A review and meta-analysis of the patient factors associated with psychiatric in-patient aggression.

Abstract:

OBJECTIVE:To combine the results of earlier comparison studies of in-patient aggression to quantitatively assess the strength of the association between patient factors and i) aggressive behaviour,ii) repetitive aggressive behaviour. METHOD:A systematic review and meta-analysis of empirical articles and reports of comparison studies of aggression and non-aggression within adult psychiatric in-patient settings. RESULTS:Factors that were significantly associated with in-patient aggression included being younger, male, involuntary admissions, not being married, a diagnosis of schizophrenia, a greater number of previous admissions, a history of violence, a history of self-destructive behaviour and a history of substance abuse. The only factors associated with repeated in-patient aggression were not being male, a history of violence and a history of substance abuse. CONCLUSION:By comparing aggressive with non-aggressive patients, important differences between the two populations may be highlighted. These differences may help staff improve predictions of which patients might become aggressive and enable steps to be taken to reduce an aggressive incident occurring using actuarial judgements. However, the associations found between these actuarial factors and aggression were small. It is therefore important for staff to consider dynamic factors such as a patient's current state and the context to reduce in-patient aggression.

journal_name

Acta Psychiatr Scand

authors

Dack C,Ross J,Papadopoulos C,Stewart D,Bowers L

doi

10.1111/acps.12053

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

255-68

issue

4

eissn

0001-690X

issn

1600-0447

journal_volume

127

pub_type

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

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