Short-term prediction of threatening and violent behaviour in an Acute Psychiatric Intensive Care Unit based on patient and environment characteristics

Vaaler, Arne; Iversen, Valentina Cabral; Morken, Gunnar; Fløvig, John Chr.; Palmstierna, Tom; Linaker, Olav M.

doi:10.1186/1471-244x-11-44

Cited by 40 publications

(21 citation statements)

References 38 publications

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“…hjemmekoselig miljø enn nakent interiør, og at vanlig interiør reduserte tendensen til øde-leggelse av møbler (4,5,38). De fant videre at skjermingsavsnitt ga raskere symptomreduksjon ved ruslidelser (39).…”

Section: Virkninger Av Skjerming For Pasienter Og Personaleunclassified

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Skjerming i akuttpsykiatrien

Norvoll¹,

Ruud²,

Hynnekleiv³

2015

Tidsskriftet

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35Oversiktsartikkel Skjerming i akuttpsykiatrien 35 -9 Reidun Norvoll reidun. norvoll@medisin.uio RESULTATER Skjermingsmetoden har naer sammenheng med utviklingen av institusjonspsykiatrien, saerlig akuttpostenes fremvekst, og miljøterapien. Begrepet «skjerming» dekker ulike tilnaerminger, og det kunnskapsmessige grunnlaget er generelt svakt. Kliniske behandlingsstudier er i stor grad av eldre dato og trolig ikke dekkende for dagens praksis. Manglende effektstudier gjør at vi per i dag har lite kunnskap om nytten av behandling med skjerming.FORTOLKNING Det er høy grad av diskrepans mellom skjermingsmetodens kliniske utbredelse og det kunnskapsmessige grunnlaget. For å kunne evaluere og eventuelt endre dagens praksis er det et klart behov for mer forskning på ulike typer skjerming og på effekten av skjerming.

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Section: Virkninger Av Skjerming For Pasienter Og Personaleunclassified

“…De fant videre at skjermingsavsnitt ga raskere symptomreduksjon ved ruslidelser (39). Noen studier viser at skjermingsavsnitt kan gi faerre trusler og mindre vold (5,6,40), andre at det å bli lukket inne på et rom kan skape konflikt, aggresjon og utagering (1,12,26).…”

Section: Virkninger Av Skjerming For Pasienter Og Personaleunclassified

Skjerming i akuttpsykiatrien

Norvoll¹,

Ruud²,

Hynnekleiv³

2015

Tidsskriftet

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“…Aggressive behavior is a matter of great concern in psychiatric services and should be a key priority in mental health settings [1][2][3]. Both the frequency of aggression and the strong negative impact on staff and patients are important considerations.…”

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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“…Assaults on staff are unfortunately relatively common in psychiatric intensive care units (PICU) (Palmstierna et al 1991;Vaaler et al 2011). Aggressive behaviour is one of the most common reasons for transfer to a PICU (Bowers et al 2012) and one study found that one third of patients in a PICU committed an assault during their admission (Walker & Seifert, 1994).…”

Section: Introductionmentioning

confidence: 99%

A staff self-reported retrospective survey of assaults on a psychiatric intensive care ward and attitudes towards assaults

O’Brien

Tariq

Ashraph

et al. 2013

J. Psychiatr. Intensive Care

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Introduction: Assaults on staff on psychiatric intensive care wards are unfortunately common and have a negative impact on morale.Method: Staff on one PICU completed a survey providing an account of any assaults they had experienced over the previous year and a separate survey regarding attitudes towards assaults.Results: 65% of staff members reported having being assaulted over the year. Most did not take any time off work. Attitudes towards prosecution of patients varied. Staff valued training in this area.Conclusions: Assaults are common on a PICU and staff are ambivalent about prosecuting patients. More training may be of value regarding prediction of assaults, and about the criminal justice interface.

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Short-term prediction of threatening and violent behaviour in an Acute Psychiatric Intensive Care Unit based on patient and environment characteristics

Cited by 40 publications

References 38 publications

Skjerming i akuttpsykiatrien

Skjerming i akuttpsykiatrien

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

A staff self-reported retrospective survey of assaults on a psychiatric intensive care ward and attitudes towards assaults

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