Managing the violent patient: A guide for psychologists and other mental health professionals.

Tishler, Carl L.; Gordon, Lisa B.; Landry-Meyer, Laura

doi:10.1037/0735-7028.31.1.34

Cited by 11 publications

(6 citation statements)

References 31 publications

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“…Risk assessment for suicide and homicide should go hand in hand. Any report of suicidal ideation should be carefully explored using current guidelines (e.g., Joiner et al, 1999; Kleespies et al, 1999; Rudd, Joiner, Jobes, & King, 1999; VandeCreek & Knapp, 1999), but this should be followed by an assessment of violence risk, also using recently developed guidelines (Otto, 2000; Thienhaus & Piasecki, 1998; Tishler et al, 2000). Conversely, any report of homicidal or other violent ideation should be investigated thoroughly and followed by an assessment of suicidal risk.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, some of the distinct aspects of the therapeutic approaches for each may have to be combined. For instance, depression is common among individuals who are violent (Hillbrand, Foster, & Hirt, 1988) but is not a frequently mentioned treatment target in this population (Otto, 2000; Tishler et al, 2000). Similarly, problems managing anger are common among individuals who are suicidal (Goldsmith et al, 1990), who may profit from anger management training.…”

Section: Discussionmentioning

confidence: 99%

“…The standards of practice in the mental health disciplines therefore mandate a vigilant stance with regard to the risk of harm to self and the risk of harm to others. This has resulted in the development of distinct guidelines for the assessment of risk of harm to self and guidelines for the assessment of risk of harm to others (Joiner, Walker, Rudd, & Jobes, 1999; Kleespies, Deleppo, Gallagher, & Niles, 1999; Otto, 2000; Thienhaus & Piasecki, 1998; Tishler, Gordon, & Landry-Meyer, 2000; VandeCreek & Knapp, 1999). Yet these two forms of aggression frequently coexist not only in the case of homicide–suicide but also in the much more frequently occurring instances of nonlethal aggression.…”

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confidence: 99%

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Homicide–suicide and other forms of co-occurring aggression against self and against others.

Hillbrand

2001

Professional Psychology: Research and Practice

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Assessing the risk of harm to self and the risk of harm to others usually are distinct clinical processes. Yet these forms of aggression frequently coexist, occasionally with lethal outcomes. The author summarizes the literature on co-occurring aggression against self and others. Studies of homicide-suicide are reviewed first. Studies investigating the risk of co-occurring aggression against self and against others are reviewed next. The studies show a strong link between the 2 forms of aggression, etiologically implicating depression and other factors. Both types of risk assessment should occur jointly. Guidelines for combined risk assessment, prevention, and treatment are offered.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Homicide–suicide and other forms of co-occurring aggression against self and against others.

Hillbrand

2001

Professional Psychology: Research and Practice

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“…The Society of Clinical Psychology identified education and training in behavioral emergencies as crucial (APA, 2000). Updated information on assessing and managing client violence has been offered in recent journal publications (Otto, 2000; Tishler, Gordon, & Landry-Meyer, 2000) as well as books (Caraulia & Steiger, 1997; Kleespies, 1998; Newhill, 2003). Unfortunately, results from this study indicate that this information is not being integrated into training programs.…”

Section: Discussionmentioning

confidence: 99%

Psychology Students' Training in the Management of Potentially Violent Clients.

Gately¹,

Stabb²

2005

Professional Psychology: Research and Practice

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Client violence has been reported as one of student practitioners' greatest concerns. This study examined counseling and clinical psychology graduate students' exposure to client violence, perceptions of training received in managing potentially violent clients, and confidence in working with this population. Students reported that their training in the management of potentially violent clients was inadequate and that their confidence in working with this population was low. A positive correlation between perception of training and confidence in managing potentially violent clients provides support for more comprehensive training efforts for students in the management of potentially violent clients. Training suggestions are presented.

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“…There were, however, no correlations with the psychiatrist's work experience (Flannery, Stone, Rego, & Walker, 2001). As a result, training programmes on how to manage violent patients have been put into place for care staff (Dubin et al, 1988) and specific strategies for the management of aggressive behaviour have been used for precautionary measures when necessary as a quick and efficient way of dealing with violent or potentially violent patients (Tishler, Gordon, & Landry Meyer, 2000). These initiatives have been shown to reduce the risk of violent recurrences in patients (Weisman & Lamberti, 2002) and have relieved the need to commit said patients to intensive psychiatric care departments (Swanson et al, 2000).…”

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confidence: 99%

Violent Patients

Catanesi

Carabellese

Candelli

et al. 2009

Int J Offender Ther Comp Criminol

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The study takes a detailed look at psychiatric patient violence towards their psychiatrists. It takes into consideration the views and opinions of Italian psychiatrists, whether they have experienced violent behaviour first hand and, if so, which type of aggression and whether this caused them to modify their behaviour towards the patient and his or her treatment. A multiple-choice questionnaire is sent to all members of the Italian Society of Psychiatry, with 1,202 psychiatrists responding (20.23% of the sample). The data are evaluated using SPSS with chi-square test calculations for discrete and continuous variables and t-testing for independent samples (significance p < .05). Almost all psychiatrists (90.9%) have experienced verbal aggression; 72% have been threatened with dangerous objects and 64.58% have suffered physical aggression. Physical aggression experiences result in a 50% increase in the probability of modifying one's therapeutic behaviour. Significant differences emerge between the psychiatrists, according to differences in age and career experience. Psychiatrists state that they do not consider themselves to be adequately prepared to deal with the violence of patients, and almost all psychiatrists felt the need for specific training in how to manage such violence.

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Managing the violent patient: A guide for psychologists and other mental health professionals.

Cited by 11 publications

References 31 publications

Homicide–suicide and other forms of co-occurring aggression against self and against others.

Homicide–suicide and other forms of co-occurring aggression against self and against others.

Psychology Students' Training in the Management of Potentially Violent Clients.

Violent Patients

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