@article{ref1,
title="Time from the admission as the predictor of aggressive behavior of inpatients with schizophrenia spectrum disorder",
journal="Psychiatric quarterly",
year="2020",
author="Bosak, Kristina and Coha, Sandra and Jelavic, Silvana and Grošić, Vladimir and Bajic, Zarko and Polasek, Ozren and Ružić, Mirela Ćelić and Filipcić, Igor and Svab, Vesna",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="The aim was to assess the incidence of aggressive events (AE) committed by patients diagnosed with schizophrenia spectrum disorethder (SSD) after the first 7 days of hospitalization in psychiatric institution, in comparison to other psychiatric patients. This retrospective cohort study was performed at Psychiatric Hospital &quot;Sveti Ivan&quot;, Zagreb, Croatia, using hospital safety records of all patients admitted between 2015 and 2017. Primary outcome was the proportion of patients who committed AE more than a week after the admission to the hospital. Secondary outcome was the time in days from admission to the first incident of AE. The primary analysis was performed using a multivariable binary logistic regression. SSD patients committed AE more often than other patients (incidence rate ratio 3.97 (95% CI 2.35-6.69; p < 0.001; FDR q = 0.002), but these occurred earlier in the course of hospitalization: median (IQR) 2 (1-10) days from admission compared to 11 (2-32) days in other patients. SSD patients had significantly and clinically relevantly lower odds for AE after the first week of hospitalization adjusted for the large number of pre-planned possible confounders (OR = 0.10; 95% CI 0.02-0.45; p = 0.003; FDR q = 0.002). SSD patients seem to express more aggression earlier in the course of hospitalization. <br><br>FINDINGS of this study indicate that hospitalization-inherent AE risk factors may play an important role in the etiology of AE and inpatients aggressive behavior. Their possible moderating effect should be included in risk-assessment instruments.<p /> <p>Language: en</p>",
language="en",
issn="0033-2720",
doi="10.1007/s11126-020-09725-6",
url="http://dx.doi.org/10.1007/s11126-020-09725-6"
}