Hostname: page-component-77c89778f8-9q27g Total loading time: 0 Render date: 2024-07-23T03:24:52.729Z Has data issue: false hasContentIssue false

Mangageable violence in a new ward for acutely admitted patients

Published online by Cambridge University Press:  16 April 2020

M Omérov
Affiliation:
Department of Psychiatry, Karolinska Institute, Danderyd Hospital, S-I82 88 Danderyd, Sweden
B Wistedt
Affiliation:
Department of Psychiatry, Karolinska Institute, Danderyd Hospital, S-I82 88 Danderyd, Sweden
Get access

Summary

Both clinical experience and earlier research have indicated that an increased number of violent incidents in a psychiatric ward may be strongly associated with the use of new staff. In 1991 a substantial number of staff was recriuted to a ward for commited patients. Incidents of violence were registered over the following 12-month period. The results of this study were compared with early registered violent incidents in a previous setting. It was found that the frequency of violent incidents could be kept at a low and stable level despite the new situation. In conclusion, a certain number of factors may be expected to affect the results: the specific pharmacotherapy in the treatment of acute psychosis, the physical environment of the ward, and, in particular, staff training.

Type
Original article
Copyright
Copyright © European Psychiatric Association 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Drinkwater, JGudjonsson, GHThe nature of violence in psychiatric hospitals In: Howells, KHollin, CR eds. Clinical Approach New York: John Wiley and Sons, 1989 287307Google Scholar
Ekblom, BActs of Violence by Patients in Mental Hospitals Stockholm: Scandinavian University Press, 1970Google Scholar
Friis, SCharacteristics of a good ward atmosphere. Acta Psy-chiatr Scand 1986; 74: 469473CrossRefGoogle ScholarPubMed
Infantino, JAMusingo, SYAssaults and injuries among staff with and without training in agression control techniques. Hosp Community Psychiatry 1985; 36: 13121314Google Scholar
James, DVAn increase in violence on an acute psychiatric ward. A study of associated factors. Br J Psychiatry 1990; 156: 846852CrossRefGoogle Scholar
Lehmann, LSPadilla, MClark, SLoucks, STraining personnel in the prevention and managment of violent behavior. Hosp Community Psychiatry 1983; 34: 4043Google Scholar
Omérov, MPersonalens reaktioner efter vldsincidenter. Socialmedicinsk Tidskrift 1990; 7: 337340Google Scholar
Omérov, MWistedt, BAggressive incidents against staff and emotional reaction of the staff VIIIth World Congress of Psychiatry 1989Google Scholar
Omérov, MWistedt, BElgen, KTreatment of acutely disturbed psychotic Patients: assessment of a new treatment strategy. Nord J Psychiatry 1995; 35Google Scholar
Omérov, MForsberg, LWistedt, BBejhed, LPsychological support of staff after aggresive incidence on psychiatric wards. Eur Psychiatry 1994; 9(1s): 123Google Scholar
Palmstierna, TWistedt B, StaffObservation Aggression Scale, SOAS: presentation and evaluation. Acta Psychiatr Scand 1987; 76: 657663CrossRefGoogle ScholarPubMed
Palmstierna, THuitfeldt, BWistedt, BThe relationship of crowding and aggressive behavior on psychiatric intensive care unit. Hosp Community Psychiatry 1991; 42: 12371240Google ScholarPubMed
Wistedt, BHelldin, LOmérov, MPalmstierna, TPharmacothe-rapy for aggressive and violent behavior: a review of prati-cal management from clinicans. Crim Behav Ment Health 1994; 4: 328340CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.