203 Patient Factors (Confounding dynamic factors (ward environment (level…
203 Patient Factors
Confounding dynamic factors
Pt has a weapon
level of surveillance
Door locking policies
Social support within ward with staff and pts
Relationship between victime and aggressor
Proximity between a victim and aggressor
Social support outside ward with family and friends
8% - 44% patients are aggressive
1/3 pts report experiencing violence/aggression
41% clinical staff and 80% nursing staff experienced violence/aggression
Negative physical / psychological effect on f pt and staff
Static Factors: Younger, Male, Involuntary, single, Schizoprhenia, lots of previous admissioins, previous hx of violence, hx of self destructive behaviour, hx of substance abuse.
Use in a risk assessment is questionable
Small effects plus heterogenity/variability of factors
Repeated Inpatient aggression
female and have hx of violence or hx of substance use
Improve predictions of who will be aggressive
Implement interventions before violence occurs
Important to consider dynamic factors
static associations were not hugely significant
high levels of heterogenity
Small number of compartive studies
Compared to enormous amount of articles
Underused study design.
Link between Schizophrenia and substance abuse relating to violence in the community
each shares similiar confunding risk factors
152: Previoius aggressive incidents; longer hospitalization; involuntary admission; impulsiveness; hostility; same gender.
152: Weaker evidence: alcohol/drug misuse; Psychosis; Younger; risk of suicide - not a meta analaysis!!!Type 1 errors - chance findings; Type 2 errors lack of statistical power - series of studies reporting a small number of events.
Short term prediction more useful?