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Inpatient Violence
1Patton State Hospital, California Department of State Hospitals, 3102 East Highland Avenue, Patton, CA 92369, USA; Department of Psychiatry, University of California, Riverside School of Medicine, Riverside, CA 92521, USA.
The Psychiatric Clinics of North America
|November 13, 2016
Summary
Identifying patient violence risk factors is key to preventing harm in hospitals. Understanding the history of violence and clinical factors helps clinicians predict and mitigate inpatient aggression.
Area of Science:
- Psychiatry
- Clinical Psychology
- Healthcare Management
Background:
- Inpatient violence poses significant risks to staff, patients, and hospital operations.
- Physical injury and psychological trauma are common consequences of such violence.
- While challenging, inpatient violence is not an unavoidable issue.
Purpose of the Study:
- To identify key factors predicting patient violence in inpatient settings.
- To differentiate the origins of violence (psychosis, impulsivity, predatory traits).
- To inform targeted interventions for violence prevention.
Main Methods:
- Review of historical violence data.
- Analysis of clinical factors associated with aggression.
- Assessment of patient characteristics (psychosis, impulsivity, predatory traits).
Main Results:
- Specific historical and clinical factors can predict patient risk for violence.
- Violence can be categorized by underlying characteristics, aiding targeted approaches.
- Predictive factors enable proactive management strategies.
Conclusions:
- Inpatient violence can be proactively managed by identifying at-risk patients.
- Understanding the root causes of violence allows for tailored environmental and treatment modifications.
- Intervention based on risk assessment can reduce the likelihood of inpatient aggression.