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Related Experiment Videos

Violence in geriatric patients

W M Petrie, E C Lawson, M H Hollender

    JAMA
    |July 23, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Patients with functional psychiatric diagnoses, particularly those experiencing paranoid delusions and hallucinations, pose the greatest risk of violence in geriatric psychiatry units. Dementia patients exhibit aggression but are less likely to use weapons.

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    Area of Science:

    • Geriatric Psychiatry
    • Forensic Psychiatry
    • Clinical Psychology

    Background:

    • Assessing violence risk in geriatric psychiatry is crucial for patient safety.
    • Understanding the characteristics of violent patients is essential for targeted interventions.

    Purpose of the Study:

    • To survey patients in a geriatric psychiatry unit for dangerous acts.
    • To identify patient characteristics associated with violent behavior, including weapon use.

    Main Methods:

    • Survey of 222 patients admitted to a geriatric psychiatry unit.
    • Categorization of patients based on diagnostic criteria and observed behaviors.
    • Distinction between violent acts with and without weapon use.

    Main Results:

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    • Eighteen patients used weapons (guns or knives) in violent acts.
    • Functional diagnoses (late paraphrenia, schizophrenia, mania) were more associated with violence than organic illness.
    • Patients with paranoid delusions/hallucinations in a clear sensorium, fearing attack, were most dangerous.
    • 121 aggressive patients without weapon use, including a higher percentage with dementia, posed a lesser threat.

    Conclusions:

    • Functional psychiatric disorders, especially those involving paranoia and hallucinations, are key indicators of severe violence risk in geriatric settings.
    • Dementia-related aggression presents a different risk profile, generally less severe than weapon-wielding patients.