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Violent incidents on a regional secure unit.

G Rïx1, D Seymour

  • 1Denis Hill Unit, Bethlem Royal Hospital, Beckenham.

Journal of Advanced Nursing
|November 1, 1988
PubMed
Summary
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Patient violence in secure units is common, with nursing staff and fellow patients most at risk. Incidents continued to rise throughout the day, unlike previous findings.

Area of Science:

  • Forensic Psychiatry
  • Clinical Psychology
  • Criminology

Background:

  • Violence is a significant concern in secure psychiatric settings.
  • Understanding the patterns and triggers of patient aggression is crucial for safety.
  • Previous research suggested a decrease in violence after morning hours.

Purpose of the Study:

  • To analyze the characteristics and timing of violent incidents in a regional secure unit.
  • To identify patient and staff groups at highest risk of involvement in violence.
  • To compare daily violence patterns with existing literature.

Main Methods:

  • Retrospective analysis of a 1-year data collection of violent incidents.
  • Utilized hospital data collection sheets for incident recording.

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  • Focused on a regional secure unit at Bethlem Royal Hospital, London.
  • Main Results:

    • Most incidents were minor, but some involved assaults causing pain, lacerations, or bruising.
    • Two patients were responsible for a disproportionately large number of incidents.
    • Violence persisted and increased throughout the day, peaking at bedtime.
    • Nursing staff at the lower hierarchy and fellow patients were most frequently involved.

    Conclusions:

    • Violence in secure units is a persistent issue throughout the day.
    • Frontline nursing staff and other patients are at elevated risk.
    • Further research into the diurnal patterns of aggression is warranted.