Violence by Psychiatric In-Patients

Aquilina, Carmelo

doi:10.1177/002580249103100406

Cited by 53 publications

(30 citation statements)

References 22 publications

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“…Contrary to other studies (13,22) the most usual target in this study was an object, when the particularly violent patients were excluded from the analysis. Because of their more regressive behaviour these patients often injured themselves and trying to restrain their behaviour the nurses often also became the target of the aggression.…”

Section: Discussionmentioning

confidence: 97%

Violence in a Finnish forensic psychiatric hospital

Weizmann‐Henelius

2000

Nordic Journal of Psychiatry

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HJO. Violence in a Finnish forensic psychiatric hospital. Nord J Psychiatry 2000;54:269-273. Oslo. ISSN 0803-9488.A study of the number, perpetrator, time and target of violent behaviour was carried out in a Finnish state forensic psychiatric hospital, Vanha Vaasa Hospital -Gamla Vasa Sjukhus. Forensic psychiatric patients and patients difficult-to-treat are treated in the hospital. According to the results the number of violent incidents has been quite small in the hospital during the time of the study in relation to violence in similar units and hospitals. The patients treated on account of their dangerousness and difficult propensities were the most violent, not the patients who had been charged with their violent acts. Only a small number of the patients behaved violently in the hospital. The relative number of violent female patients was larger than that of the male patients. Trained nurses and the patients themselves were found to be more often the target of the violent behaviour of particularly violent patients, whereas less violent patients directed their aggressiveness against objects. Violent incidents were more frequent during nights and at the time of patients' activities, but especially during the change of working shifts. The fewest violent incidents occurred in autumn.• Forensic psychiatric hospital, Forensic psychiatric patients, Violence.

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Section: Discussionmentioning

confidence: 97%

Violence in a Finnish forensic psychiatric hospital

Weizmann‐Henelius

2000

Nordic Journal of Psychiatry

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“…The studies to date demonstrate that patient assaults appear to be a worldwide occupational hazard in a variety of different health care settings (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). Although these first studies' results must be considered preliminary in nature, there appear to be some commonalties of precipitants across the studies that should warrant future research consideration.…”

Section: Discussionmentioning

confidence: 99%

“…Aquilina (10) was unable to find any empirical research on patient assaults through 1989. Such knowledge would enhance understanding of the patient assailant/staff victim interaction and result in potentially more efficacious risk management strategies for reducing such violence.…”

Section: Introductionmentioning

confidence: 99%

Precipitants to psychiatric patient assaults on staff: review of empirical findings, 1990–2003, and risk management implications

Flannery

2005

Psychiatr Q

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Psychiatric patient assaults on staff are a serious and continuing problem in health care settings. Over thirty years of empirical research have documented the characteristics of both patient assailants and staff victims. Notably absent from this literature have been similar empirical studies on the nature of patient precipitants to these assaults. This paper reviewed empirical studies of patient assault precipitants from 1990-2003. Six studies from three countries were reviewed. Common precipitants included staff restrictions on patient behaviors, denial of services, excessive sensory overload, and provocation by others. The clinical, methodological, and risk management implications are examined.

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“…Individuals with psychosis and personality disorders have shown higher rates of aggression than those with depression (Aquilina, 1991;Davis, 1991;Hillbrand et al, 1996;James, Fineberg, Shah, & Priest, 1990). Compulsory and civil admissions were more aggressive than voluntary and forensic admissions (Agarwal & Roberts, 1996;James et al, 1990;Owen et al, 1998).…”

mentioning

confidence: 99%

Reducing assaults on an acute psychiatric unit using a token economy: a 2‐year follow‐up

LePage

DelBen

Pollard

et al. 2003

Behavioral Interventions

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Token economies are an effective way of changing various behaviors including acquiring new skills, reducing undesired behaviors, reducing aggression, increasing treatment compliance, and improving psychiatric unit management. This study examines the long‐term effect of a token economy on an acute care, inpatient psychiatric unit. The two years following the implementation of a unit based token economy are compared with the 12 months prior to implementation. The results show a significant reduction in total assaults as well as fewer staff injuries resulting in loss of time from work. Copyright © 2003 John Wiley & Sons, Ltd.

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Violence by Psychiatric In-Patients

Cited by 53 publications

References 22 publications

Violence in a Finnish forensic psychiatric hospital

Violence in a Finnish forensic psychiatric hospital

Precipitants to psychiatric patient assaults on staff: review of empirical findings, 1990–2003, and risk management implications

Reducing assaults on an acute psychiatric unit using a token economy: a 2‐year follow‐up

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