Relation entre la violence intra-hospitalière des patients avec psychoses et la violence dans la communauté

Rothärmel, Maud; Poirier, Marie-Andrée; Levacon, G.; Kazour, François; Bleher, S.; Gastal, D.; Lazareth, S.; Lebain, P.; Olari, M.; Oukebdane, R.; Rengade, C.-E.; Themines, J.; Abbar, Mocrane; Dollfus, Sonia; Gassiot, A.; Haouzir, Sadeq; Januel, Dominique; Millet, Bruno; Stamatiadis, L.; Terra, Jean‐Louis; Bénichou, Jacques; Campion, David A.; Guillin, Olivier

doi:10.1016/j.encep.2017.04.002

Cited by 3 publications

(1 citation statement)

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“…Rothärmel et al found substance use and the severity of psychotic symptoms to be significant factors associated with violent behaviour in psychotic patients. 20 Luckhoff et al found acutely psychotic and violent patients to be at an increased risk of requiring treatment in specialised seclusion rooms (rather than in dormitory rooms). 21 This requires some consideration in the South African context where the management of psychotic and violent patients inside standard dormitories poses considerable risk to fellow patients, as well as to staff members.…”

Section: Discussionmentioning

confidence: 99%

A profile of adult acute admissions to Lentegeur Psychiatric Hospital, South Africa

et al. 2019

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Background: The Western Cape province has the highest documented lifetime prevalence of common mental disorders in South Africa. To ensure the efficient, equitable and effective distribution of current resources, there is a need to determine the profile of patients requiring psychiatric admission.Aim: To describe patients admitted to the acute adult admissions unit at Lentegeur Hospital.Setting: Lentegeur Psychiatric Hospital is situated in Mitchells Plain, Cape Town, and serves about 1 million people from nearby urban and rural areas.Methods: This retrospective study involved an audit of all patients (18–60 years of age) admitted between 01 January 2016 and 30 June 2016. The clinical records of 573 adult patients were examined.Results: The median age of the cohort was 29 years. Most patients (63%) were educated to the secondary level. Only 12% of the patients were employed, and 37% received disability grants. More than 90% of the patients presented with psychotic symptoms. Of these, 28% presented with a first-episode of psychosis. Of all patients, 20% were referred with manic symptoms and 7% with depressive symptoms. Many patients (62%) used substances concurrently in the period leading up to admission. Significantly more males (73%) used substances compared to females (38%). Cannabis was the most widely used substance (51%), followed by methamphetamine (36%). Recent violent behaviour contributed to 37% of the current admissions. A total of 70 patients (13%) tested positive for human immunodeficiency virus (HIV), and 49 (9%) tested positive for syphilis.Conclusion: Substance use and a history of violence contributed to admissions in this population.

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Section: Discussionmentioning

confidence: 99%

A profile of adult acute admissions to Lentegeur Psychiatric Hospital, South Africa

et al. 2019

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Aggressive Behavior and Psychiatric Inpatients: a Narrative Review of the Literature with a Focus on the European Experience

Caruso

Antenora

Riba

et al. 2021

Curr Psychiatry Rep

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Purpose of Review We summarized peer-reviewed literature on aggressive episodes perpetrated by adult patients admitted to general hospital units, especially psychiatry or emergency services. We examined the main factors associated with aggressive behaviors in the hospital setting, with a special focus on the European experience. Recent Findings A number of variables, including individual, historical, and contextual variables, are significant risk factors for aggression among hospitalized people. Drug abuse can be considered a trans-dimensional variable which deserves particular attention. Summary Although mental health disorders represent a significant component in the risk of aggression, there are many factors including drug abuse, past history of physically aggressive behavior, childhood abuse, social and cultural patterns, relational factors, and contextual variables that can increase the risk of overt aggressive behavior in the general hospital. This review highlights the need to undertake initiatives aimed to enhance understanding, prevention, and management of violence in general hospital settings across Europe.

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Conduites agressives et médecine

Olié

2022

Bulletin de l'Académie Nationale de Médecine

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Relation entre la violence intra-hospitalière des patients avec psychoses et la violence dans la communauté

Cited by 3 publications

References 41 publications

A profile of adult acute admissions to Lentegeur Psychiatric Hospital, South Africa

A profile of adult acute admissions to Lentegeur Psychiatric Hospital, South Africa

Aggressive Behavior and Psychiatric Inpatients: a Narrative Review of the Literature with a Focus on the European Experience

Conduites agressives et médecine

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