Self- and Other- Directed Aggression in Child and Adolescent Psychiatric Inpatients

Vivona, Jeanine M.; Ecker, Bruce; Halgin, Richard P.; Cates, Don; Garrison, William T.; Friedman, Matthew J.

doi:10.1097/00004583-199504000-00010

Cited by 53 publications

(52 citation statements)

References 20 publications

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“…In reference to those girls we can determine discomfort, slight smugness, inner conflict, intensified emotional dysregulation, exceptionally low endurance, impulsivity, difficulties with orderliness and poor organisational skills, distance and distrust, problems with adapting and, at the same time, a strong desire for independence and being different than one is. Similar observations were made by Vermeiren et al (2003) and Vivona et al (1995), leading to the conclusion that extreme destructive behaviours are based on qualities such as aggression, tendency to cross boundaries, instability or a kind of emotional immaturity. However, comparative analyses conducted for the purpose of the present study revealed a noticeable difference in the manner of shaping a destructive pattern among the girls who exhibited extremely self-destructive and aggressive (towards others) behaviours.…”

Section: Discussionsupporting

confidence: 72%

Self-image and suicidal and violent behaviours of adolescent girls

Sitnik‐Warchulska¹

2016

Health Psychology Report

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Background An increase in self-destructive and aggressive behaviours in adolescents has been observed in recent years. The present study focused on self-perception of adolescent girls who show different types of extreme destructive behaviours (suicidal or violent). The main aim of the study was to identify personality predictors of suicidal and violent behaviour in adolescent girls. Participants and procedure The study involved 163 female participants aged 13-17 years, including 44 suicide attempters (without extreme aggressive behaviour towards others), 46 girls using violence against others (without extreme self-destructive behaviour) and 77 girls exhibiting no destructive behaviour. The following research methods were applied: the Adjective Checklist (ACL) (versions “What am I like?” and “What would I like to be?”), and the Sentence Completion Test. Results The girls showing extreme destructive behaviour, particularly self-destructive behaviour, were found to have a more negative self-image, a lower level of consistency of the self-image, lower self-esteem and a higher level of inner conflict than the control group. Stepwise discriminant analysis was used to determine predictors of extreme self-destructive or aggressive behaviours. Escalated inner conflicts within the attitude towards oneself appear to be the most important predictor of suicidal behaviour in adolescent girls, whereas self-perception based on strength seems to be the most significant predictor of violent behaviour in adolescent girls. Conclusions The research showed that destructive behaviour among adolescents is a multidimensional phenomenon. The statistical model presented in the study has been proved to have a high value. The results can help in successful prevention and therapy of destructive behaviours in adolescents.

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Section: Discussionsupporting

confidence: 72%

Self-image and suicidal and violent behaviours of adolescent girls

Sitnik‐Warchulska¹

2016

Health Psychology Report

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“…These difficulties usually represent an escalation of long-standing behavioral dyscontrol that develops alongside chronic impulsivity and affective dysregulation (Bickman et al 1996,Blader and Foley 2007,Blader and Jensen 2007,Vivona et al 1995, and Zimet et al 1994.…”

Section: Introductionmentioning

confidence: 99%

Increased Rates of Bipolar Disorder Diagnoses Among U.S. Child, Adolescent, and Adult Inpatients, 1996–2004

Blader¹,

Carlson²

2007

Biological Psychiatry

304

208

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“…The number of incidents found with this operationalization was 0.4 incidents a day. This figure is low, compared to the literature of critical incidents in both forensic child and adolescent psychiatry (1.1 critical incidents a day [22]), secured child and adolescent psychiatry (0.7-2.4 critical incidents a day [21,33]) as well as general child and adolescent psychiatry (0.6-2.4 incidents a day [1,16,18]). Although it is difficult to compare these prevalences, it is at least remarkable that the prevalence in our forensic population is not higher than the prevalence in general child and adolescent psychiatry.…”

Section: Prevalence Of Incidentsmentioning

confidence: 61%

“…Nijman and colleagues [12] presented an extended and detailed review of aggression in adult psychiatry. A systematic review of the literature in general and forensic child and adolescent psychiatry by Tremmery and colleagues [13] found that in a regular child-and adolescent psychiatric ward the number of aggressive incidents ranged from 0.4 to 3.5 incidents per day, with 33-78 % of the admitted patients committing at least one aggressive act [1,[14][15][16][17][18]. A similar picture was found in a secured setting with 0.5-2.4 incidents per day and 27-54 % children or adolescents committing at least one aggressive act [19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Registration of aggressive incidents in an adolescent forensic psychiatric unit and implications for further practice

Tremmery

Danckaerts

Bruckers

et al. 2014

Eur Child Adolesc Psychiatry

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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 an aggressive act. In this study, we collected systematically registered data of all aggressive incidents from the first 2 years (2010-2012) on a newly established forensic adolescent psychiatric unit, which used a formal aggression management program embedded in the social competence model, which is based on early intervention in the 'chain of behavior' to prevent any further escalation. The inclusion of also minor aggressive incidents is unique in the literature and the clinical relevance is highlighted. A mean of one incident a day took place, with each adolescent involved in at least one incident. Notably, 1.7 aggressive incidents per month made seclusion of restraint use necessary. Based on the social competence theory, the aggression management model suggests intervening early in the cascade of aggression, in order to prevent further escalation and reduce the need for intrusive interventions. Evidence supported that aggression is a contextual event, as external factors clearly influence the incidence of aggression. Aggression management should be built on both relational and structural security.

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Self- and Other- Directed Aggression in Child and Adolescent Psychiatric Inpatients

Cited by 53 publications

References 20 publications

Self-image and suicidal and violent behaviours of adolescent girls

Self-image and suicidal and violent behaviours of adolescent girls

Increased Rates of Bipolar Disorder Diagnoses Among U.S. Child, Adolescent, and Adult Inpatients, 1996–2004

Registration of aggressive incidents in an adolescent forensic psychiatric unit and implications for further practice

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