2014
DOI: 10.1007/s00787-014-0534-y
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Registration of aggressive incidents in an adolescent forensic psychiatric unit and implications for further practice

Abstract: Although aggression is part of daily life in psychiatric units for adolescents, empirical data on its prevalence are sparse. Only few studies have described prevalence of aggressive incidents in adolescent psychiatric wards, and data in forensic psychiatric care are even more limited. Available studies reported high prevalence rates of aggression, ranging from 0.4 to 2.4 incidents of aggression per day across (forensic) child and adolescent psychiatric units. Between 27 and 78 % of all admitted youth committed… Show more

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Cited by 6 publications
(14 citation statements)
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“…Aggression is reported as a frequent indication for psychiatric hospitalization (Rice, Woolston, Stewart, Kerker, & Horwitz, 2002; Ros, van der Helm, Wissink, Stams, & Schaftenaar, 2013), and as such becomes part of daily life in residential psychiatric units and forensic treatment units for children and adolescents (Crespi, 1990; Day, Franklin, & Marshall, 1998; Kaltiala-Heino, Berg, Selander, Työläjärvi, & Kahila, 2007; Tremmery et al, 2014; Tremmery, de Decker, De Hert, De Varé, & Danckaerts, 2012). Vulnerable children and adolescents, with commonly complex psychiatric disorders are almost daily exposed to aggressive situations, either as victim or as witness.…”
mentioning
confidence: 99%
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“…Aggression is reported as a frequent indication for psychiatric hospitalization (Rice, Woolston, Stewart, Kerker, & Horwitz, 2002; Ros, van der Helm, Wissink, Stams, & Schaftenaar, 2013), and as such becomes part of daily life in residential psychiatric units and forensic treatment units for children and adolescents (Crespi, 1990; Day, Franklin, & Marshall, 1998; Kaltiala-Heino, Berg, Selander, Työläjärvi, & Kahila, 2007; Tremmery et al, 2014; Tremmery, de Decker, De Hert, De Varé, & Danckaerts, 2012). Vulnerable children and adolescents, with commonly complex psychiatric disorders are almost daily exposed to aggressive situations, either as victim or as witness.…”
mentioning
confidence: 99%
“…These initial studies do not lead toward robust conclusions, although they give preliminary evidence for the importance of living group climate in the management of aggression in a psychiatric treatment unit. The results of these studies show a complex story, in which group composition, treatment program, and unknown other factors together with living group climate are an important aspect of the management of aggression in a treatment unit (Kaltiala-Heino et al, 2007; Tremmery et al, 2014, 2012).…”
mentioning
confidence: 99%
“…Our findings are consistent with those of previous studies in adolescent settings (Baeza et al 2013;Barzman et al 2011;Day et al 1998), albeit our findings indicate a greater frequency of violent incidents. On the contrary, Ryan et al (2004) reported more than doubled frequency of violent incidents, probably as a result of the prospective design of the study, while lower frequencies were reported under forensic settings (Kaltiala-Heino et al 2007;Tremmery et al 2014). It was verified again that a higher incidence of violent behaviours occurs in juvenile settings than in adult settings Virtanen et al 2011).…”
Section: Discussionmentioning
confidence: 79%
“…; Tremmery et al . ). It was verified again that a higher incidence of violent behaviours occurs in juvenile settings than in adult settings (Ng et al .…”
Section: Discussionmentioning
confidence: 97%
“…Perilaku agresif merupakan masalah terbesar yang sering terjadi dalam ruang rawat inap di pelayanan psikiatrik sehingga perlu menjadi prioritas utama, frekuensi agresi memberikan dampak yang negatif pada staf dan pasien lain perlu menjadi bahan pertimbangan (Tremmery et al 2014).…”
Section: Pendahuluanunclassified