance-Related Disorders
Pharmacy
Comorbidity
Psychiatric Department
Hospital
Violence
03 medical and health sciences
0302 clinical medicine
Sheltered housing
Risk Factors
Humans
Medicine
Situational ethics
Psychiatry
Aggression/psychology
Female
Hospitalization/statistics & numerical data
Inpatients/statistics & numerical data
Length of Stay
Mental Disorders/diagnosis
Mental Disorders/epidemiology
Mental Disorders/psychology
Mental Disorders/therapy
Middle Aged
Schizophrenia/epidemiology
Socioeconomic Factors
Substance-Related Disorders/epidemiology
Substance-Related Disorders/psychology
Violence/psychology
Violence/statistics & numerical data
Institutional
Psychiatric inpatients
Repetitively violent patients
Situational and individual factors
Violent behavior
Biological Psychiatry
Inpatients
Modalities
business.industry
Aggression
Mental Disorders
medicine.disease
030227 psychiatry
Hospitalization
Substance abuse
Psychiatry and Mental health
Schizophrenia
medicine.symptom
business
030217 neurology & neurosurgery
Zdroj: Psychiatry research, vol. 296, pp. 113643
ISSN: 0165-1781
DOI: 10.1016/j.psychres.2020.113643
Popis: A small number of psychiatric inpatients displays a large proportion of Violent Behaviors (VB). These can have a major impact on both victims and patients themselves. This study explored personal, situational and institutional risk factors and their combined effects, which could lead to repetitive VB (three or more assaults). Data from 4518 patients, aged 18 to 65, admitted to an acute psychiatric care facility, were included in the analysis. VB, defined as physical aggressions against another person, were assessed by the Staff Observation Aggression Scale-Revised. 414 VB were reported during the study period, involving 199 patients. 0.75 % of all patients were repetitively violent and committed 43% of all VB. Factors that were linked to repetitive VB were living in sheltered housing before hospitalization, suffering from schizophrenia with substance abuse comorbidity, cumulating hospitalization days and some situational factors, like the fact of being in nursing offices and pharmacies. When all personal, situational and institutional factors were considered together, the combined effects of length of stay and living in sheltered housing increased the risk of repetitive VB. We have identified a small group of vulnerable patients for whom new modalities of inter-institutional networking should be developed to prevent repetitive VB.
Databáze: OpenAIRE
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