TY  - JOUR
PY  - 2012//
TI  - Managing aggression in a forensic psychiatric unit for adolescents: literature review and clinical implementation
JO  - Tijdschrift voor Psychiatrie
A1  - Tremmery, S.
A1  - de Decker, A.
A1  - De Hert, M.
A1  - De Varé, J.
A1  - Danckaerts, M.
SP  - 797
EP  - 806
VL  - 54
IS  - 9
N2  - Background: Aggressive incidents are part and parcel of everyday life in a forensic psychiatric unit for adolescents. Aim: To review the literature about the prevalence of aggressive incidents and about aggression management policy in (forensic) child and adolescent psychiatry and to explain and elaborate the aggression management protocol in a newly established unit. Method: The literature was reviewed systematically using PubMed and PsycINFO in order to locate studies in English and Dutch published since 1990. Results: Only 10 publications reported prevalence data on aggressive incidents in child or adolescent psychiatric units. Literature about concrete policy guidelines was almost non-existent. 27% to 78% of the youngsters had been involved in some kind of aggression. The lack of clear definitions and the differences in the research designs made a reliable comparison impossible. Conclusion: To date, there is no evidence that a greater number of aggressive incidents occur in a forensic psychiatric unit for adolescents than in a regular adolescent psychiatric unit. Further research into both the prevalence and the characteristics of incidents is required in order to provide cues for a good policy. This policy will need to include structural and relational security measures that are firmly supported by the systematic registration of incidents and by continuous risk assessment.<p />  <p>Language: nl</p>
LA  - nl
SN  - 0303-7339
UR  - http://dx.doi.org/
ID  - ref1
ER  -