Clinical characteristics of aggression in children and adolescents admitted to a tertiary care centre

Jacob, Preeti; Seshadri, Shekhar; Girimaji, Satish Chandra; Srinath, Shoba; Sagar, John Vijay

doi:10.1016/j.ajp.2013.08.070

Cited by 9 publications

(17 citation statements)

References 10 publications

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“…Les patients admis dans cette unité sont souvent des jeunes pour lesquels les centres jeunesse n'ont pas les ressources suffisantes pour poursuivre leur traitement, étant donné les comportements violents qu'ils présentent. Plusieurs de ces patients présentent un trouble de la conduite souvent associé à un déficit de l'attention/hyperactivité ou un trouble oppositionnel avec provocation, ce qui peut augmenter le risque d'un mauvais pronostic lié aux agressions (American Psychiatric Association, 2015; Baeza et al, 2013;Jacob, Seshadri, Girimaji, Srinath, et Sagar, 2013).…”

Section: Le Contact Physique à Titre De Déclencheurunclassified

Agression en milieu psychiatrique fermé : identification des déclencheurs qui précèdent les agressions contre les intervenants

Groleau

Guerreiro

2019

psyedu

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Cette étude vise l’identification des déclencheurs qui précèdent les agressions survenues dans un hôpital psychiatrique fermé. Une analyse de contenu de 140 rapports d’incident visant l’identification du déclencheur qui précédait immédiatement les événements d’agression survenus entre 2012 et 2017 a été effectuée. Avec un accord interjuge de 0,87, les résultats concordent avec ceux retrouvés dans des études précédentes. Plus de 37 % des agressions surviennent à la suite d’une intervention verbale d’un intervenant, alors qu’un peu plus de 54 % ont lieu à la suite d’un contact physique entre un intervenant et un patient. Moins de 9 % des agressions subies par le personnel sont liées à des événements où il a été impossible d’observer un déclencheur. Ces résultats sont discutés dans le cadre d’une approche interactionnelle sur l’agression en psychiatrie légale et ils permettent de proposer des pistes pour réduire le risque d’agression.

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Section: Le Contact Physique à Titre De Déclencheurunclassified

Agression en milieu psychiatrique fermé : identification des déclencheurs qui précèdent les agressions contre les intervenants

Groleau

Guerreiro

2019

psyedu

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“…Studies were primarily concerned with the prevalence, management and prevention of violent and aggressive behaviours (n=75). The pooled prevalence for physical violence was 43.2% (95% CI 0.37 to 0.49) with high heterogeneity (I 2 100.0%) in 20 studies20–39 (online supplementary file 6). The pooled prevalence for verbal aggression was 57.4% (95% CI 0.34 to 0.81) with a high heterogeneity (I 2 100.0%) in 10 studies22–24 26 29 33–36 40 (online supplementary file 6).…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-four studies evaluated intervention effectiveness (eg, staff training and medication use) to reduce violent and aggressive behaviours, with most finding significant improvements,45–65 two reporting negative outcomes66 67 and one reporting mixed findings 68. The general management of violent and aggressive behaviours was explored in 15 studies 22 25 29 30 69–79. Two studies explored the ways in which treatment can affect violence incidence 31 80…”

Section: Resultsmentioning

confidence: 99%

Patient safety in inpatient mental health settings: a systematic review

et al. 2019

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ObjectivesPatients in inpatient mental health settings face similar risks (eg, medication errors) to those in other areas of healthcare. In addition, some unsafe behaviours associated with serious mental health problems (eg, self-harm), and the measures taken to address these (eg, restraint), may result in further risks to patient safety. The objective of this review is to identify and synthesise the literature on patient safety within inpatient mental health settings using robust systematic methodology.DesignSystematic review and meta-synthesis. Embase, Cumulative Index to Nursing and Allied Health Literature, Health Management Information Consortium, MEDLINE, PsycINFO and Web of Science were systematically searched from 1999 to 2019. Search terms were related to ‘mental health’, ‘patient safety’, ‘inpatient setting’ and ‘research’. Study quality was assessed using the Hawker checklist. Data were extracted and grouped based on study focus and outcome. Safety incidents were meta-analysed where possible using a random-effects model.ResultsOf the 57 637 article titles and abstracts, 364 met inclusion criteria. Included publications came from 31 countries and included data from over 150 000 participants. Study quality varied and statistical heterogeneity was high. Ten research categories were identified: interpersonal violence, coercive interventions, safety culture, harm to self, safety of the physical environment, medication safety, unauthorised leave, clinical decision making, falls and infection prevention and control.ConclusionsPatient safety in inpatient mental health settings is under-researched in comparison to other non-mental health inpatient settings. Findings demonstrate that inpatient mental health settings pose unique challenges for patient safety, which require investment in research, policy development, and translation into clinical practice.PROSPERO registration numberCRD42016034057.

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“…Few studies explored the characteristics of children and adolescents admitted to psychiatric inpatient units outside the United States and Europe (Bharath et al, 1997;Jacob et al, 2013). In an early study from India (Bharath et al, 1997), the most common need to establish suitable training programs for mental health workers to deal with children and adolescents diagnosed with severe psychiatric disorders in inpatient setting.…”

Section: Backg Rou N Dmentioning

confidence: 99%

Demographic & clinical correlates of admission into a specialized psychiatric inpatient service for children and adolescents in Egypt: An observational retrospective study

Seleem

Amer

2021

Psychiatric Ment Health Nurs

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What is known on the subject:• Admitting children and adolescents in psychiatric inpatient units is a relatively new and still debatable practice in Egyptian society and in the entire Arab world. What the paper adds to existing knowledge:• Egyptian young people diagnosed with complex behavioural problems, such as in other parts of the world, desperately need and do get benefit from inpatient psychiatric service. The demographic and clinical characteristics of children in need for such service are not clearly different from those reported in other parts of the world. What are the implications for practice:• More should be done to spread awareness, remove obstacles, and develop more specialized inpatient units, with trained child psychiatrists and psychiatric nurses to provide best care for children and adolescents diagnosed with severe emotional and behavioural problems in Egypt, the Arab world and other developing countries in the world.

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Clinical characteristics of aggression in children and adolescents admitted to a tertiary care centre

Cited by 9 publications

References 10 publications

Agression en milieu psychiatrique fermé : identification des déclencheurs qui précèdent les agressions contre les intervenants

Agression en milieu psychiatrique fermé : identification des déclencheurs qui précèdent les agressions contre les intervenants

Patient safety in inpatient mental health settings: a systematic review

Demographic & clinical correlates of admission into a specialized psychiatric inpatient service for children and adolescents in Egypt: An observational retrospective study

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