Monitoring and predicting the risk of violence in residential facilities. No difference between patients with history or with no history of violence
| Autor: | de Girolamo, Giovanni, Buizza, Chiara, Sisti, Davide, Ferrari, Clarissa, Bulgari, Viola, Iozzino, Laura, Boero, Maria Elena, Cristiano, Giuseppe, De Francesco, Alessandra, Giobbio, Gian Marco, Maggi, Paolo, Rossi, Giuseppe, Segalini, Beatrice, Candini, Valentina, Andreose, Suor, Basso, Pasquale, Beneduce, Rossella, Bertolotti, Pietro, Braida, Vanda, Bonelli, Marina, Bongiorno, Fanny, Bussi, Riccardo, Castagno, Elisa, Dominicis, Fabio, Ghersi, Loredana, Greppo, Stefania, Sodano, Alessandro Jaretti, Leporatti, Massimo, Presti, Eleonora Lo, Milone, Valeria, Panigada, Fausto, Pasquadibisceglie, Livia, Rigamonti, Danilo, Rillosi, Luciana |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Mental disorders
Recidivism Residential facilities Violence Arts and Humanities (miscellaneous) Psychiatry and Mental Health Biological Psychiatry Adult Male medicine.medical_specialty Adolescent Poison control Suicide prevention Occupational safety and health Statistics Nonparametric Residential Facilities 03 medical and health sciences Young Adult 0302 clinical medicine Age Distribution Risk Factors Intervention (counseling) Injury prevention Medicine Humans Nonparametric Psychiatry Psychiatric Status Rating Scales business.industry Aggression Mental Disorders Statistics Human factors and ergonomics Middle Aged 030227 psychiatry Italy Female Follow-Up Studies medicine.symptom business 030217 neurology & neurosurgery Clinical psychology |
| Popis: | Background Most people with mental disorders are not violent. However, the lack of specific studies in this area and recent radical changes in Italy, including the closure of six Forensic Mental Hospitals, has prompted a more detailed investigation of patients with aggressive behaviour. Aims To compare socio-demographic, clinical and treatment-related characteristics of long-term inpatients with a lifetime history of serious violence with controls; to identify predictors of verbal and physical aggressive behaviour during 1-year follow-up. Methods In a prospective cohort study, patients living in Residential Facilities (RFs) with a lifetime history of serious violence were assessed with a large set of standardized instruments and compared to patients with no violent history. Patients were evaluated bi-monthly with MOAS in order to monitor any aggressive behaviour. Results The sample included 139 inpatients, 82 violent and 57 control subjects; most patients were male. The bi-monthly monitoring during the 1-year follow-up did not show any statistically significant differences in aggressive behaviour rates between the two groups. The subscale explaining most of the MOAS total score was aggression against objects, although verbal aggression was the most common pattern. Furthermore, verbal aggression was significantly associated with aggression against objects and physical aggression. Conclusions Patients with a history of violence in RFs, where treatment and clinical supervision are available, do not show higher rates of aggressiveness compared to patients with no lifetime history of violence. Since verbal aggression is associated with more severe forms of aggression, prompt intervention is warranted to reduce the risk of escalation. |
| Databáze: | OpenAIRE |
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