Physical Violence During Mandatory Psychiatric Treatment

Prevalence and Patient Characteristics

Bibliographic Data

ID21425035
AuthorsNienke Verstegen (0000-0003-3632-1626, De Forensische Zorgspecialisten, corresponding author), Vivienne de Vogel (0000-0001-7671-1675, De Forensische Zorgspecialisten), Anneloes Huitema (0000-0003-0297-256X, De Forensische Zorgspecialisten), Robert Didden (0000-0001-5009-4269, Radboud Universiteit), Henk Nijman (0000-0003-3238-0012, Radboud Universiteit)
Year2020
Volume47
Issue7
Pages771-789
Publication date2020-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCriminal Justice and Behavior (JOURNAL)
Journal identifiersISSN: 0093-8548 • E-ISSN: 1552-3594
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0093854820924691
OpenAlexW3033447594
LanguageEN
Citations received4
References cited46

This study explores variables that predict physical violence in 614 (forensic) psychiatric inpatients. All violent incidents that occurred in a Dutch forensic psychiatric hospital between 2014 and 2019 ( N = 3,713) were coded with the Modified Overt Aggression Scale+ based on daily hospital reports and patients’ medical records. Binary logistic regression analyses examined which patient variables could differentiate between patients with and without physical violence during treatment and between patients with single and multiple incidents of physical violence. Variables included in the analyses were gender, legal status, borderline personality disorder, antisocial personality disorder, schizophrenia spectrum disorder, psychopathy (Psychopathy Checklist–Revised [PCL-R] score), self-harm during treatment, impulsivity, intellectual disability, and length of stay. A clear association was found between self-harm and inpatient physical violence on all outcome measures and in all analyses. Adequate monitoring of self-harm is advised as a strategy to early identify patients with a high risk to threaten ward safety

Antisocial personality disorder · Borderline personality disorder · Forensic psychiatry · Impulsivity · Injury prevention · Logistic regression · Medical emergency · Personality · Poison control · Psychiatric hospital · Psychiatry · Psychopathy · Psychopathy Checklist · Suicide prevention · Clinical Psychology · Gun Ownership and Violence Research · Medicine · Psychology · Psychopathy, Forensic Psychiatry, Sexual Offending · Suicide and Self-Harm Studies

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