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

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Hdl Handle:
http://hdl.handle.net/10547/264493
Title:
A review and meta-analysis of the patient factors associated with psychiatric in-patient aggression.
Authors:
Dack, C.; Ross, J.; Papadopoulos, Chris; Stewart, D.; Bowers, Len ( 0000-0002-1279-830X )
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 can 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.
Affiliation:
University College London
Citation:
Dack, C. Ross, J. Papadopoulos, C et al (2013)A review and meta-analysis of the patient factors associated with psychiatric in-patient aggression. Acta Psychiatrica Scandinavica
Journal:
Acta psychiatrica Scandinavica
Issue Date:
4-Jan-2013
URI:
http://hdl.handle.net/10547/264493
DOI:
10.1111/acps.12053
PubMed ID:
23289890
Additional Links:
http://onlinelibrary.wiley.com/doi/10.1111/acps.12053/full
Type:
Article
Language:
en
ISSN:
1600-0447
Appears in Collections:
IHR Institute for Health Research

Full metadata record

DC FieldValue Language
dc.contributor.authorDack, C.en_GB
dc.contributor.authorRoss, J.en_GB
dc.contributor.authorPapadopoulos, Chrisen_GB
dc.contributor.authorStewart, D.en_GB
dc.contributor.authorBowers, Lenen_GB
dc.date.accessioned2013-01-08T14:07:47Z-
dc.date.available2013-01-08T14:07:47Z-
dc.date.issued2013-01-04-
dc.identifier.citationDack, C. Ross, J. Papadopoulos, C et al (2013)A review and meta-analysis of the patient factors associated with psychiatric in-patient aggression. Acta Psychiatrica Scandinavicaen_GB
dc.identifier.issn1600-0447-
dc.identifier.pmid23289890-
dc.identifier.doi10.1111/acps.12053-
dc.identifier.urihttp://hdl.handle.net/10547/264493-
dc.description.abstractOBJECTIVE: 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 can 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.en_GB
dc.language.isoenen
dc.relation.urlhttp://onlinelibrary.wiley.com/doi/10.1111/acps.12053/fullen_GB
dc.rightsArchived with thanks to Acta psychiatrica Scandinavicaen_GB
dc.subjectconflicten_GB
dc.subjectcontainmenten_GB
dc.subjectmeta-analysisen_GB
dc.subjectfactorsen_GB
dc.subjectpsychiatricen_GB
dc.subjectin-patient aggressionen_GB
dc.subjectaggressionen_GB
dc.titleA review and meta-analysis of the patient factors associated with psychiatric in-patient aggression.en
dc.typeArticleen
dc.contributor.departmentUniversity College Londonen_GB
dc.identifier.journalActa psychiatrica Scandinavicaen_GB

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