Jandi H Crocker1, Robyn Stargatt, Christine Denton. 1. School of Psychological Science, Faculty of Science, Technology and Engineering, La Trobe University, Melbourne, Victoria, Australia.
Abstract
OBJECTIVE: The aim of the present exploratory study was to determine the predictors of aggression and restraint in children admitted to a child psychiatric inpatient unit in Melbourne, Australia. METHOD: A retrospective review of incident report forms over a 12 month period at the State Wide Child Inpatient Unit (SWCIU) was conducted. These report forms were based upon 41 children aged 5-12 years, who had various psychiatric diagnoses including conduct disorder, attention-deficit-hyperactivity disorder and anxiety disorders. RESULTS: A total of 70 children were admitted to the SWCIU during the audit period. Forty-one children aged 5-12 engaged in 235 violent incidents. A high-risk assessment and disruptive behaviour disorder were associated with aggressive behaviour and restraint. Disruptive behaviour disorder also predicted more serious episodes of aggression. CONCLUSIONS: There are readily identifiable patient factors that predict aggression and the need for restraint in child inpatient units.
OBJECTIVE: The aim of the present exploratory study was to determine the predictors of aggression and restraint in children admitted to a childpsychiatric inpatient unit in Melbourne, Australia. METHOD: A retrospective review of incident report forms over a 12 month period at the State Wide Child Inpatient Unit (SWCIU) was conducted. These report forms were based upon 41 children aged 5-12 years, who had various psychiatric diagnoses including conduct disorder, attention-deficit-hyperactivity disorder and anxiety disorders. RESULTS: A total of 70 children were admitted to the SWCIU during the audit period. Forty-one children aged 5-12 engaged in 235 violent incidents. A high-risk assessment and disruptive behaviour disorder were associated with aggressive behaviour and restraint. Disruptive behaviour disorder also predicted more serious episodes of aggression. CONCLUSIONS: There are readily identifiable patient factors that predict aggression and the need for restraint in child inpatient units.
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