Aggressive behaviors in the psychiatric emergency service.

作者: Yves Chaput , Lucie Beaulieu , Michel Paradis , Edith Labonté

DOI: 10.2147/OAEM.S14307

关键词:

摘要: Introduction: Studies of aggressive behaviors in a nonforensic mental health setting have focused primarily on the inpatient ward and, event prediction, using behavior-based clinical rating scales. Few studies specifically targeted psychiatric emergency service or determined whether assessing demographic and characteristics such patients might prove useful for their more rapid identification. Methods: We used prospectively acquired database over 20,900 visits to four services province Quebec, Canada, two-year period from September 2002 onwards. A maximum 72 variables could be per visit. Visits with aggression (any verbally physically intimidating behavior), both present past, were tagged. Binary logistic regressions cross-tabulations determine profile variable differed those without aggression. Results: About 7% marked by current (verbal 49%, physical 12%, verbal 39%). Including "past only" history increased this number 20%. Variables associated gender (male), marital status (single/separated), education (high school less), employment (none), judicial type), substance abuse (prior active), medication compliance (poor), type arrival (involuntary, police, judiciary, landlord), reason referral (behavioral dyscontrol), diagnosis (less frequent anxiety disorders), outcome (more frequently placed under observation admitted). Conclusion: Our results suggest that many state-independent are service. Although sum may not add up specific patient profile, they can nevertheless planning, being easily integrated alongside state-dependent scales triage and/or instrument daily use Keywords: service, behaviors, epidemiology

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