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Hostility and violence of acute psychiatric inpatients
OBJECTIVE: The aim of the present study was to find out the extent of hostility and violence and the factors that are associated with such hostility and violence in a psychiatric intensive care unit. METHODS: Retrospective analysis of data prospectively collected in a 6-year period. RESULTS: No host...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2005
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1188062/ https://www.ncbi.nlm.nih.gov/pubmed/16053528 http://dx.doi.org/10.1186/1745-0179-1-11 |
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author | Raja, Michele Azzoni, Antonella |
author_facet | Raja, Michele Azzoni, Antonella |
author_sort | Raja, Michele |
collection | PubMed |
description | OBJECTIVE: The aim of the present study was to find out the extent of hostility and violence and the factors that are associated with such hostility and violence in a psychiatric intensive care unit. METHODS: Retrospective analysis of data prospectively collected in a 6-year period. RESULTS: No hostility was observed in 56.1%, hostility in 40.9%, and violence in 3.0% of the admitted cases. Seclusion was never used. Six cases (2,5‰) required physical restraint. Risk factors associated with violence were younger age, suicidal risk, and diagnosis of schizophrenia. Risk factors associated with hostile and violent behavior were younger age at the onset of the disorder, being single, having no children, lower GAF scores, higher BPRS hostility, SAPS, and CGI scores, lower BPRS anxiety-depression score, higher doses of psychoactive drugs, more frequent use of neuroleptics, diagnosis of mania, personality disorder, substance and alcohol related disorders, no diagnosis of depression. CONCLUSION: The study confirms the low rate of violence among Italian psychiatric in-patients, the major relevance of clinical rather than socio-demographic factors in respect of aggressive behavior, the possibility of a no seclusion-no physical restraint policy, not associated either with higher rates of hostility or violence or with more severe drug side effects. |
format | Text |
id | pubmed-1188062 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2005 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-11880622005-08-20 Hostility and violence of acute psychiatric inpatients Raja, Michele Azzoni, Antonella Clin Pract Epidemiol Ment Health Research OBJECTIVE: The aim of the present study was to find out the extent of hostility and violence and the factors that are associated with such hostility and violence in a psychiatric intensive care unit. METHODS: Retrospective analysis of data prospectively collected in a 6-year period. RESULTS: No hostility was observed in 56.1%, hostility in 40.9%, and violence in 3.0% of the admitted cases. Seclusion was never used. Six cases (2,5‰) required physical restraint. Risk factors associated with violence were younger age, suicidal risk, and diagnosis of schizophrenia. Risk factors associated with hostile and violent behavior were younger age at the onset of the disorder, being single, having no children, lower GAF scores, higher BPRS hostility, SAPS, and CGI scores, lower BPRS anxiety-depression score, higher doses of psychoactive drugs, more frequent use of neuroleptics, diagnosis of mania, personality disorder, substance and alcohol related disorders, no diagnosis of depression. CONCLUSION: The study confirms the low rate of violence among Italian psychiatric in-patients, the major relevance of clinical rather than socio-demographic factors in respect of aggressive behavior, the possibility of a no seclusion-no physical restraint policy, not associated either with higher rates of hostility or violence or with more severe drug side effects. BioMed Central 2005-07-29 /pmc/articles/PMC1188062/ /pubmed/16053528 http://dx.doi.org/10.1186/1745-0179-1-11 Text en Copyright ©2005 Raja and Azzoni; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Raja, Michele Azzoni, Antonella Hostility and violence of acute psychiatric inpatients |
title | Hostility and violence of acute psychiatric inpatients |
title_full | Hostility and violence of acute psychiatric inpatients |
title_fullStr | Hostility and violence of acute psychiatric inpatients |
title_full_unstemmed | Hostility and violence of acute psychiatric inpatients |
title_short | Hostility and violence of acute psychiatric inpatients |
title_sort | hostility and violence of acute psychiatric inpatients |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1188062/ https://www.ncbi.nlm.nih.gov/pubmed/16053528 http://dx.doi.org/10.1186/1745-0179-1-11 |
work_keys_str_mv | AT rajamichele hostilityandviolenceofacutepsychiatricinpatients AT azzoniantonella hostilityandviolenceofacutepsychiatricinpatients |