BMC Psychiatry | |
Short-term prediction of threatening and violent behaviour in an Acute Psychiatric Intensive Care Unit based on patient and environment characteristics | |
Research Article | |
Arne E Vaaler1  Olav M Linaker1  John C Fløvig2  Valentina C Iversen2  Gunnar Morken2  Tom Palmstierna3  | |
[1] Department of Neuroscience, Faculty of Medicine, Norwegian, University of Science and Technology, Trondheim, Norway;Division of Psychiatry, Department of Research and Development, St Olavs University Hospital, Trondheim, Norway;Department of Neuroscience, Faculty of Medicine, Norwegian, University of Science and Technology, Trondheim, Norway;Division of Psychiatry, Department Østmarka, St Olavs University Hospital, Trondheim, Norway;Department of Neuroscience, Faculty of Medicine, Norwegian, University of Science and Technology, Trondheim, Norway;Social and Forensic Psychiatry Program, Stockholm Centre for Psychiatric Research and Education, Karolinska Institutet/Stockholm County Council Health Care Provision, Stockholm, Sweden;Forensic Dept. and Research Centre Brøset, St. Olav's University Hospital, Trondheim, Norway; | |
关键词: Schizophrenia; Brief Psychiatric Rate Scale; Psychiatric Inpatient; Violent Incident; Involuntary Admission; | |
DOI : 10.1186/1471-244X-11-44 | |
received in 2010-08-22, accepted in 2011-03-18, 发布年份 2011 | |
来源: Springer | |
【 摘 要 】
BackgroundThe aims of the present study were to investigate clinically relevant patient and environment-related predictive factors for threats and violent incidents the first three days in a PICU population based on evaluations done at admittance.MethodsIn 2000 and 2001 all 118 consecutive patients were assessed at admittance to a Psychiatric Intensive Care Unit (PICU). Patient-related conditions as actuarial data from present admission, global clinical evaluations by physician at admittance and clinical nurses first day, a single rating with an observer rated scale scoring behaviours that predict short-term violence in psychiatric inpatients (The Brøset Violence Checklist (BVC)) at admittance, and environment-related conditions as use of segregation or not were related to the outcome measure Staff Observation Aggression Scale-Revised (SOAS-R). A multiple logistic regression analysis with SOAS-R as outcome variable was performed.ResultsThe global clinical evaluations and the BVC were effective and more suitable than actuarial data in predicting short-term aggression. The use of segregation reduced the number of SOAS-R incidents.ConclusionsIn a naturalistic group of patients in a PICU segregation of patients lowers the number of aggressive and threatening incidents. Prediction should be based on clinical global judgment, and instruments designed to predict short-term aggression in psychiatric inpatients.Trial registrationsNCT00184119/NCT00184132
【 授权许可】
CC BY
© Vaaler et al; licensee BioMed Central Ltd. 2011
【 预 览 】
Files | Size | Format | View |
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RO202311092007922ZK.pdf | 327KB | download |
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