Crime Analysis

Vellani, Karim H.

doi:10.4324/9780429506611-4

Cited by 1 publication

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“…In a health care context, perpetrators of Type II violence are patients or family members/visitors. Type II violence accounts for 91% of all assaults in U.S. hospitals, and the reported national annual assault rate has increased over the past 3 years from 7.8 to 9.3 incidents per 100 beds (NIOSH, 2016; Vellani, 2017). In fact, injuries caused by patients comprise 34% to 57% of nonfatal injury or illness cases that result in days away from work among hospital employees (Dressner, 2017).…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Assault and Physical Aggression Among Medically Hospitalized Adult Patients Who Had a Behavioral Emergency Call: A Descriptive Study

Derscheid

Lohse

Arnetz

2021

J Am Psychiatr Nurses Assoc

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BACKGROUND: Health care settings are a primary location for workplace violence that involves clients, but risk factors for behavioral emergencies in medical settings are largely unknown. AIM: This study proposed to identify risk factors for assault and physical aggression among medically hospitalized patients who needed a behavior emergency response team. METHOD: This descriptive study, conducted at a large Midwestern academic medical center, used univariable and multivariable logistic regression to assess relationships between demographic, medical, mental health, and contextual variables with assault and physical aggression. Predictive ability was summarized using area under the receiver operating characteristic curve. RESULTS: Among patients who received a behavior emergency response ( N = 820), 86 (10%) were assaultive. Physical aggression was the most significant predictor of assault. Physical aggression was predicted by older age, male gender, and verbal threats to others. Conversely, internalizing mental health conditions of anxiety, depression, and suicidal ideation were significant for decreased risk of assault and/or physical aggression. Contextual factors, identified as wanting to smoke or leave the hospital, were significantly associated with decreased risk of both assault and physical aggression. CONCLUSION: Health care providers are encouraged to (1) consider the demonstration of physical aggression as a sign to urgently implement precautionary measures for safety, (2) avoid predicting violent situations based on particular medical or mental health conditions alone, and (3) understand that not all disruptive behavior leads to violent situations.

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Section: Introductionmentioning

confidence: 99%