Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Short-term prediction of threatening and violent behaviour in an Acute Psychiatric Intensive Care Unit based on patient and environment characteristics | Vaaler et al. BMC Psychiatry 2011 11 44 http 1471-244X 11 44 BMC Psychiatry RESEARCH ARTICLE Open Access Short-term prediction of threatening and violent behaviour in an Acute Psychiatric Intensive Care Unit based on patient and environment characteristics 12 Arne E Vaaler Valentina C Iversen Gunnar Morken John C Flovig Tom Palmstierna Olav M Linaker Abstract Background The aims of the present study were to investigate clinically relevant patient and environment-related predictive factors for threats and violent incidents the first three days in a PICU population based on evaluations done at admittance. Methods In 2000 and 2001 all 118 consecutive patients were assessed at admittance to a Psychiatric Intensive Care Unit PICU . Patient-related conditions as actuarial data from present admission global clinical evaluations by physician at admittance and clinical nurses first day a single rating with an observer rated scale scoring behaviours that predict short-term violence in psychiatric inpatients The Broset Violence Checklist BVC at admittance and environment-related conditions as use of segregation or not were related to the outcome measure Staff Observation Aggression Scale-Revised SOAS-R . A multiple logistic regression analysis with SOAS-R as outcome variable was performed. Results The global clinical evaluations and the BVC were effective and more suitable than actuarial data in predicting short-term aggression. The use of segregation reduced the number of SOAS-R incidents. Conclusions In a naturalistic group of patients in a PICU segregation of patients lowers the number of aggressive and threatening incidents. Prediction should be based on clinical global judgment and instruments designed to predict short-term aggression in psychiatric inpatients. Trial registrations NCT00184119 NCT00184132 Background Threatening and violent behaviour by psychiatric inpatients are major concerns in psychiatric practice 1 2 . .
