Citation

Rothärmel M, Poirier MF, Levacon G, Kazour F, Bleher S, Gastal D, Lazareth S, Lebain P, Olari M, Oukebdane R, Rengade CE, Themines J, Abbar M, Dollfus S, Gassiot A, Haouzir S, Januel D, Millet B, Olié JP, Stamatiadis L, Terra JL, Bénichou J, Campion D, Guillin O. Encephale (1974) 2017; 43(5): 409-415.

Vernacular Title

Relation entre la violence intra-hospitalière des patients avec psychoses et la violence dans la communauté.

Affiliation

Service hospitalo-universitaire, centre hospitalier du Rouvray, 4, rue Paul-Eluard, 76300 Sotteville-lès-Rouen, France; Unité U1079, université de Rouen, 76000 Rouen, France.

Copyright

(Copyright © 2017, Masson Editeur)

DOI

10.1016/j.encep.2017.04.002

PMID

28641816

Abstract

BACKGROUND: Violence is a common issue in psychiatry and has multiple determiners. The aim of this study is to assess the psychotic inpatients' violence in association with the violence of the neighborhood from which the patients are drawn and to estimate the impact of this environmental factor with regard to other factors.

METHOD: A prospective multicenter study was led in nine French cities. Eligible patients were psychotic involuntary patients hospitalized in the cities' psychiatric wards. During their treatments, any kind of aggressive behavior by the patients has been reported by the Overt Aggression Scale (OAS).

RESULTS: From June 2010 to May 2011, 95 patients have been included. Seventy-nine per cent of the patients were violent during their hospitalizations. In a bivariate analysis, inpatient violence was significantly associated with different factors: male gender, patient violence history, substance abuse, manic or mixed disorder, the symptoms severity measured by the BPRS, the insight degree and the city crime rate. In a multivariate analysis, the only significant factors associated with the patients' violence were substance abuse, the symptoms severity and the crime rates from the different patients' cities.

CONCLUSION: These results suggest that violence within the psychotic patients' neighborhood could represent a risk of violence during their treatments.

Copyright © 2017 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

Language: fr

Keywords

Hospitalisation; In-patient; Lieu de résidence; Neighborhood; Psychotic disorders; Schizophrenia; Schizophrénie; Trouble psychotique; Violence