Characteristics of International Assaultive Psychiatric Patients: Review of Published Findings, 2000–2012

Characteristics of International Assaultive Psychiatric Patients: Review of Published Findings,... In international reviews of psychiatric inpatient violence, one study of all types of patient violence found hostility, involuntary admission, and longer hospital stays associated with violence. A second study of comparison-group papers of patient assaults found younger males with schizophrenia, past violence, and substance abuse assaultive. The present review of raw assault data studies assessed characteristics of assaultive patients worldwide. It was hypothesized that patients with schizophrenia would present greatest assault risk. There were three analyses: International/no American studies (reviewed earlier), European studies, and merged International/American studies. Results revealed that male and female patients with schizophrenia, affective disorders, personality disorders, and other diagnoses presented greatest worldwide risk. Results partially support earlier findings. Given that individual institutional studies in this review reported significant assailant characteristics, a second finding is the absence of most of these institutional characteristics in this international review. Possible explanations for findings and a detailed methodological review are presented. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychiatric Quarterly Springer Journals

Characteristics of International Assaultive Psychiatric Patients: Review of Published Findings, 2000–2012

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Publisher
Springer US
Copyright
Copyright © 2014 by Springer Science+Business Media New York
Subject
Medicine & Public Health; Psychiatry; Public Health; Sociology, general
ISSN
0033-2720
eISSN
1573-6709
D.O.I.
10.1007/s11126-014-9295-5
Publisher site
See Article on Publisher Site

Abstract

In international reviews of psychiatric inpatient violence, one study of all types of patient violence found hostility, involuntary admission, and longer hospital stays associated with violence. A second study of comparison-group papers of patient assaults found younger males with schizophrenia, past violence, and substance abuse assaultive. The present review of raw assault data studies assessed characteristics of assaultive patients worldwide. It was hypothesized that patients with schizophrenia would present greatest assault risk. There were three analyses: International/no American studies (reviewed earlier), European studies, and merged International/American studies. Results revealed that male and female patients with schizophrenia, affective disorders, personality disorders, and other diagnoses presented greatest worldwide risk. Results partially support earlier findings. Given that individual institutional studies in this review reported significant assailant characteristics, a second finding is the absence of most of these institutional characteristics in this international review. Possible explanations for findings and a detailed methodological review are presented.

Journal

Psychiatric QuarterlySpringer Journals

Published: Mar 11, 2014

References

  • Aggressive incidents on a psychiatric intensive care unit
    Saverimuttu, H; Lowe, T
  • Violent behavior in schizophrenic patients: Relationship with clinical symptoms
    Fresan, A; Apiquian, R; Fuente-Sandoval, C
  • Association of psychopathic traits and symptomatology with violence in patients with schizophrenia
    Abushua’leh, K; Abu-Akel, A
  • Characteristics of aggression in a German psychiatric hospital and predictors of patients at risk
    Ketelsen, R; Zechert, C; Driessen, M
  • Gender differences in aggressive behavior at admission to a psychiatric hospital
    Grube, M
  • The violence risk scale second edition (VRS-2) as a predictor of institutional violence in a British forensic inpatient sample
    Dolan, M; Fullam, R; Logan, C
  • A prospective study of lipids and serotonin as risk markers of violence and self-harm in acute psychiatric patients
    Roaldset, JO; Bakken, AM; Bjorkly, S

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