Citation

Kuivalainen S, Vehviläinen-Julkunen K, Putkonen A, Louheranta O, Tiihonen J. J. Psychiatr. Ment. Health Nurs. 2014; 21(3): 214-218.

Affiliation

Department of Forensic Psychiatry, University of Eastern Finland, Niuvanniemi Hospital, Kuopio.

Copyright

(Copyright © 2014, John Wiley and Sons)

DOI

10.1111/jpm.12074

PMID

23634912

Abstract

ACCESSIBLE SUMMARY: Over half of the violent incidents considered in this study were unexplained. The risk for violent behaviour inside the hospital was the highest for civil patients. The risk rate in this group was 12 compared to criminal patients' risk rate of one. ABSTRACT: The aim of this paper was to explore the frequency and provocation of physically violent incidents in a Finnish forensic psychiatric hospital. Three years (2007-2009) of violent incident reports were analysed retrospectively. The data were analysed by content analysis, and statistically by Poisson regression analysis. During the study period a total of 840 incidents of physical violence occurred. Six main categories were found to describe the provocation of violence where three of these categories seemed to be without a specified reason (61%), and three represented a reaction to something (36%). The risk for violent behaviour was highest for the civil patients (RR = 11.96; CI 95% 9.43-15.18; P < 0.001), compared to criminal patients (RR = 1). The civil patients represented 36.7% of the patients, and in 43.6% of the studied patient days, they caused 89.8% of the reported violence incidents. Patients undergoing a forensic mental examination did not frequently behave aggressively (RR = 1.97; CI 95% 0.91-4.28). These results can be used in the reorganization of health-care practices and the allocation of resources.

Language: en