Hostility and Violence of Acute Psychiatric Inpatients

Overview

Journal Clin Pract Epidemiol Ment Health

Publisher Bentham Open

Specialty Psychiatry

Date 2005 Aug 2

PMID 16053528

Citations 19

Authors

Michele Raja

Antonella Azzoni

Affiliations

Soon will be listed here.

Abstract

Objective: The aim of the present study was to find out the extent of hostility and violence and the factors that are associated with such hostility and violence in a psychiatric intensive care unit.

Methods: Retrospective analysis of data prospectively collected in a 6-year period.

Results: No hostility was observed in 56.1%, hostility in 40.9%, and violence in 3.0% of the admitted cases. Seclusion was never used. Six cases (2.5 per thousand) required physical restraint. Risk factors associated with violence were younger age, suicidal risk, and diagnosis of schizophrenia. Risk factors associated with hostile and violent behavior were younger age at the onset of the disorder, being single, having no children, lower GAF scores, higher BPRS hostility, SAPS, and CGI scores, lower BPRS anxiety-depression score, higher doses of psychoactive drugs, more frequent use of neuroleptics, diagnosis of mania, personality disorder, substance and alcohol related disorders, no diagnosis of depression.

Conclusion: The study confirms the low rate of violence among Italian psychiatric in-patients, the major relevance of clinical rather than socio-demographic factors in respect of aggressive behavior, the possibility of a no seclusion-no physical restraint policy, not associated either with higher rates of hostility or violence or with more severe drug side effects.

Citing Articles

An analysis of Chinese nursing electronic medical records to predict violence in psychiatric inpatients using text mining and machine learning techniques.

Hu Y, Hung J, Hu L, Huang S, Shen C PLoS One. 2023; 18(6):e0286347.

PMID: 37285344 PMC: 10246850. DOI: 10.1371/journal.pone.0286347.

Aggression, Alexithymia and Sense of Coherence in a Sample of Schizophrenic Outpatients.

Pachi A, Tselebis A, Ilias I, Tsomaka E, Papageorgiou S, Baras S Healthcare (Basel). 2022; 10(6).

PMID: 35742130 PMC: 9223291. DOI: 10.3390/healthcare10061078.

Prevalence and correlates of aggressive behavior in psychiatric inpatient populations.

Girasek H, Nagy V, Fekete S, Ungvari G, Gazdag G World J Psychiatry. 2022; 12(1):1-23.

PMID: 35111577 PMC: 8783168. DOI: 10.5498/wjp.v12.i1.1.

Aggression on the psychiatric ward: Prevalence and risk factors. A systematic review of the literature.

Weltens I, Bak M, Verhagen S, Vandenberk E, Domen P, van Amelsvoort T PLoS One. 2021; 16(10):e0258346.

PMID: 34624057 PMC: 8500453. DOI: 10.1371/journal.pone.0258346.

Aggressive and Disruptive Behavior Among Psychiatric Patients With Major Depressive Disorder, Schizophrenia, or Alcohol Dependency and the Effect of Depression and Self-Esteem on Aggression.

Fritz M, Shenar R, Cardenas-Morales L, Jager M, Streb J, Dudeck M Front Psychiatry. 2020; 11:599828.

PMID: 33343427 PMC: 7744284. DOI: 10.3389/fpsyt.2020.599828.

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