@article{ref1,
title="Risk factors for assault and physical aggression among medically hospitalized adult patients who had a behavioral emergency call: a descriptive study",
journal="Journal of the American Psychiatric Nurses Association",
year="2021",
author="Lohse, Christine and Arnetz, Judith E. and Derscheid, Della J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Health care settings are a primary location for workplace violence that involves clients, but risk factors for behavioral emergencies in medical settings  are largely unknown. <br><br>AIM: This study proposed to identify risk factors for assault  and physical aggression among medically hospitalized patients who needed a behavior  emergency response team. <br><br>METHOD: This descriptive study, conducted at a large  Midwestern academic medical center, used univariable and multivariable logistic  regression to assess relationships between demographic, medical, mental health, and  contextual variables with assault and physical aggression. Predictive ability was  summarized using area under the receiver operating characteristic curve. <br><br>RESULTS:  Among patients who received a behavior emergency response (N = 820), 86 (10%) were  assaultive. Physical aggression was the most significant predictor of assault. Physical aggression was predicted by older age, male gender, and verbal threats to  others. Conversely, internalizing mental health conditions of anxiety, depression,  and suicidal ideation were significant for decreased risk of assault and/or physical  aggression. Contextual factors, identified as wanting to smoke or leave the  hospital, were significantly associated with decreased risk of both assault and  physical aggression. <br><br>CONCLUSION: Health care providers are encouraged to (1)  consider the demonstration of physical aggression as a sign to urgently implement  precautionary measures for safety, (2) avoid predicting violent situations based on  particular medical or mental health conditions alone, and (3) understand that not  all disruptive behavior leads to violent situations.<p /> <p>Language: en</p>",
language="en",
issn="1078-3903",
doi="10.1177/1078390320983441",
url="http://dx.doi.org/10.1177/1078390320983441"
}