Home > Research > Publications & Outputs > Aggression on inpatient units

Links

Text available via DOI:

View graph of relations

Aggression on inpatient units: Clinical characteristics and consequences

Research output: Contribution to journalJournal articlepeer-review

Published

Standard

Aggression on inpatient units : Clinical characteristics and consequences. / Renwick, Laoise; Stewart, Duncan; Richardson, Michelle; Lavelle, Mary; James, Karen; Hardy, Claire; Price, Owen; Bowers, Len.

In: International Journal of Mental Health Nursing, Vol. 25, No. 4, 01.08.2016, p. 308-318.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Renwick, L, Stewart, D, Richardson, M, Lavelle, M, James, K, Hardy, C, Price, O & Bowers, L 2016, 'Aggression on inpatient units: Clinical characteristics and consequences', International Journal of Mental Health Nursing, vol. 25, no. 4, pp. 308-318. https://doi.org/10.1111/inm.12191

APA

Renwick, L., Stewart, D., Richardson, M., Lavelle, M., James, K., Hardy, C., Price, O., & Bowers, L. (2016). Aggression on inpatient units: Clinical characteristics and consequences. International Journal of Mental Health Nursing, 25(4), 308-318. https://doi.org/10.1111/inm.12191

Vancouver

Renwick L, Stewart D, Richardson M, Lavelle M, James K, Hardy C et al. Aggression on inpatient units: Clinical characteristics and consequences. International Journal of Mental Health Nursing. 2016 Aug 1;25(4):308-318. https://doi.org/10.1111/inm.12191

Author

Renwick, Laoise ; Stewart, Duncan ; Richardson, Michelle ; Lavelle, Mary ; James, Karen ; Hardy, Claire ; Price, Owen ; Bowers, Len. / Aggression on inpatient units : Clinical characteristics and consequences. In: International Journal of Mental Health Nursing. 2016 ; Vol. 25, No. 4. pp. 308-318.

Bibtex

@article{f9c3a573aae94c1b945f47a21d73e288,
title = "Aggression on inpatient units: Clinical characteristics and consequences",
abstract = "Aggression and violence are widespread in UK Mental Health Trusts, and are accompa-nied by negative psychological and physiological consequences for both staff and other patients. Patients who are younger, male, and have a history of substance use and psychosis diagnoses are more likely to display aggression; however, patient factors are not solely responsible for violence, and there are complex circumstances that lead to aggression. Indeed, patient–staff interactions lead to a sizeable portion of aggression and violence on inpatient units, thus they cannot be viewed without considering other forms of conflict and containment that occur before, during, and after the aggressive incident. For this reason, we examined sequences of aggressive incidents in conjunction with other conflict and containment methods used to explore whether there were particular profiles to aggressive incidents. In the present study, 522 adult psychiatric inpatients from 84 acute wards were recruited, and there were 1422 incidents of aggression (verbal, physical against objects, and physical). Cluster analysis revealed that aggressive incident sequences could be classified into four separate groups: solo aggression, aggression–rule breaking, aggression–medication, and aggression–containment. Contrary to our expectations, we did not find physical aggression dominant in the aggression–containment cluster, and while verbal aggression occurred primarily in solo aggression, physical aggression also occurred here. This indicates that the management of aggression is variable, and although some patient factors are linked with different clusters, these do not entirely explain the variation.",
keywords = "acute psychiatric setting, aggression, violence",
author = "Laoise Renwick and Duncan Stewart and Michelle Richardson and Mary Lavelle and Karen James and Claire Hardy and Owen Price and Len Bowers",
year = "2016",
month = aug,
day = "1",
doi = "10.1111/inm.12191",
language = "English",
volume = "25",
pages = "308--318",
journal = "International Journal of Mental Health Nursing",
issn = "1445-8330",
publisher = "Wiley-Blackwell",
number = "4",

}

RIS

TY - JOUR

T1 - Aggression on inpatient units

T2 - Clinical characteristics and consequences

AU - Renwick, Laoise

AU - Stewart, Duncan

AU - Richardson, Michelle

AU - Lavelle, Mary

AU - James, Karen

AU - Hardy, Claire

AU - Price, Owen

AU - Bowers, Len

PY - 2016/8/1

Y1 - 2016/8/1

N2 - Aggression and violence are widespread in UK Mental Health Trusts, and are accompa-nied by negative psychological and physiological consequences for both staff and other patients. Patients who are younger, male, and have a history of substance use and psychosis diagnoses are more likely to display aggression; however, patient factors are not solely responsible for violence, and there are complex circumstances that lead to aggression. Indeed, patient–staff interactions lead to a sizeable portion of aggression and violence on inpatient units, thus they cannot be viewed without considering other forms of conflict and containment that occur before, during, and after the aggressive incident. For this reason, we examined sequences of aggressive incidents in conjunction with other conflict and containment methods used to explore whether there were particular profiles to aggressive incidents. In the present study, 522 adult psychiatric inpatients from 84 acute wards were recruited, and there were 1422 incidents of aggression (verbal, physical against objects, and physical). Cluster analysis revealed that aggressive incident sequences could be classified into four separate groups: solo aggression, aggression–rule breaking, aggression–medication, and aggression–containment. Contrary to our expectations, we did not find physical aggression dominant in the aggression–containment cluster, and while verbal aggression occurred primarily in solo aggression, physical aggression also occurred here. This indicates that the management of aggression is variable, and although some patient factors are linked with different clusters, these do not entirely explain the variation.

AB - Aggression and violence are widespread in UK Mental Health Trusts, and are accompa-nied by negative psychological and physiological consequences for both staff and other patients. Patients who are younger, male, and have a history of substance use and psychosis diagnoses are more likely to display aggression; however, patient factors are not solely responsible for violence, and there are complex circumstances that lead to aggression. Indeed, patient–staff interactions lead to a sizeable portion of aggression and violence on inpatient units, thus they cannot be viewed without considering other forms of conflict and containment that occur before, during, and after the aggressive incident. For this reason, we examined sequences of aggressive incidents in conjunction with other conflict and containment methods used to explore whether there were particular profiles to aggressive incidents. In the present study, 522 adult psychiatric inpatients from 84 acute wards were recruited, and there were 1422 incidents of aggression (verbal, physical against objects, and physical). Cluster analysis revealed that aggressive incident sequences could be classified into four separate groups: solo aggression, aggression–rule breaking, aggression–medication, and aggression–containment. Contrary to our expectations, we did not find physical aggression dominant in the aggression–containment cluster, and while verbal aggression occurred primarily in solo aggression, physical aggression also occurred here. This indicates that the management of aggression is variable, and although some patient factors are linked with different clusters, these do not entirely explain the variation.

KW - acute psychiatric setting

KW - aggression

KW - violence

U2 - 10.1111/inm.12191

DO - 10.1111/inm.12191

M3 - Journal article

C2 - 26892149

VL - 25

SP - 308

EP - 318

JO - International Journal of Mental Health Nursing

JF - International Journal of Mental Health Nursing

SN - 1445-8330

IS - 4

ER -