International Precipitants to Psychiatric Patient Assaults in Community Settings: Review of Published Findings, 2000-2012

Overview

Journal Psychiatr Q

Specialty Psychiatry

Date 2014 Sep 25

PMID 25248419

Citations 3

Authors

Raymond B Flannery

Georgina J Flannery

Affiliations

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Abstract

In studying psychiatric patient assaults, assessing the person × event × environment interaction is important in enhancing safety and ensuring quality care. Precipitants to patient assaults have traditionally received less attention than the characteristics of such assaults. A recent review of inpatient precipitants noted acute psychosis, denial of services, and substance abuse as common precipitants in these settings. Even though health care systems are moving toward community-based services, no community studies were included in this inpatient review. The present study reviewed the precipitants reported in community studies internationally from 2000-2012. A variety of community precipitants, including acute psychosis and substance abuse, were obtained. How these community precipitants differ from the inpatient preciptiants and a detailed methodological inquiry are presented.

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International Review of Precipitants to Patient Assaults on Staff, 2013-2017.

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References

Flannery Jr R, Fisher W, Walker A . Characteristics of patient and staff victims of assaults in community residences by previously nonviolent psychiatric inpatients. Psychiatr Q. 2000; 71(3):195-203. DOI: 10.1023/a:1004645409253. View

Alexander C, Fraser J . Occupational violence in an Australian healthcare setting: implications for managers. J Healthc Manag. 2004; 49(6):377-90. View

Flannery Jr R, Fisher W, Walker A, Littlewood K, Spillane M . Nonviolent psychiatric inpatients and subsequent assaults on community patients and staff. Psychiatr Q. 2001; 72(1):19-27. DOI: 10.1023/a:1004853802285. View

Flannery Jr R, Hanson M, Corrigan M, Walker A . Past violence, substance use, and precipitants to psychiatric patient assaults: eleven-year analysis of the Assaulted Staff Action Program (ASAP). Int J Emerg Ment Health. 2006; 8(3):157-63. View

Flannery Jr R . Precipitants to psychiatric patient assaults on staff: review of empirical findings, 1990-2003, and risk management implications. Psychiatr Q. 2005; 76(4):317-26. DOI: 10.1007/s11126-005-4965-y. View

Flannery Jr R, Laudani L, LeVitre V, Walker A . Precipitants of psychiatric patient assaults on staff: three-year empirical inquiry of the Assaulted Staff Action Program (ASAP). Int J Emerg Ment Health. 2006; 8(1):15-22. View

Flannery Jr R, Wyshak G, Tecce J, Flannery G . Characteristics of American assaultive psychiatric patients: review of published findings, 2000-2012. Psychiatr Q. 2014; 85(3):319-28. DOI: 10.1007/s11126-014-9294-6. View

Papadopoulos C, Ross J, Stewart D, Dack C, JAMES K, Bowers L . The antecedents of violence and aggression within psychiatric in-patient settings. Acta Psychiatr Scand. 2012; 125(6):425-39. DOI: 10.1111/j.1600-0447.2012.01827.x. View

Flannery R, Staffieri A, Hildum S, Walker A . The violence triad and common single precipitants to psychiatric patient assaults on staff: 16-year analysis of the Assaulted Staff Action Program. Psychiatr Q. 2010; 82(2):85-93. DOI: 10.1007/s11126-010-9155-x. View

10.

McEwan T, Mullen P, Mackenzie R . A study of the predictors of persistence in stalking situations. Law Hum Behav. 2008; 33(2):149-58. DOI: 10.1007/s10979-008-9141-0. View

11.

Wootton L, Buchanan A, Leese M, Tyrer P, Burns T, Creed F . Violence in psychosis: estimating the predictive validity of readily accessible clinical information in a community sample. Schizophr Res. 2008; 101(1-3):176-84. DOI: 10.1016/j.schres.2007.12.490. View

12.

Flannery Jr R, Hanson M, Rego Jr J, Walker A . Precipitants of psychiatric patient assaults on staff: preliminary empirical inquiry of the Assaulted Staff Action Program (ASAP). Int J Emerg Ment Health. 2003; 5(3):141-6. View