Erfassung von Patientenübergriffen 2008–2015 in zwei psychiatrischen Kliniken: Ergebnisse und Implikationen

Müller, Matthias J.; Olschinski, Christiane; Jochim, Dorothee; Feldhordt, Michaela

doi:10.1055/s-0042-105177

Cited by 6 publications

(7 citation statements)

References 31 publications

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“…Our results present a rate for patients that demonstrated violent behavior in a prison hospital that ranged from 3.2 to 15.9%. This rate is in the range of rates reported from psychiatric inpatients in community hospital care (2–4). Regarding trends, there was no statistically significant increase in violent behavior in the last 20 years regarding the psychiatric ward of the Berlin prison hospital.…”

Section: Resultsmentioning

confidence: 55%

“…Schizophrenia proved to be a statistically significant marker for the patients in the violent group what is in accordance to the international literature on psychosis, substance abuse, and violent behavior (8, 11, 30). Interestingly, rates of violent behavior did not exceed the reported rates from general psychiatry (2–4). Wolf et al .…”

Section: Resultsmentioning

confidence: 66%

“…Recently, Müller et al . reported a moderate increase in violent behavior against staff members in psychiatric inpatient settings between 2008 and 2015, with an average increase in violent incidences of 4% per year (4). A recent meta-analysis, including 23.972 hospitalized psychiatric patients, reported that 17% had at least once acted violently during their hospital stay (5).…”

Section: Introductionmentioning

confidence: 99%

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Violent Behavior During Psychiatric Inpatient Treatment in a German Prison Hospital

Seidel¹,

Konrad

Negatsch

et al. 2019

Front. Psychiatry

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Violent behavior in correctional facilities is common and differs substantially in type, target, implication, and trigger. Research on frequency and characteristics of violent behavior in correctional facilities and psychiatric hospitals is limited. Results from recent research suggest that comorbidity of severe mental disorder, personality disorder, and diagnosis of substance abuse is related to a higher risk of violent behavior. In the Berlin prison hospital, a database was created to collect data from all violent incidences (n=210) between 1997 and 2006 and between 2010 and 2016. In a retrospective, case-control study, we analyzed specific socioeconomic data and psychiatric diagnosis and compared the group of prisoners with violent behavior with randomly selected prisoners of the same department without violent behavior (n = 210). Diagnosis of schizophrenia, non-German nationality, no use of an interpreter, no children, and no previous sentence remained significantly associated with the dependent variable violent behavior. There were no significant differences regarding age and legal statuses. Practical implications for clinical work are discussed.

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Section: Resultsmentioning

confidence: 55%

Section: Resultsmentioning

confidence: 66%

Section: Introductionmentioning

confidence: 99%

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Violent Behavior During Psychiatric Inpatient Treatment in a German Prison Hospital

Seidel¹,

Konrad

Negatsch

et al. 2019

Front. Psychiatry

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“…Zudem wird eine psychiatrieerfahrene Person eingeladen, die ihr Stigmaerleben beschreibt und mit den anderen KursteilnehmerInnen in Erfahrungsaustausch tritt. Gemeinsam werden Lösungsund Handlungsmöglichkeiten zur Stigmabewältigung erarbeitet, reichend vom Umgang mit entwertenden sprachlichen Formulierungen bis hin zur Verarbeitung von äußerst übergriffig erlebten Situationen, wie beispielsweise mechanische Fixierungen [26,27].…”

Section: Abstract Objectiveunclassified

„StigMa“ – Evaluation eines psychologischen Therapieprogramms zu Stigma-Management

et al. 2017

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“…The rate of 7.7% reported from a hospital in Northrhine Westfalia some years later by Ketelsen et al [16] was still higher. More recently, Mueller et al [21] reported a significant increase of violent incidents between 2008 and 2015 in a hospital in the State of Hesse, but on a rather low level (from 1.78% up to 3.32% of all admissions). In a subsequent article considering the following year, 2016, a pattern of increase could not be confirmed [22].…”

Section: Introductionmentioning

confidence: 99%

Incidents of aggression in German psychiatric hospitals: Is there an increase?

2021

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Introduction In a meta-analysis of international studies, 17% of admitted patients in psychiatric hospitals had exhibited violent behavior toward others. Reported data from studies in Germany were considerably lower until recent years. However, studies examining only single hospitals, as well as the quality of the data itself, have raised questions as to the validity of these findings. Indeed, a debate currently exists as to whether there has, in fact, been an increase of violent incidents in German mental institutions. Methods In a group of 10 hospitals serving about half the population of the Federal State of Baden-Wuerttemberg with 11 million inhabitants, the Staff Observation Aggression Scale–Revised (SOAS-R) was introduced into patients’ electronic charts as part of routine documentation. Data recording was strongly supported by staff councils and unions. A completed data set is now available for the year 2019. For one hospital, data are available since 2006. Due to some doubts with respect to fully covering self-directed aggression, we restricted the analysis to aggression toward others and toward objects. Results In 2019, 17,599 aggressive incidents were recorded in 64,367 admissions (1,660 staying forensic psychiatric inpatients included). 5,084 (7.90%) of the admitted cases showed aggressive behavior toward others. Variation between hospitals was low to modest (SD = 1.50). The mean SOAS-R score was 11.8 (SD between hospitals 1.20%). 23% of the incidents resulted in bodily harm. The percentage of patients showing violent behavior was highest among patients with organic disorders (ICD-10 F0) and lowest among patients with addictive or affective disorders (F1, F3, F4). Forensic psychiatry had the highest proportion of cases with aggressive behavior (20.54%), but the number of incidents per bed was lower than in general adult psychiatry and child and adolescent psychiatry (indicating a lower risk for staff). In the hospital with longer-term recordings available, an increase could be observed since 2010, with considerable variation between years. Conclusions This is the most robust estimate of the frequency of violent incidents in German psychiatric hospitals thus far. The incidence is about half of what has been reported internationally, probably due to sample selection bias in previous studies and a relatively high number of hospital beds in Germany. Available data suggest an increase of violent incidents over the last ten years; however, it is unclear to which extent this is due to increased reporting.

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Erfassung von Patientenübergriffen 2008–2015 in zwei psychiatrischen Kliniken: Ergebnisse und Implikationen

Cited by 6 publications

References 31 publications

Violent Behavior During Psychiatric Inpatient Treatment in a German Prison Hospital

Violent Behavior During Psychiatric Inpatient Treatment in a German Prison Hospital

„StigMa“ – Evaluation eines psychologischen Therapieprogramms zu Stigma-Management

Incidents of aggression in German psychiatric hospitals: Is there an increase?

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