Vijay Danivas1, Peter Lepping2, Shivanna Punitharani3, Handithavalli Gowrishree3, Kundapur Ashwini3, Bevinahalli Nanjegowda Raveesh4, Tom Palmstierna5. 1. Department of Psychiatry, Mysore Medical College and Research Institute, Mysore, India. Electronic address: vijaydanivas@gmail.com. 2. Department of Psychiatry, Mysore Medical College and Research Institute, Mysore, India; Betsi Cadwaladr University Health Board, Wrexham, United Kingdom; Centre for Mental Health and Society, Bangor University, Wrexham, United Kingdom. 3. Department of Psychiatry, Mysore Medical College and Research Institute, Mysore, India. 4. Department of Psychiatry, Mysore Medical College and Research Institute, Mysore, India; Dharwad Institute of Mental Health and Neurosciences, Dharwad, India. 5. Department of Clinical Neuroscience, Centre for Psychiatric Research, Karolinska Institutet, Stockholm, Sweden; Norwegian University of Science and Technology, Department of Neuroscience, St. Olav's University Hospital, Forensic Research Unit, Brøset, Trondheim, Norway.
Abstract
OBJECTIVE: We evaluated prevalence of aggressive behaviour and coercive measures on an acute Indian psychiatric ward where relatives are always present at the ward. METHOD: Non-interacting, independent observers (specifically trained mental health clinicians) on an Indian acute, 20-bedded psychiatric ward gave structured reports on all violent episodes and coercive measures during a 30-day period. They used the Staff Observation Aggression Scale -Revised, Indian (SOAS-RI). The severity of the SOAS-RI reports were independently analysed by one of the authors. RESULTS: 229 violent incidents were recorded, involving 63% of admitted patients. 27% of all admitted patients were subjected to intravenous injections. Relatives provoked 35% of the incidents and were the target in 56% of the incidents. Patientś own relatives were involved in managing the aggression in 35% of the incidents. Relatives of other patients were involved in 14% of the incidents. The likelihood of a patient to be physically restrained and that a relative would be participating in the coercive measures was increased when medical staff was targeted. CONCLUSION: Relatives are commonly triggers and victims of aggressions on the inverstigated acute Indian psychiatric wards. Doctors and nurses are less likely to be victims but aggression towards them leads more commonly to coercive measures.
OBJECTIVE: We evaluated prevalence of aggressive behaviour and coercive measures on an acute Indian psychiatric ward where relatives are always present at the ward. METHOD: Non-interacting, independent observers (specifically trained mental health clinicians) on an Indian acute, 20-bedded psychiatric ward gave structured reports on all violent episodes and coercive measures during a 30-day period. They used the Staff Observation Aggression Scale -Revised, Indian (SOAS-RI). The severity of the SOAS-RI reports were independently analysed by one of the authors. RESULTS: 229 violent incidents were recorded, involving 63% of admitted patients. 27% of all admitted patients were subjected to intravenous injections. Relatives provoked 35% of the incidents and were the target in 56% of the incidents. Patientś own relatives were involved in managing the aggression in 35% of the incidents. Relatives of other patients were involved in 14% of the incidents. The likelihood of a patient to be physically restrained and that a relative would be participating in the coercive measures was increased when medical staff was targeted. CONCLUSION: Relatives are commonly triggers and victims of aggressions on the inverstigated acute Indian psychiatric wards. Doctors and nurses are less likely to be victims but aggression towards them leads more commonly to coercive measures.
Authors: B N Raveesh; S Pathare; P Lepping; E O Noorthoorn; G S Gowda; J G F Bunders-Aelen Journal: Indian J Psychiatry Date: 2016-12 Impact factor: 1.759
Authors: B N Raveesh; S Pathare; E O Noorthoorn; G S Gowda; P Lepping; J G F Bunders-Aelen Journal: Indian J Psychiatry Date: 2016-12 Impact factor: 1.759
Authors: Guru S Gowda; Peter Lepping; Sujoy Ray; Eric Noorthoorn; Raveesh Bevinahalli Nanjegowda; Channaveerachari Naveen Kumar; Suresh Bada Math Journal: Indian J Psychiatry Date: 2019 Mar-Apr Impact factor: 1.759