Homicide in Psychiatric Hospitals in Australia and New Zealand

Nielssen, Olav

doi:10.1176/appi.ps.201100290

Cited by 12 publications

(18 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…At an individual patient level, violence could be the reason for a longer admission, and a longer period at risk might also be associated with a higher probability of becoming involved in a violent altercation. However, at an aggregate level, wards with shorter average length of stay would be expected to have a higher turnover of acute patients than wards with a longer length of stay, and the days immediately after admission have been associated with the most serious forms of inpatient violence [43]. …”

Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors of Violence by Psychiatric Acute Inpatients: A Systematic Review and Meta-Analysis

et al. 2015

Self Cite

View full text Add to dashboard Cite

BackgroundViolence in acute psychiatric wards affects the safety of other patients and the effectiveness of treatment. However, there is a wide variation in reported rates of violence in acute psychiatric wards.ObjectivesTo use meta-analysis to estimate the pooled rate of violence in published studies, and examine the characteristics of the participants, and aspects of the studies themselves that might explain the variation in the reported rates of violence (moderators).MethodSystematic meta-analysis of studies published between January 1995 and December 2014, which reported rates of violence in acute psychiatric wards of general or psychiatric hospitals in high-income countries.ResultsOf the 23,972 inpatients described in 35 studies, the pooled proportion of patients who committed at least one act of violence was 17% (95% confidence interval (CI) 14–20%). Studies with higher proportions of male patients, involuntary patients, patients with schizophrenia and patients with alcohol use disorder reported higher rates of inpatient violence.ConclusionThe findings of this study suggest that almost 1 in 5 patients admitted to acute psychiatric units may commit an act of violence. Factors associated with levels of violence in psychiatric units are similar to factors that are associated with violence among individual patients (male gender, diagnosis of schizophrenia, substance use and lifetime history of violence).

show abstract

Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors of Violence by Psychiatric Acute Inpatients: A Systematic Review and Meta-Analysis

et al. 2015

Self Cite

View full text Add to dashboard Cite

show abstract

“…The literature highlights the aggressiveness and violence of patients in hospitals and particularly the risk associated with psychiatric patients. (21,22,26,27,28) We have analysed the cases of physician homicides linked to the doctor-patient professional relationship, both within and outside clinical settings. The sample we examined supports more complex re ections.…”

Section: Discussionmentioning

confidence: 99%

Seven Things to Know About The Homicides of Doctors. A Review of 30 Years From Italy.

Lorettu

Nivoli

Daga

et al. 2020

Preprint

View full text Add to dashboard Cite

Background. Healthcare workers have a 16 times greater risk of suffering workplace violence than workers in other sectors and around 50% experience workplace violence in the course of their career. The objective of this study is to explore the characteristics and circumstances of work-related killings of doctors. Methods. Work-related homicides of doctors over the period 1988-2019 were identified retrospectively through the Italian national statistical agencies. Variables such as perpetrator, motive and location of the crime were obtained through forensic psychiatric work. After classification, the absolute and percent values of the main characteristics of the homicides were calculated. Results. Over the period considered, 21 doctors were killed in Italy in connection with their professional activity. In 52% (n=11) of cases, the killer was one of the doctor’s patients, in 29% (n=6) of cases it was a patient’s relative, in 19% (n=4) an occasional patient (first consultation). The location of the homicide was a community clinic in 48% (n=10) of cases, the street in 19% (n=4) of cases, the doctor’s home in 14% (n=3), the hospital in 14% (n=3) and the patient’s home in 5% (n=1). In 57% (n=12) of cases the perpetrator was not affected by any mental disorders. The motive for the homicide was revenge without previous threats in 52.4% (n=11) of cases; in 28.6% (n=6) the revenge was preceded by stalking. Conclusions. Doctors should be aware that the risk of being killed is not limited to hospital settings and that their patients’ family members might also pose a threat to them.

show abstract

“…More than the diagnosis, authors suggest that certain aspects of the positive psychotic symptomatology such as thought disturbances, delusions and hallucinations and poor control of impulses are moderate factors of risks of violence [12,16,20].…”

Section: Psychopathologymentioning

confidence: 99%

“…It is a risk factor at an individual level (violence is a reason for a longer admission) but not at an aggregate level (there is more violence in days immediately after admission in acute admission wards [12].…”

Section: Length Of Hospitalizationmentioning

confidence: 99%

Risks Factors of Violence Among Psychiatric Inpatients: Focusing on Substance Abuse and Environmental Violence

Rothärmel¹,

Guillin²

2017

J Drug Abuse

View full text Add to dashboard Cite

Homicide in Psychiatric Hospitals in Australia and New Zealand

Cited by 12 publications

References 14 publications

Prevalence and Risk Factors of Violence by Psychiatric Acute Inpatients: A Systematic Review and Meta-Analysis

Prevalence and Risk Factors of Violence by Psychiatric Acute Inpatients: A Systematic Review and Meta-Analysis

Seven Things to Know About The Homicides of Doctors. A Review of 30 Years From Italy.

Risks Factors of Violence Among Psychiatric Inpatients: Focusing on Substance Abuse and Environmental Violence

Contact Info

Product

Resources

About