Program & Abstract Book - EPFL Latsis Symposium 2009
Program & Abstract Book - EPFL Latsis Symposium 2009
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