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Program & Abstract Book - EPFL Latsis Symposium 2009

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<strong>EPFL</strong> <strong>Latsis</strong> <strong>Symposium</strong> <strong>2009</strong>: Understanding Violence<br />

P-43<br />

Poster <strong>Abstract</strong>s<br />

ag g r e s s i o n in psychiatric w a r D s :<br />

inDiviDual a n D e n v i r o n m e n t a l p r e D i c t o r s<br />

Salamin, Virginie 1 2 ; Schuwey-Hayoz, Aline 1<br />

1 Réseau fribourgeois de santé mentale, Centre de soins hospitaliers,<br />

Marsens, Switzerland; 2 Département de psychologie, Université<br />

de Fribourg, Fribourg, Switzerland<br />

Background. Violence and aggression are quite common phenomena in<br />

mental hospitals. Patient’s psychopathology, ward or environmental characteristics<br />

and staff variables may contribute to the development of aggressive<br />

interactions. The goal of this study is to identify the correlates of<br />

aggressive incidents in adult inpatient treatment wards. Method. We conducted<br />

a prospective study in seven wards in a mental hospital (admission<br />

wards, specialized wards for mood disorders, substance abuse, psychoses<br />

and crisis intervention). All aggressive incidents were recorded with the<br />

revised Staff Observation Aggression Scale (SOAS-R) over a 24-months<br />

period. Demographical data and diagnosis were routinely assessed. Results.<br />

The sample comprised 2671 treatment episodes of 1655 patients<br />

and a total of 95’365 treatment days. We recorded 9,5% of aggressive<br />

patients, mostly males, and a rather low incidence rate (0.52 aggressions<br />

per 100 treatment days). Younger age, a longer length of stay, male<br />

gender and personality disorders were associated with a higher risk for<br />

aggressive incidents. The prevalence of aggressive behaviour is highest<br />

among substance abuse (29%) and psychotic (23%) patients. Frequency<br />

and severity of aggressive behaviour are correlated to the monthly admission<br />

(respectively r=0.47 and r=0.37, p

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