Characteristics of aggression among psychiatric inpatients by ward type in Japan: Using the Staff Observation Aggression Scale – Revised (SOAS‐R)

Sato, Mototaro; Noda, Toshie; Sugiyama, Naoya; Yoshihama, Fumihiro; Miyake, Michi; Ito, Hiroto

doi:10.1111/inm.12228

Cited by 8 publications

(15 citation statements)

References 35 publications

(68 reference statements)

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“…These studies have obtained an acceptable validity for the scale; this scale has consequently been used in many European countries. 3 , 4 , 7 , 9 , 14 - 17 In our study, using the known group’s technique, the SOAS-R was found to have acceptable criterion and construct validity. Therefore, the construct validity for the scale is fair to good.…”

Section: Discussionmentioning

confidence: 56%

“…Previous studies report that 3.0% to 13.6% of inpatients display aggressive behaviour episodes in psychiatric wards. 7 In one study, 6% of the nurses reported to have been the…”

Section: Introductionmentioning

confidence: 99%

“…The SOAS-R tool is used in different countries. 3 , 4 , 7 , 9 , 14 - 17 Also the Visual Analogue Scale is a suitable and useful scale for the prediction of physical and verbal aggression.‏ It has been established as a valid and reliable scale to help staff detect a level of aggression. 14 There is no specific observation scale in Iranian psychiatric wards to measure aggressive behaviour.…”

Section: Introductionmentioning

confidence: 99%

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Vailation of the Persian Version of the Staff Observation Aggression Scale-Revised in Psychiatric Patients

et al. 2017

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Introduction: In psychiatric settings, aggressive events frequently occur during therapy. The use of a proper standard scale to register aggression can facilitate the assessment and control of aggression and help reduce its frequency and severity. The aim of this study is to evaluate the validity and reliability of the Staff Observation Aggression Scale—Revised (SOAS-R). Methods: This psychometric study of the scale was conducted to determine the validity and reliability of the SOAS-R. The validation of the scale was assessed on the basis of 319 aggressive events in the psychiatric wards of the Baqiyatallah and Roozbeh hospitals. Convenience sampling was used for subject selection. Psychometric properties of SOAS-R were studied in two stages. First, the standard scale was translated according to the International Quality of Life Assessment (IQOLA) translation methodology. The face validity, content, and construct validity of the translated version were then determined. The construct validity of the scale was assessed by comparing the known groups. Results: The internal consistency of the whole scale was 0.99. The intra-class correlation coefficients (ICC) were 0.85–0.99 while kappa coefficient was 0.43 to 0.65 for different aspects of the SOAS-R. The validity of the scale was concurrently assessed by using the Visual Analogue Scale (VAS), with a Spearman-Brown correlation coefficient of 0.90. Conclusion: These results showed a favourable validity and reliability for the Persian version of the SOAS-R for the assessment of aggressive behaviour in psychiatric patients.

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Section: Discussionmentioning

confidence: 56%

“…Previous studies report that 3.0% to 13.6% of inpatients display aggressive behaviour episodes in psychiatric wards. 7 In one study, 6% of the nurses reported to have been the…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Vailation of the Persian Version of the Staff Observation Aggression Scale-Revised in Psychiatric Patients

et al. 2017

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“…One study examined the characteristics of aggressive incidents by ward type,41 and two studies identified correlates of violence 42 43. One study explored how patients described their aggressive behaviours 44.…”

Section: Resultsmentioning

confidence: 99%

Patient safety in inpatient mental health settings: a systematic review

et al. 2019

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ObjectivesPatients in inpatient mental health settings face similar risks (eg, medication errors) to those in other areas of healthcare. In addition, some unsafe behaviours associated with serious mental health problems (eg, self-harm), and the measures taken to address these (eg, restraint), may result in further risks to patient safety. The objective of this review is to identify and synthesise the literature on patient safety within inpatient mental health settings using robust systematic methodology.DesignSystematic review and meta-synthesis. Embase, Cumulative Index to Nursing and Allied Health Literature, Health Management Information Consortium, MEDLINE, PsycINFO and Web of Science were systematically searched from 1999 to 2019. Search terms were related to ‘mental health’, ‘patient safety’, ‘inpatient setting’ and ‘research’. Study quality was assessed using the Hawker checklist. Data were extracted and grouped based on study focus and outcome. Safety incidents were meta-analysed where possible using a random-effects model.ResultsOf the 57 637 article titles and abstracts, 364 met inclusion criteria. Included publications came from 31 countries and included data from over 150 000 participants. Study quality varied and statistical heterogeneity was high. Ten research categories were identified: interpersonal violence, coercive interventions, safety culture, harm to self, safety of the physical environment, medication safety, unauthorised leave, clinical decision making, falls and infection prevention and control.ConclusionsPatient safety in inpatient mental health settings is under-researched in comparison to other non-mental health inpatient settings. Findings demonstrate that inpatient mental health settings pose unique challenges for patient safety, which require investment in research, policy development, and translation into clinical practice.PROSPERO registration numberCRD42016034057.

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“…The characteristics of aggressive incidents in psychiatric wards have been thoroughly documented [2][3][4]. However, studies of the characteristics of aggressive incidents in emergency primary health care are sparse.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of aggressive incidents in emergency primary health care described by the Staff Observation Aggression Scale – Revised Emergency (SOAS-RE)

Johnsen

Morken

Baste

et al. 2020

BMC Health Serv Res

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Background: Workplace violence in emergency primary health care is prevalent, but longitudinal studies using validated assessment scales to describe the characteristics of workplace violence in these settings are lacking. The aim of the present study was to determine the characteristics of aggressive incidents in emergency primary health care clinics in Norway. Methods: Incidents of workplace violence were reported with the Staff Observation Aggression Scale-Revised Emergency (SOAS-RE). The study was conducted in ten emergency primary health care clinics over a period of one year. Results: A total of 320 aggressive incidents were registered. The mean overall SOAS-RE score for reported aggressive incidents was 9.7 on a scale from 0 to 22, and 60% of the incidents were considered severe. Incidents of verbal aggression accounted for 31.6% of all reported incidents, threats accounted for 24.7%, and physical aggression accounted for 43.7%. Verbal aggression was most often provoked by long waiting time. Physical aggression was most often provoked when the patient had to go through an involuntary assessment of health condition. Almost one third of the aggressors were females, and nurses were the most frequent targets of all aggression types. No differences in psychological stress were found between types of aggression. Conclusions: This study shows that workplace violence in emergency primary health care clinics is a severe problem. Patterns in provocation and consequences of aggressive incidents can be used to improve our understanding of and prevention and follow-up procedures of such incidents.

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Characteristics of aggression among psychiatric inpatients by ward type in Japan: Using the Staff Observation Aggression Scale – Revised (SOAS‐R)

Cited by 8 publications

References 35 publications

Vailation of the Persian Version of the Staff Observation Aggression Scale-Revised in Psychiatric Patients

Vailation of the Persian Version of the Staff Observation Aggression Scale-Revised in Psychiatric Patients

Patient safety in inpatient mental health settings: a systematic review

Characteristics of aggressive incidents in emergency primary health care described by the Staff Observation Aggression Scale – Revised Emergency (SOAS-RE)

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