Risks Factors of Violence Among Psychiatric Inpatients: Focusing on Substance Abuse and Environmental Violence

A Predictive Model for Estimating Risk of Harm and Aggression in Inpatient Mental Health Clinics

“…Psychotic disorders have emerged as strong predictors, in accordance with what was found in the literature. The association between psychotic disorders and the risk of inpatient violence is robust (Abderhalden et al, 2006;Arango et al, 1999;Barlow et al, 2000;Bowers et al, 2009;Dack et al, 2013;Fisher, 2016;Iozzino et al, 2015;Rothärmel & Guillin, 2017). Despite we didn't specify the type of personality disorders within this diagnostic category, the most common disorders associated to episodes of inpatient violence are the antisocial personality disorder (Soliman and Reza, 2001) and borderline personality disorder (Raja and Azzoni, 2005;Barlow et al, 2000).…”

“…The literature addressing inpatient violence is vast, and some factors have been demonstrated to be signi cantly associated to this phenomenon. Two important predictors of inpatient violence are the presence of a psychotic disorder as well as history of violence (Abderhalden, Hahn, Bonner, & Galeazzi, 2006;Arango, Barba, González-Salvador, & Ordóñez, 1999;Barlow, Grenyer, & Ilkiw-Lavalle, 2000;Bowers et al, 2009;Dack, Ross, Papadopoulos, Stewart, & Bowers, 2013;Fisher, 2016;Iozzino, Ferrari, Large, Nielssen, & De Girolamo, 2015;Rothärmel & Guillin, 2017;Steinert, 2002). According to Flannery, Sta eri Flannery, Sta eri, Hildum, and Walker (2011), some of the most common precipitants connected to violent attacks refer to psychosis, excess of stimulation, negative staff attitudes and provocation by others.…”