Nonviolent psychiatric inpatients and subsequent assaults on community patients and staff
Authors
Flannery, Raymond B. Jr.Fisher, William H.
Walker, Andrew P.
Littlewood, Karla B.
Spillane, Michael J.
UMass Chan Affiliations
Department of PsychiatryDocument Type
Journal ArticlePublication Date
2001-04-11Keywords
AdultCommunity Mental Health Services
Crime Victims
Female
*Health Personnel
Humans
Male
*Mental Disorders
Middle Aged
Occupational Exposure
Retrospective Studies
Violence
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry
Psychiatry and Psychology
Metadata
Show full item recordAbstract
Health care staff on psychiatric inpatient units are at high risk for work-related assaults by patients. Recent studies have begun to document similar patient assaults toward staff in community-based residences. Earlier community studies did not control for the level of patient assault prior to community discharge, and it remains unknown whether the community residence assaults were a function of community placement or a reflection of ongoing control issues by the recently discharged patients. This preliminary inquiry retrospectively tracked the nature and frequency of assaults by patients newly discharged to community residences from a state hospital setting where there had been no assaults by these patients for a two-and-one half-year period. While base rates remain to be determined, the findings in this study suggest the assaultive patients to be younger males with diagnoses of schizophrenia and histories of violence toward others, substance abuse, and violence toward self. Nine patients committed the majority of the assaults. There was a significant decline in the frequency of assaults nine months post-discharge. The implications are discussed.Source
Psychiatr Q. 2001 Spring;72(1):19-27. DOI: 10.1023/A:1004853802285DOI
10.1023/A:1004853802285Permanent Link to this Item
http://hdl.handle.net/20.500.14038/45210PubMed ID
11293199Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1023/A:1004853802285
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