Risk factors for psychiatric inpatient assaults on staff

Flannery, Raymond B.; Hanson, Margaret A.; Penk, Walter E.

doi:10.1007/bf02521342

Cited by 64 publications

(70 citation statements)

References 41 publications

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“…Younger age may be a reflection of lack of work experience and lower education, resulting in a nurse's inability to handle potentially difficult situations. Previous reports have shown that personal risk factors for workplace violence included gender, education, childhood abuse or previous assault experience 4,7,8,18,[21][22][23][24] . We did not find gender to be a significant determinant, probably due to the predominance of females in the nursing profession in Thailand.…”

Section: Discussionmentioning

confidence: 99%

Workplace Violence Directed at Nursing Staff at a General Hospital in Southern Thailand

Kamchuchat

Chongsuvivatwong

Oncheunjit

et al. 2008

Journal of Occupational Health

159

146

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Workplace Violence Directed at NursingStaff at a General Hospital in Southern Thailand: Chalermrat KAMCHUCHAT, et al. Department of Community Medicine, Faculty of Medicine, Prince of Songkla University, Thailand-This study aimed to document the characteristics of workplace violence directed at nursing staff, an issue which has rarely been studied in a developing country. Two study methods, a survey and a key informant interview, were conducted at a general hospital in southern Thailand. A total of 545 out of 594 questionnaires sent were returned for statistical analysis (response rate=91.7%). The 12-month prevalence of violence experience was 38.9% for verbal abuse, 3.1% for physical abuse, and 0.7% for sexual harassment. Psychological consequences including poor relationships with colleagues and family members were the major concerns. Patients and their relatives were the main perpetrators in verbal and physical abuse while co-workers were the main perpetrators in cases of sexual harassment. Common factors to incidents of violence were psychological setting, illness of the perpetrators, miscommunication, and alcohol use. Logistic regression analysis showed younger age to be a personal risk factor. Working in the out-patient unit, trauma and emergency unit, operating room, or medical or surgical unit increased the odds of violence by 80%. Training related to violence prevention and control was found to be effective and decreased the risk of being a victim of violence by 40%. We recommend providing training to high risk groups as a means of controlling workplace violence directed at nursing staff. (J Occup Health 2008; 50: 201-207) Field Study

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Section: Discussionmentioning

confidence: 99%

Workplace Violence Directed at Nursing Staff at a General Hospital in Southern Thailand

Kamchuchat

Chongsuvivatwong

Oncheunjit

et al. 2008

Journal of Occupational Health

159

146

View full text Add to dashboard Cite

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“…There have been several reviews of the characteristics of psychiatric patient assailants (5)(6)(7)(8)(9)(10)(11). These studies have noted two types of patients at high risk for assaulting staff.…”

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confidence: 99%

Precipitants of Elderly Psychiatric Patient Assaults on Staff: Preliminary Empirical Inquiry

2005

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Although there have been several studies of the characteristics of psychiatric patient assailants, there have been only six comprehensive, empirical assessments of precipitants to these assaults and no precipitant study has focused solely on elderly psychiatric patient assailants. This one and one-half year, retrospective study continued the inquiry into the nature of patient assault precipitants and focused only on elderly assailants. Older, male patients with a diagnosis of schizophrenia and histories of violence toward others and substance use disorder physically assaulted primarily male, mental health workers. These staff victims experienced disruptions in the domains of mastery, attachment, and meaning as well as the symptomatology associated with psychological trauma. The most common precipitants to these assaults were denial of services and acute psychosis. The findings and implications for health care providers in long-term care settings where elderly psychiatric patients reside are discussed.

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“…Similar definitional and methodological difficulties have been encountered by researchers studying the patient factors common to workplace violence (Flannery et al 1994).…”

Section: Staff Factorsmentioning

confidence: 80%

“…In an extensive review of risk factors associated with violent behaviour in psychiatric inpatients, Flannery, Hanson and Penk (1994) examined the impact of patient and staff characteristics and a range of contextual variables on frequency of violent events. Notably, the authors discussed the difficulties associated with identifying the patient characteristic due to the varying definitions and underreporting.…”

Section: Client Variablesmentioning

confidence: 99%

“…In summary, comparing data from studies that have described assaultive patients is limited by a range of methodological issues including operational differences in defining and measuring the phenomenon and difficulties related to the underreporting of assault (Flannery et al 1994). Despite this limitation, researchers have consistently identified a number of patient variables that influence both the frequency and the type of violence that is demonstrated.…”

Section: Client Variablesmentioning

confidence: 99%

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Aggression management in a children's hospital setting

Hopper

Babl

Stewart

et al. 2012

Medical Journal of Australia

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Objectives: To describe the development, structure and implementation of a formal system of aggression management, and to document its utilisation during the first year of operation. Design and setting: A prospective audit at the Royal Children's Hospital, a major children's hospital in Melbourne. Main outcome measures: Analysis of utilisation patterns from prospective data forms augmented by retrospective review of security logs and medical records for 14 months from launch in December 2006. Results: Staff from four different clinical areas, led by an emergency consultant and a hospital administrator, made up the rostered multidisciplinary “code grey” team. Over 14 months, there were 104 incidents when the team was activated, involving patients in 75 cases and visitors in 29 cases. Incidents occurred at equal frequency on wards and in the emergency department. Patients involved were most commonly affected by a mental disorder, frustration and/or a developmental disability. The apparent cause of visitor aggression was mainly frustration and occasionally drugs. The majority of patient aggressors showed physical aggression towards people or objects or self‐harming behaviour. Visitor aggressors were mostly verbally aggressive (and occasionally physically violent). For patients, the team used verbal de‐escalation (56/75 events), physical restraint (34/75), sedation (23/75) and mechanical restraint (15/75). For visitors, verbal de‐escalation occurred in 17/29 cases and 10/29 visitors left or were removed. Several patient and staff injuries were documented. Conclusions: An aggression management team can be established in a children's hospital setting. This team structure provides a useful response to concerns about staff safety and optimal patient care.

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Risk factors for psychiatric inpatient assaults on staff

Cited by 64 publications

References 41 publications

Workplace Violence Directed at Nursing Staff at a General Hospital in Southern Thailand

Workplace Violence Directed at Nursing Staff at a General Hospital in Southern Thailand

Precipitants of Elderly Psychiatric Patient Assaults on Staff: Preliminary Empirical Inquiry

Aggression management in a children's hospital setting

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