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Updated: Jul 25, 2026
09:12
The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
Resumen
Los pacientes con diagnósticos psiquiátricos funcionales, particularmente aquellos que experimentan delirios y alucinaciones paranoides, representan el mayor riesgo de violencia en las unidades de psiquiatría geriátrica. Los pacientes con demencia muestran agresividad, pero son menos propensos a usar armas.
Área de la Ciencia:
- La psiquiatría geriátrica es la psiquiatría geriátrica.
- Psiquiatría forense y psiquiatría forense.
- Psicología Clínica Psicología clínica.
Sus antecedentes:
- La evaluación del riesgo de violencia en la psiquiatría geriátrica es crucial para la seguridad del paciente.
- Comprender las características de los pacientes violentos es esencial para las intervenciones dirigidas.
Objetivo del estudio:
- Para encuestar a los pacientes en una unidad de psiquiatría geriátrica por actos peligrosos.
- Para identificar las características del paciente asociadas con el comportamiento violento, incluido el uso de armas.
Principales métodos:
- Encuesta a 222 pacientes ingresados en una unidad de psiquiatría geriátrica.
- Categoría de pacientes basada en criterios de diagnóstico y comportamientos observados.
- Se distingue entre actos violentos con y sin el uso de armas.
Principales resultados:
- Dieciocho pacientes usaron armas (pistoles o cuchillos) en actos violentos.
- Los diagnósticos funcionales (parafrenia tardía, esquizofrenia, manía) estaban más asociados con la violencia que con enfermedades orgánicas.
- Los pacientes con delirios / alucinaciones paranoides en un sensorio claro, temiendo un ataque, eran los más peligrosos.
- 121 pacientes agresivos sin uso de armas, incluido un mayor porcentaje con demencia, representaban una amenaza menor.
Conclusiones:
- Los trastornos psiquiátricos funcionales, especialmente aquellos que involucran paranoia y alucinaciones, son indicadores clave del riesgo de violencia grave en entornos geriátricos.
- La agresión relacionada con la demencia presenta un perfil de riesgo diferente, generalmente menos severo que el de los pacientes portadores de armas.
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