Managing alcohol related aggression in the emergency department (Part I)

Ferns, Terry; Cork, Alison

doi:10.1016/j.ienj.2007.12.001

Cited by 12 publications

(6 citation statements)

References 30 publications

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“…In reviewing the literature, it was found that alcohol is generally considered to be one of the major factors contributing to the high incidence of violence in the ED in Western countries (25). In Pakistan, the use of alcohol is minimal due to cultural and religious norms.…”

Section: Discussionmentioning

confidence: 99%

Violence and Abuse Faced by Junior Physicians in the Emergency Department from Patients and Their Caretakers: A Nationwide Study from Pakistan

Mirza¹,

Amjad²,

Bhatti³

et al. 2012

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Violence and Abuse Faced by Junior Physicians in the Emergency Department from Patients and Their Caretakers: A Nationwide Study from Pakistan

Mirza¹,

Amjad²,

Bhatti³

et al. 2012

The Journal of Emergency Medicine

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“…The mean weighted total MOAS score was 2.19 ± 5 with a maximum value of 27. In particular, 21.50% of the subjects showed a MOAS score >0, 11.50% presented mild aggression (0-10 MOAS weighted score), 9% moderate aggression (11)(12)(13)(14)(15)(16)(17)(18)(19)(20), and 1% severe aggression (MOAS >20). With respect to violent behaviours, 16% of patients showed a score >0 in one MOAS subscale other than verbal aggression according to violence definition ( Figure 2).…”

Section: Prevalence Of Aggressive Behaviorsmentioning

confidence: 98%

“…12,13,18 The concomitant use of alcohol and/or abuse of other drugs is a factor of frequent observation in patients with acute agitation with aggressive behaviors, and there is considerable epidemiological evidence indicating a relationship between comorbid substance abuse and an increased risk of violent behaviors. 12,13,19,20 Great importance has been given to personality disorders as a cause of impulsive and violent acts in psychiatric patients. Poor impulse control and effective regulation, in fact, increase the risk of violence in various disorders, especially primary and comorbid substance abuse disorders.…”

Section: Introductionmentioning

confidence: 99%

Aggressiveness and violence in psychiatric patients: a clinical or social paradigm?

et al. 2019

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ObjectivePsychiatric disorders are often considered the leading cause of violence. This may be due to a stereotype created by media and general opinion.MethodThe Modified Overt Aggression Scale (MOAS) was used to evaluate the severity of aggressive and violent behaviors in 400 patients who attended a post-acute psychiatric service in Milan from 2014 to 2016 and suffered from different psychiatric disorders. The psychopathological clinical picture was evaluated by Clinical Global Impression (CGI). The study also assessed the possible correlation between epidemiologic and sociodemographic factors, clinical variables, and aggression and violence.ResultsOf the total number of subjects, 21.50% showed a MOAS score >0, 11.50% presented mild aggression (0–10 MOAS weighted score), 9% moderate aggression (11–20), and 1% severe aggression (MOAS >20). With respect to violent behaviors, 16% of patients showed a score >0 in one MOAS subscale other than verbal aggression according to violence definition. The severity of clinical picture seemed to be related to higher weighted MOAS score. Multivariate testing of different sociodemographic and clinical variables showed that violence was related to unemployment status, and significantly correlated to compulsory admission (TSO), suicide attempts (TS), and personality disorders, while the severity of clinical psychiatric picture seemed to play a secondary role.ConclusionResults have shown that personality disorders and sociodemographic factors, including economic factors, seem to be major determinants of violence among patients diagnosed with mental disorders.

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“…One explanation for this could be that ED nurses deal with patients who present with acute intoxication and its associated issues, such as verbal and physical abuse, while patients admitted to hospital wards will have either been injured while drunk or be living with an alcohol-related condition such as liver cirrhosis. Ferns and Cork (2008a) highlighted the relationship between alcohol intoxication and aggression, and suggested that patients' thought processes, responses and behaviours vary as a result of the physical and psychological effects of consuming alcohol.…”

Section: Alcohol-and Drug-related Presentationsmentioning

confidence: 99%

Compassion in emergency departments. Part 2: barriers to the provision of compassionate care

2018

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In the second part of this three-part series, David Hunter and colleagues discuss the barriers to the provision of compassionate care in emergency departments (EDs). Part one reported findings from doctoral-level research exploring nursing students' experiences of compassionate care in EDs. Many of the findings related to what the students considered as barriers to the provision of compassionate care in this clinical environment. Six barriers to compassionate care were identified and this article considers them in detail.

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Managing alcohol related aggression in the emergency department (Part I)

Cited by 12 publications

References 30 publications

Violence and Abuse Faced by Junior Physicians in the Emergency Department from Patients and Their Caretakers: A Nationwide Study from Pakistan

Violence and Abuse Faced by Junior Physicians in the Emergency Department from Patients and Their Caretakers: A Nationwide Study from Pakistan

Aggressiveness and violence in psychiatric patients: a clinical or social paradigm?

Compassion in emergency departments. Part 2: barriers to the provision of compassionate care

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