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Titolo:
Prevalence and precipitants of aggression in psychiatric inpatient units
Autore:
Barlow, K; Grenyer, B; Ilkiw-Lavalle, O;
Indirizzi:
Univ Wollongong, Illawarra Inst Mental Hlth, Wollongong, NSW 2522, Australia Univ Wollongong Wollongong NSW Australia 2522 ongong, NSW 2522, Australia Univ Wollongong, Dept Psychol, Wollongong, NSW 2522, Australia Univ Wollongong Wollongong NSW Australia 2522 ongong, NSW 2522, Australia
Titolo Testata:
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY
fascicolo: 6, volume: 34, anno: 2000,
pagine: 967 - 974
SICI:
0004-8674(200012)34:6<967:PAPOAI>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
VIOLENT BEHAVIOR; MENTAL-ILLNESS; INCIDENTS; SCHIZOPHRENIA; ADMISSIONS; STAFF;
Keywords:
aggression; inpatient; precipitants; prevalence; violence;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Grenyer, B Univ Wollongong, Illawarra Inst Mental Hlth, Wollongong, NSW 2522, Australia Univ Wollongong Wollongong NSW Australia 2522 2522, Australia
Citazione:
K. Barlow et al., "Prevalence and precipitants of aggression in psychiatric inpatient units", AUST NZ J P, 34(6), 2000, pp. 967-974

Abstract

Objective: Aggression is a significant clinical problem in psychiatric facilities. The present study reviews data on aggression collected from psychiatric inpatient units in order to determine prevalence and causal factors. Method: Data on aggressive incidents were gathered from four adult psychiatric units in the Illawarra, Australia. Information obtained included diagnosis, causal factors and patient sociodemographic characteristics. Results: During the 18-month period, a total of 1269 psychiatric patients were admitted and 174 patients (13.7%) were recorded as being aggressive, Patients with bipolar affective disorder and schizophrenia had a 2.81 and 1.96 significantly increased risk of aggression, respectively, while depression and adjustment disorder conferred a significantly tower risk. Aggressionwas most likely to occur within 2 days of admission and length of stay wasgreater for aggressive than non-aggressive patients. The greater number ofincidents occurred on day shift. Most patients who displayed aggression did so on one occasion, but a small proportion of total patients (6.0%) accounted for a large number of incidents (71.0%). High-risk patients were identified as those who were under 32 years of age, were actively psychotic, detained and known to have a history of aggression and substance misuse. The most frequent form of aggression was physical and staff were most often the victims. Conclusions: These results have important implications for predicting and thereby reducing inpatient aggression. Organisations need to ensure aggression management strategies are in place and periodically identity and assessthe level of risk for workers.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/10/20 alle ore 11:37:56