Factors relevant to patient assaultive behavior and assault in acute inpatient psychiatric units in Taiwan

Kuei Ru Chou, Ru Band Lu, Wei Chung Mao

Research output: Contribution to journalReview articlepeer-review

62 Citations (Scopus)

Abstract

The purpose of this article was to explore patient assault in acute inpatient psychiatric units and to examine the interplay between the patients, environmental staff factors related to assaults. A log system for recording assault occurrences was used. Four trained research assistants conducted a chart review and interviewed the nursing staff to complete the overt aggression scale, staff observation aggression scale, and environmental assessment questionnaire separately at the four hospitals. The data showed 855 episodes of assaults from 287 patients. The assault incident density ranged from 1.11 to 1.95 per 1,000 patient days. Patient factors (diagnosis, history of assaultive behavior, the duration of admission, and smoking history), environmental factors (patient/nurse ratio and space density) and staff factors (age, length of work experience, training program received in assault prevention and management) were contributing variables to patients' assaultive behavior. This reinforces the complexity of models in predicting assaults among psychiatric in-patients.

Original languageEnglish
Pages (from-to)187-195
Number of pages9
JournalArchives of Psychiatric Nursing
Volume16
Issue number4
DOIs
Publication statusPublished - 2002 Jan 1

All Science Journal Classification (ASJC) codes

  • Phychiatric Mental Health

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