Predictors of Patient Assault on Acute Inpatient Psychiatric Units: A Pilot Study

Lanza, Marilyn Lewis; Milner, Joan; Riley, Evie

doi:10.3109/01612848809140928

Cited by 19 publications

(5 citation statements)

References 6 publications

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“…This may explain the association between increased patient aggression and violence with locked‐door policies, which has been documented in previous research (23). Other denied requests included wanting to be discharged (19, 20, 24–27), wanting ‘off the ward privileges’ (19, 20), wanting more food (21, 28), wanting money (21) and wanting to make a phone call (26). The strength of this finding is unsurprising and emphasises patients’ need to feel as independent and individualised as possible within a setting that is potentially highly structured and institutionalised.…”

Section: Discussionmentioning

confidence: 99%

The antecedents of violence and aggression within psychiatric in‐patient settings

Papadopoulos

Ross

Stewart

et al. 2012

Acta Psychiatr Scand

171

147

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Section: Discussionmentioning

confidence: 99%

The antecedents of violence and aggression within psychiatric in‐patient settings

Papadopoulos

Ross

Stewart

et al. 2012

Acta Psychiatr Scand

171

147

View full text Add to dashboard Cite

show abstract

“…From the 29 aggressive vs. non‐aggressive random group, studies were excluded from the analysis if there were any missing data , if it was unclear whether the aggression had occurred on the ward when defining the groups and if the demographic data were reported in terms of the number of aggressive incidents rather than the number of aggressive patients . From the aggressive vs. non‐aggressive control studies, four studies were excluded as they were comparing factors other than the patient demographics we were interested in. Ten studies reported more than one comparison.…”

Section: Methodsmentioning

confidence: 99%

A review and meta‐analysis of the patient factors associated with psychiatric in‐patient aggression

Dack

Ross

Papadopoulos

et al. 2013

Acta Psychiatr Scand

219

194

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L. A review and meta-analysis of the patient factors associated with psychiatric in-patient aggression.Objective: To combine the results of earlier comparison studies of inpatient aggression to quantitatively assess the strength of the association between patient factors and i) aggressive behaviour,ii) repetitive aggressive behaviour. Method: A systematic review and meta-analysis of empirical articles and reports of comparison studies of aggression and non-aggression within adult psychiatric in-patient settings. Results: Factors that were significantly associated with in-patient aggression included being younger, male, involuntary admissions, not being married, a diagnosis of schizophrenia, a greater number of previous admissions, a history of violence, a history of self-destructive behaviour and a history of substance abuse. The only factors associated with repeated in-patient aggression were not being male, a history of violence and a history of substance abuse. Conclusion: By comparing aggressive with non-aggressive patients, important differences between the two populations may be highlighted. These differences may help staff improve predictions of which patients might become aggressive and enable steps to be taken to reduce an aggressive incident occurring using actuarial judgements. However, the associations found between these actuarial factors and aggression were small. It is therefore important for staff to consider dynamic factors such as a patient's current state and the context to reduce in-patient aggression. Summations• Psychiatric in-patients who are younger, male, admitted involuntarily, not married, have a diagnosis of schizophrenia, have a greater number of previous admissions, a history of violence, a history of self-destructive behaviour and a history of substance abuse were more likely to be aggressive than non-aggressive during their stay.• Psychiatric in-patients who are female and have a history of substance abuse or a history of violence were more likely to be repetitively aggressive than aggressive once during their stay. Considerations• The associations between patient characteristics and aggression were small suggesting that other factors may be helpful in predicting aggression.• There were significantly high levels of heterogeneity across the articles entered into most of the metaanalyses.• A relatively small number of comparison studies were found relative to the number of publications on in-patient aggression suggesting that this is an underused study design.

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“…It also is important to identify possible causes or contributing factors to patients' physical violence. Studies conducted in psychiatric settings have identified some predictors of assaultive patients (Lanza, 1988), and similar studies need to be conducted in nursing homes.…”

Section: Discussionmentioning

confidence: 99%

Violence Experienced by Nurses’ Aides in Nursing Homes

Lusk

1992

AAOHN Journal

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O ccupational health and safety problems of health care workers have received minimal attention, a good deal less than those of workers in other fields. NIOSH (1988) recently distributed its first compendium of hazards and preventive measures for workers employed in acute care institutions. However, it does not address the problems associated with violence in the workplace. For years hospitals and long term care institutions were mistakenly thought to be very safe places to work; certainly, violence was not typically associated with those settings. The focus of the NIOSH publication is on hospitals, and nursing homes differ from acute care institutions in many respects. Only a small number of research studies have addressed the problems specific to workers in long term care institutions. This is an important employment setting, because the projected increase in the elderly population in this country will result in expansion of nursing home facilities and in

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Predictors of Patient Assault on Acute Inpatient Psychiatric Units: A Pilot Study

Cited by 19 publications

References 6 publications

The antecedents of violence and aggression within psychiatric in‐patient settings

The antecedents of violence and aggression within psychiatric in‐patient settings

A review and meta‐analysis of the patient factors associated with psychiatric in‐patient aggression

Violence Experienced by Nurses’ Aides in Nursing Homes

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