Rosangela Caruso1,2, Fabio Antenora3, Michelle Riba4,5,6,7, Martino Belvederi Murri3,8, Bruno Biancosino9, Luigi Zerbinati3, Luigi Grassi3,8. 1. Institute of Psychiatry, Department of Neurosciences and Rehabilitation, University of Ferrara, Ferrara, Italy. rosangela.caruso@unife.it. 2. University Hospital Psychiatry Unit and Consultation-Liaison Psychiatry and Program on Psycho-Oncology and Psychiatry in Palliative Care, S. Anna University Hospital and Health Trust, Via Fossato di Mortara 64a, 44121, Ferrara, Italy. rosangela.caruso@unife.it. 3. Institute of Psychiatry, Department of Neurosciences and Rehabilitation, University of Ferrara, Ferrara, Italy. 4. Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA. 5. University of Michigan Comprehensive Depression Center, Ann Arbor, MI, USA. 6. Psycho-oncology Program, University of Michigan Rogel Cancer Center, Ann Arbor, MI, USA. 7. Department of Psycho-oncology, Cancer and Molecular Medicine, University of Leicester, Leicester, UK. 8. University Hospital Psychiatry Unit and Consultation-Liaison Psychiatry and Program on Psycho-Oncology and Psychiatry in Palliative Care, S. Anna University Hospital and Health Trust, Via Fossato di Mortara 64a, 44121, Ferrara, Italy. 9. Department of Mental Health, Ferrara, Italy.
Abstract
PURPOSE OF REVIEW: We summarized peer-reviewed literature on aggressive episodes perpetrated by adult patients admitted to general hospital units, especially psychiatry or emergency services. We examined the main factors associated with aggressive behaviors in the hospital setting, with a special focus on the European experience. RECENT FINDINGS: A number of variables, including individual, historical, and contextual variables, are significant risk factors for aggression among hospitalized people. Drug abuse can be considered a trans-dimensional variable which deserves particular attention. Although mental health disorders represent a significant component in the risk of aggression, there are many factors including drug abuse, past history of physically aggressive behavior, childhood abuse, social and cultural patterns, relational factors, and contextual variables that can increase the risk of overt aggressive behavior in the general hospital. This review highlights the need to undertake initiatives aimed to enhance understanding, prevention, and management of violence in general hospital settings across Europe.
PURPOSE OF REVIEW: We summarized peer-reviewed literature on aggressive episodes perpetrated by adult patients admitted to general hospital units, especially psychiatry or emergency services. We examined the main factors associated with aggressive behaviors in the hospital setting, with a special focus on the European experience. RECENT FINDINGS: A number of variables, including individual, historical, and contextual variables, are significant risk factors for aggression among hospitalized people. Drug abuse can be considered a trans-dimensional variable which deserves particular attention. Although mental health disorders represent a significant component in the risk of aggression, there are many factors including drug abuse, past history of physically aggressive behavior, childhood abuse, social and cultural patterns, relational factors, and contextual variables that can increase the risk of overt aggressive behavior in the general hospital. This review highlights the need to undertake initiatives aimed to enhance understanding, prevention, and management of violence in general hospital settings across Europe.
Entities:
Keywords:
Aggressive behavior,; General hospital; Psychiatric inpatients
Authors: Maria Rubio-Valera; Juan V Luciano; José Miguel Ortiz; Luis Salvador-Carulla; Alfredo Gracia; Antoni Serrano-Blanco Journal: BMC Psychiatry Date: 2015-03-04 Impact factor: 3.630