Factors associated with repetitive violent behavior of psychiatric inpatients.

Details

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State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_D0A803DD4218
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Factors associated with repetitive violent behavior of psychiatric inpatients.
Journal
Psychiatry research
Author(s)
Camus D., Dan Glauser E.S., Gholamrezaee M., Gasser J., Moulin V.
ISSN
1872-7123 (Electronic)
ISSN-L
0165-1781
Publication state
Published
Issued date
02/2021
Peer-reviewed
Oui
Volume
296
Pages
113643
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
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.
Keywords
Institutional, Psychiatric inpatients, Repetitively violent patients, Situational and individual factors, Violent behavior
Pubmed
Create date
14/12/2020 17:49
Last modification date
02/04/2021 6:35
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