Staff and patient views of the reasons for aggressive incidents: a prospective, incident-based study.

摘要: Aggression is a serious problem in psychiatric hospitals. It not clear whether reasons for aggression guide which therapeutic interventions are selected. was monitored participants randomized clinical trial of the antiaggressive efficacy adjunctive valproate patients with schizophrenia. The Overt Scale used to record type and severity, given by staff, delivered. Forty two caused 317 aggressive incidents. Patients reported more often than staff that provoked external factors (e.g., interpersonal conflict, limit-setting). Staff cited internal psychotic symptoms, tension) patients. Interventions administered were related severity but either or patients’ reasons. Responses events do take causes into account. possible consideration behavior might yield targeted interventions.