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 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.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 ScandinavicaJournal
Acta psychiatrica ScandinavicaPubMed ID
23289890Additional Links
http://onlinelibrary.wiley.com/doi/10.1111/acps.12053/fullType
ArticleLanguage
enISSN
1600-0447ae974a485f413a2113503eed53cd6c53
10.1111/acps.12053
Scopus Count
Collections
Related articles
- Predictors of violent behavior among acute psychiatric patients: clinical study.
- Authors: Amore M, Menchetti M, Tonti C, Scarlatti F, Lundgren E, Esposito W, Berardi D
- Issue date: 2008 Jun
- Psychiatric diagnosis and aggression before acute hospitalisation.
- Authors: Colasanti A, Natoli A, Moliterno D, Rossattini M, De Gaspari IF, Mauri MC
- Issue date: 2008 Sep
- Prevalence of aggression in hospitalized patients with schizophrenia in China: A meta-analysis.
- Authors: Zhou JS, Zhong BL, Xiang YT, Chen Q, Cao XL, Correll CU, Ungvari GS, Chiu HF, Lai KY, Wang XP
- Issue date: 2016 Mar
- Violent behavior in acute psychiatric inpatient facilities: a national survey in Italy.
- Authors: Biancosino B, Delmonte S, Grassi L, Santone G, Preti A, Miglio R, de Girolamo G, PROGRES-Acute Group
- Issue date: 2009 Oct
- Factors associated with repetitive violent behavior of psychiatric inpatients.
- Authors: Camus D, Dan Glauser ES, Gholamrezaee M, Gasser J, Moulin V
- Issue date: 2021 Feb