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Risk factors for inducing violence in patients with delirium
Masako Tachibana1,2, Toshiya Inada2,3, Masaru Ichida1
1Department of Psychiatry, Nagoya Ekisaikai Hospital, Nagoya-shi, Aichi, Japan.
Brain and Behavior
|August 3, 2021
Summary
Current smokers, older age, male gender, and ICU stays are linked to violence in delirium patients. Early assessment and management can prevent aggressive incidents and reduce restraints.
Area of Science:
- Geriatric Medicine
- Psychiatry
- Clinical Medicine
Background:
- Delirium can cause sudden, unpredictable violence.
- Identifying factors associated with violence is crucial for prevention.
- Minimizing restraint and sedation is a key goal in managing delirium.
Purpose of the Study:
- To identify demographic, clinical, and pharmacological factors associated with violence in delirium patients.
- To compare characteristics of violent versus non-violent delirium cases.
- To inform strategies for preventing violence in delirium.
Main Methods:
- Retrospective analysis of 601 delirium cases over 5 years.
- Comparison of violent (n=189) and non-violent (n=412) patient groups.
- Logistic regression analysis to determine significant factors.
Main Results:
- Current smoker status (p < .0005) was strongly associated with violence.
- Older age (p < .0005) and male gender (p = .004) were significant risk factors.
- Intensive care unit (ICU) admission (p = .043) also correlated with increased violence.
Conclusions:
- Screening tools and proactive management can improve outcomes for patients and staff.
- Further research is needed on nicotine replacement therapy for violence prevention during nicotine withdrawal.
- Evaluating the safety of interventions for elderly inpatients with delirium is important.
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