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Aggression in an Inpatient Psychiatric Facility: A Retrospective Longitudinal Study
Journal of Forensic Psychology Research and Practice ( IF 0.915 ) Pub Date : 2019-04-21 , DOI: 10.1080/24732850.2019.1603505
Julie S. Costopoulos 1
Affiliation  

ABSTRACT Assaults in psychiatric hospitals are problematic for vulnerable patients, staff, and the treatment system as a whole. This study reflects the challenges state hospitals experience managing risk by evaluating differing legal statuses and comorbid diagnoses to demonstrate their differential impact on behavior while hospitalized. Assault data from 4495 admissions was gathered over eight years to provide each patient’s assault rate per month of hospitalization. Primary diagnoses, comorbid personality disorders, and legal-criminal status were shown to be related to inpatient aggression. Patients with psychotic disorders were associated with fewer assaults, while those with any comorbid personality disorder were associated with more assaults. Patients with antisocial and borderline personality disorders had the highest assault rate. Legal statuses with limited consequence for aggression were strongly associated with assault rate. Specific combinations of commitment status with diagnoses were noted to have a particularly high rate of assaults. This suggested that assaults were often volitional, motivated by personality and legal circumstance. The results indicate empirically demonstrated factors that influence assaults and can be targeted to improve the management of risk in patients.

中文翻译:

住院精神病学设施的侵略性:一项回顾性纵向研究

摘要精神病医院的袭击对于脆弱的患者,员工和整个治疗系统都是成问题的。这项研究反映了州立医院通过评估不同的法律状况和合并症来证明他们在住院期间对行为的不同影响,从而在管理风险方面遇到的挑战。在八年的时间里收集了4495例入院者的突击数据,以提供每个患者每月住院的突击率。初步诊断,合并症,人格障碍和法律-犯罪状态显示与住院侵略有关。精神病患者的攻击次数较少,而任何合并症患者的攻击次数较多。具有反社会和边缘性人格障碍的患者的袭击率最高。侵略后果有限的法律地位与攻击率密切相关。承诺状态与诊断的特定组合被认为具有特别高的攻击率。这表明,攻击通常是出于个人和法律环境的动机。结果表明,经验证明了影响攻击的因素,可以作为改善患者风险管理的目标。
更新日期:2019-04-21
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