Repetitively Violent Patients in Psychiatric Units

Owen, Cathy; Tarantello, Concetta; Jones, Michael David; Tennant, Christopher

doi:10.1176/ps.49.11.1458

Cited by 72 publications

(65 citation statements)

References 20 publications

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“…There is considerable agreement in the literature that ward culture (Katz & Kirkland, 1990), and wards with less bstableQ patients (e.g., admission and locked wards) are most often the site of violence (Fottrell, 1980;Hodgkinson et al, 1985;Katz & Kirkland, 1990;Nijman, Allertz, à Campo, Merckelbach, & Ravelli, 1997). In several studies, it was reported that patients admitted involuntarily under mental health legislation were significantly more likely to be engaged in violent acts (Delaney, Cleary, Jordan, & Horsfall, 2001;James, Fineberg, Shah, & Priest, 1990;Owen, Tarantello, Jones, & Tennant, 1998;Powell, Caan, & Crowe, 1994;Soliman & Reza, 2001). In some studies, it was concluded that attacks often occurred when nurses were administering medication or leading or restraining agitated patients (Kalogjera, Bedi, Watson, & Meyer, 1989;Morrison et al, 2002;Soloff, 1983;Wynn, 2003).…”

Section: Determinants Of Aggressionmentioning

confidence: 99%

Cross-Cultural Differences in Psychiatric Nurses' Attitudes to Inpatient Aggression

Jansen¹,

Middel²,

Dassen³

et al. 2006

Archives of Psychiatric Nursing

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Section: Determinants Of Aggressionmentioning

confidence: 99%

Cross-Cultural Differences in Psychiatric Nurses' Attitudes to Inpatient Aggression

Jansen¹,

Middel²,

Dassen³

et al. 2006

Archives of Psychiatric Nursing

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“…Behav. DOI 10.1002/ab Delaney et al, 2001;Owen et al, 1998;Soliman and Reza, 2001]. In some studies it is concluded that attacks often occurred when nurses were administering medication or leading or restraining agitated patients [Soloff, 1983;Kalogjera et al, 1989;Wynn, 2003;Morrison et al, 2002].…”

Section: Environmental Factors and The Occurrence Of Aggressionmentioning

confidence: 99%

Psychiatric nurses' attitudes towards inpatient aggression: preliminary report of the development of attitude towards aggression scale (ATAS)

et al. 2005

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Professional skills to adequately manage patient aggression are a prerequisite for nurses working in psychiatric hospitals. These 'technical' skills, however, are necessary but not sufficient for effective nurse intervention. The attitude of nurses' towards client aggression also contributes to their response to a patient's behaviour. In order to study the domains (types) of attitudes towards aggression, a sample was taken of nurses working in the fields of general psychiatry (n = 288), psychiatry for children and adolescents (n = 242) and psychogeriatrics (n = 88). A cross-sectional survey design was adopted for the study. The Attitudes Towards Aggression Scale (ATAS) consisting of 32 items is presented, representing three types of attitudes towards aggression: aggression as a 'harming' reaction, a 'normal' reaction and a 'functional' reaction. The strongest predictors of the type of attitude respondents had towards the aggressive behaviour of their clients were (1) field, (2) setting they worked in, (3) gender and (4) type of shifts they predominantly had. Although the measure of domains of nurses' attitudes towards aggression needs further psychometric testing, it can be a useful tool in clinical practice for the assessment of staff attitudes towards aggression. This can support the decision-making about the management of aggressive behaviour on a ward. Aggr. Behav. 32:44-53, 2006. r

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“…Allerdings sind diese Zahlen nur bedingt vergleichbar aufgrund unterschiedlicher Definitionen aggressiven Verhaltens, verschiedener Patientengruppen und Behandlungssettings. Übereinstimmend belegen die Studien jedoch, dass meist eine kleine Gruppe von Patienten wiederholt aggressive Handlungen begeht [15,18]. Deshalb sind selbst bei geringem Anteil aggressiver Patienten Handlungen mit aggressivem Gehalt ein nicht seltenes Ereignis auf psychiatrischen Stationen.…”

Section: Schlüsselwörterunclassified

A risk profile of the aggressive psychiatric inpatient: can it be identified?

2003

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Violent behavior of psychiatric inpatients has grown in interest. Within the scope of a prospective study,patient assaults in six psychiatric hospitals of the Swiss Canton of Zurich were assessed during a period of 6 months, from November 1999 until May 2000. Three hundred eighty-eight of 5,251 inpatients (7.4%) were reported to act aggressively. The following risk factors for aggressive behavior were identified: male gender, younger age, unemployment, severity of mental illness, and rehospitalization. Psychiatric diagnosis was not related to aggressiveness. In spite of the detection of risk factors, a characteristic profile of aggressive psychiatric inpatients cannot be stated. Research should pay more attention to situation-specific cues for the aggressive behavior of such individuals.

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Repetitively Violent Patients in Psychiatric Units

Cited by 72 publications

References 20 publications

Cross-Cultural Differences in Psychiatric Nurses' Attitudes to Inpatient Aggression

Cross-Cultural Differences in Psychiatric Nurses' Attitudes to Inpatient Aggression

Psychiatric nurses' attitudes towards inpatient aggression: preliminary report of the development of attitude towards aggression scale (ATAS)

A risk profile of the aggressive psychiatric inpatient: can it be identified?

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