Physical Violence During Mandatory Psychiatric Treatment: Prevalence and Patient Characteristics

This study explores variables that predict physical violence in 614 (forensic) psychiatric inpatients. All violent incidents that occurred in a Dutch forensic psychiatric hospital between 2014 and 2019 (N = 3,713) were coded with the Modified Overt Aggression Scale+ based on daily hospital reports a...

Descripción completa

Guardado en:  
Detalles Bibliográficos
Autor principal: Verstegen, Nienke (Autor)
Otros Autores: Nijman, Henk ; Didden, Robert ; Huitema, Anneloes ; Vogel, Vivienne de
Tipo de documento: Electrónico Artículo
Lenguaje:Inglés
Publicado: 2020
En: Criminal justice and behavior
Año: 2020, Volumen: 47, Número: 7, Páginas: 771-789
Acceso en línea: Volltext (lizenzpflichtig)
Journals Online & Print:
Gargar...
Verificar disponibilidad: HBZ Gateway
Palabras clave:
Descripción
Sumario:This study explores variables that predict physical violence in 614 (forensic) psychiatric inpatients. All violent incidents that occurred in a Dutch forensic psychiatric hospital between 2014 and 2019 (N = 3,713) were coded with the Modified Overt Aggression Scale+ based on daily hospital reports and patients’ medical records. Binary logistic regression analyses examined which patient variables could differentiate between patients with and without physical violence during treatment and between patients with single and multiple incidents of physical violence. Variables included in the analyses were gender, legal status, borderline personality disorder, antisocial personality disorder, schizophrenia spectrum disorder, psychopathy (Psychopathy Checklist-Revised [PCL-R] score), self-harm during treatment, impulsivity, intellectual disability, and length of stay. A clear association was found between self-harm and inpatient physical violence on all outcome measures and in all analyses. Adequate monitoring of self-harm is advised as a strategy to early identify patients with a high risk to threaten ward safety.
ISSN:1552-3594
DOI:10.1177/0093854820924691