+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Identifying key factors associated with aggression on acute inpatient psychiatric wards

Identifying key factors associated with aggression on acute inpatient psychiatric wards

Issues in Mental Health Nursing 30(4): 260-271

Aggressive behaviour is a critical issue for modern acute psychiatric services, not just because of the adverse impact it has on patients and staff, but also because it puts a financial strain on service providers. The aim of this study was to assess the relationship of patient violence to other variables: patient characteristics, features of the service and physical environment, patient routines, staff factors, the use of containment methods, and other patient behaviours. A multivariate cross sectional design was utilised. Data were collected for a six month period on 136 acute psychiatric wards in 26 NHS Trusts in England. Multilevel modelling was conducted to ascertain those factors most strongly associated with verbal aggression, aggression toward objects, and physical aggression against others. High levels of aggression were associated with a high proportion of patients formally detained under mental health legislation, high patient turnover, alcohol use by patients, ward doors being locked, and higher staffing numbers (especially qualified nurses). The findings suggest that the imposition of restrictions on patients exacerbates the problem of violence, and that alcohol management strategies may be a productive intervention. Insufficient evidence is available to draw conclusions about the nature of the link between staffing numbers and violence.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 053675553

Download citation: RISBibTeXText

PMID: 19363731

DOI: 10.1080/01612840802710829

Related references

Crowding and aggression on inpatient psychiatric wards. Psychiatric Services 50(6): 830-831, 1999

A tentative model of aggression on inpatient psychiatric wards. Psychiatric Services 50(6): 832-834, 1999

Five-year review of absconding in three acute psychiatric inpatient wards in Australia. International Journal of Mental Health Nursing 24(1): 28-37, 2016

Training in cognitive behavioural interventions on acute psychiatric inpatient wards. Journal of Psychiatric and Mental Health Nursing 12(2): 215-222, 2005

Prevention and management of aggression training and violent incidents on U.K. Acute psychiatric wards. Psychiatric Services 57(7): 1022-1026, 2006

Estimating the costs of conflict and containment on adult acute inpatient psychiatric wards. Nursing Economic$ 26(5): 325-330, 324, 2008

Risk predictions of physical aggression in acute psychiatric wards: Findings of a prospective study. Nursing and Health Sciences 2019, 2019

Aggression and seclusion on acute psychiatric wards: effect of short-term risk assessment. British Journal of Psychiatry 199(6): 473-478, 2012

Aggression and seclusion on acute psychiatric wards effect of short-term risk assessment. Yearbook of Psychiatry and Applied Mental Health 2013: 224-225, 2013

Security rules in acute inpatient wards in psychiatric hospitals in the greater area of Athens. Psychiatrike 20(2): 162-170, 2009

Intersection of acute psychiatric wards and sheltered housing - parameters of patients with long inpatient episodes. Psychiatrische Praxis 40(8): 439-446, 2014

One day survey by the Mental Health Act Commission of acute adult psychiatric inpatient wards in England and Wales. Bmj 317(7168): 1279-1283, 1998

The experiences of people with borderline personality disorder admitted to acute psychiatric inpatient wards: a meta-synthesis. Journal of Mental Health 2017: 1-15, 2017

Aggression in Acute Inpatient Psychiatric Care: A Survey of Staff Attitudes. Canadian Journal of Nursing Research 2019: 844562118823591-844562118823591, 2019

Risk Factors Associated with Proactive and Reactive Aggression in a Child Psychiatric Inpatient Sample. Journal of Psychopathology and Behavioral Assessment 38(1): 56-65, 2016