Objective.Historically, patients with multiple acts of aggression, or chronic aggressors, have been studied as one large group. It was our objective to subdivide this group into those patients who engage in physical aggression consistently over multiple years and see if common characteristics of chronic aggressors could classify patients into an aggressive or nonaggressive group.Method.Within a forensic hospital system, patients who had committed 5 acts of physical aggression, per year, for 3 years (2010 and 2015) were reviewed. Data was collected on clinical and demographic characteristics that have shown to be associated with chronically aggressive patients and compared to nonaggressive matched controls. Data collection and analysis were completed to determine if the variables could classify patients into an aggressive or nonaggressive group.Results.Analysis showed that 2 variables, the presence of a cognitive disorder and a history of suicidal behaviors were significant in the univariate and multivariate analyses. The 2 variables were able to correctly classify 76.7% of the cases.Conclusion.A cognitive disorder, a history of suicidal behavior, and increased age were factors associated with this subgroup of aggressive patients. Clinicians may want to explore treatment programs aimed at these clinical factors including cognitive rehabilitation and social cognition treatments, which have been shown to reduce aggression in cognitively impaired populations.

中文翻译：

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打破法医医院系统内的长期慢性攻击行为

目的。从历史上看，具有多种攻击行为或慢性攻击者的患者已被作为一个大组进行研究。我们的目标是将该组细分为多年来持续进行身体攻击的患者，并查看慢性攻击者的共同特征是否可以将患者分为攻击性或非攻击性组。审查了 3 年（2010 年和 2015 年）每年 5 次身体攻击行为。收集与慢性侵袭性患者相关的临床和人口统计学特征数据，并与非侵袭性匹配对照进行比较。完成数据收集和分析以确定变量是否可以将患者分为攻击性或非攻击性组。结果。分析表明，在单变量和多变量分析中，存在认知障碍和自杀行为史这两个变量是显着的。2 个变量能够正确分类 76.7% 的病例。结论：认知障碍、自杀行为史和年龄增加是与这一攻击性患者亚组相关的因素。临床医生可能希望探索针对这些临床因素的治疗方案，包括认知康复和社会认知治疗，这些治疗已被证明可以减少认知障碍人群的攻击性。7% 的病例。结论。认知障碍、自杀行为史和年龄增加是与这一攻击性患者亚组相关的因素。临床医生可能希望探索针对这些临床因素的治疗方案，包括认知康复和社会认知治疗，这些治疗已被证明可以减少认知障碍人群的攻击性。7% 的病例。结论。认知障碍、自杀行为史和年龄增加是与这一攻击性患者亚组相关的因素。临床医生可能希望探索针对这些临床因素的治疗方案，包括认知康复和社会认知治疗，这些治疗已被证明可以减少认知障碍人群的攻击性。