Mapping aggressive behavior of forensic psychiatric inpatients with self-report and structured staff-monitoring*

PSYCHIATRY RESEARCH

卷:301

Article

Tuente, Stephanie Klein^1,2  Bogaerts, Stefan^3,4  Veling, Wim¹ 

[1] Univ Groningen, Univ Med Ctr Groningen, Dept Psychiat, Hanzepl 1, NL-9713 GZ Groningen, Netherlands

[2] Forens Psychiat Ctr FPC Dr S van Mesdag, Helperlinie 2, NL-9722 AZ Groningen, Netherlands

[3] Tilburg Univ, Dept Dev Psychol, Prof Cobbenhagenlaan 225,POB 90153, NL-5000 LE Tilburg, Netherlands

[4] Fivoor, Fivoor Sci & Treatment Innovat, Kijvelandsekade 1, NL-3172 AB Poortugaal, Netherlands

关键词: Inpatient aggression;    Reactive aggression;    Anger;    Impulsivity;    Forensic psychiatry;   

DOI  :  10.1016/j.psychres.2021.113983

来源: Elsevier

【 摘 要 】

Structured assessment of aggressive behavior in forensic psychiatry is needed. This study investigated staffobserved and self-reported measures to map prevalence and characteristics of aggressive behavior in forensic inpatients and aimed to identify early signs of aggressive outbursts. In this longitudinal study, 120 forensic psychiatric inpatients with a history of aggression were included. Staff monitored aggressive behavior for 30 weeks using the Social Dysfunction and Aggression Scale (SDAS). Patients completed baseline self-report measures on aggression, anger, and impulsivity. Staff monitoring showed that most inpatients displayed moderate (86%) or severe (65%) aggressive behavior at least once, and 37.5% showed physical aggression. Inpatients with a least one physical aggression incident differed from others in self-reported anger, (reactive) aggression, nonplanning impulsivity, and sociodemographic and clinical characteristics (e.g., higher prevalence of cluster B personality disorders, and lower intelligence). Two-thirds of the physical aggression incidents were preceded by observations of increased non-physical aggression (SDAS). In forensic psychiatric inpatients with a history of aggression, more than a third of the patients demonstrated at least one occasion of physical aggression during 30 weeks of observation.

【 授权许可】

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