Characteristics of aggression in a German psychiatric hospital and predictors of patients at risk

KETELSEN R, ZECHERT C, Driessen M, SCHULZ M (2007)
Journal of Psychiatric and Mental Health Nursing 14(1): 92-99.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
KETELSEN, R.; ZECHERT, C.; Driessen, MartinUniBi ; SCHULZ, M.
Abstract / Bemerkung
This study investigated the aggressive behaviour of all mentally ill patients within a whole psychiatric hospital with a catchment area of 325 000 inhabitants over a 1-year period (i) to assess the 1-year prevalence and characteristics of aggressive episodes and index inpatients, and (ii) to identify predictors of patients at risk by a multivariate approach. Staff Observation of Aggression Scale was used to assess aggressive behaviour. Characteristics of index inpatients were compared with those of non-index inpatients. Logistic regression analysis was applied to identify risk factors. A total of 171 out of 2210 admitted patients (7.7%) exhibited 441 aggressive incidents (1.7 incidents per bed per year). Logistic regression analyses revealed as major risk factors of aggression: diagnoses (organic brain syndromes OR = 3.6, schizophrenia OR = 2.9), poor psychosocial living conditions (OR = 2.2), and critical behaviour leading to involuntary admission (OR = 3.3). Predictors of aggressive behaviour can be useful to identify inpatients at risk. Nevertheless, additional situational determinants have to be recognized. Training for professionals should include preventive and de-escalating strategies to reduce the incidence of aggressive behaviour in psychiatric hospitals. The application of de-escalating interventions prior to admission might be effective in preventing aggressive behaviour during inpatient treatment especially for patients with severe mental disorders.
Erscheinungsjahr
2007
Zeitschriftentitel
Journal of Psychiatric and Mental Health Nursing
Band
14
Ausgabe
1
Seite(n)
92-99
ISSN
1351-0126
eISSN
1365-2850
Page URI
https://pub.uni-bielefeld.de/record/2963400

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KETELSEN R, ZECHERT C, Driessen M, SCHULZ M. Characteristics of aggression in a German psychiatric hospital and predictors of patients at risk. Journal of Psychiatric and Mental Health Nursing. 2007;14(1):92-99.
KETELSEN, R., ZECHERT, C., Driessen, M., & SCHULZ, M. (2007). Characteristics of aggression in a German psychiatric hospital and predictors of patients at risk. Journal of Psychiatric and Mental Health Nursing, 14(1), 92-99. https://doi.org/10.1111/j.1365-2850.2007.01049.x
KETELSEN, R., ZECHERT, C., Driessen, M., and SCHULZ, M. (2007). Characteristics of aggression in a German psychiatric hospital and predictors of patients at risk. Journal of Psychiatric and Mental Health Nursing 14, 92-99.
KETELSEN, R., et al., 2007. Characteristics of aggression in a German psychiatric hospital and predictors of patients at risk. Journal of Psychiatric and Mental Health Nursing, 14(1), p 92-99.
R. KETELSEN, et al., “Characteristics of aggression in a German psychiatric hospital and predictors of patients at risk”, Journal of Psychiatric and Mental Health Nursing, vol. 14, 2007, pp. 92-99.
KETELSEN, R., ZECHERT, C., Driessen, M., SCHULZ, M.: Characteristics of aggression in a German psychiatric hospital and predictors of patients at risk. Journal of Psychiatric and Mental Health Nursing. 14, 92-99 (2007).
KETELSEN, R., ZECHERT, C., Driessen, Martin, and SCHULZ, M. “Characteristics of aggression in a German psychiatric hospital and predictors of patients at risk”. Journal of Psychiatric and Mental Health Nursing 14.1 (2007): 92-99.

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