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

被引:217
作者
Dack, C. [1 ]
Ross, J. [1 ]
Papadopoulos, C. [2 ]
Stewart, D. [3 ]
Bowers, L. [3 ]
机构
[1] UCL, London, England
[2] Univ Bedfordshire, Inst Hlth Res, London, England
[3] Kings Coll London, Inst Psychiat, London WC2R 2LS, England
基金
美国国家卫生研究院;
关键词
in-patient aggression; psychiatry; meta-analysis; literature review; VIOLENT BEHAVIOR; ASSAULTIVE BEHAVIOR; INTERPERSONAL STYLE; STAFF INJURIES; INCIDENTS; PREDICTORS; SCALE; RISK; WARD; SCHIZOPHRENIA;
D O I
10.1111/acps.12053
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
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.
引用
收藏
页码:255 / 268
页数:14
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