Prevalence, Patterns And Predictors Of Aggression Among Psychiatric Inpatients In A General Hospital Setting
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Author:
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AANASA. T.J, B.SRINIVASAN, VIDYENDRAN RUTHRAN, JESSIE JOSEPH, SABARI SRIDHAR O.T, KAILASH SURESH KUMAR, SHAJAHAN ISMAIL SABARI, KAILASH, SHABEEBA KULAH
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Abstract:
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Aggression is one of the most important factors for inpatient care in psychiatry The existing studies have shown
that aggression has a negative corollary on patients, caregivers and medical personnel as well as the management.
Most of the studies done earlier have looked at aggression and violence primarily in a western setting. A very few
studies have been reported from Asia in particular, India.
This study was done to find the prevalence, patterns and correlates of aggression among psychiatry inpatients in a
general hospital setting. In addition the study also focused on the role played by the caregivers on the ward.
This is a descriptive cross sectional study of consecutive admissions during the study period. A semi structured pro
forma to study the demographics and scales such as M.O.A.S, M.I.N.I, SCID II were used to assess the clinical
correlates. Appropriate statistical tool was used to see the association between aggressive behavior and other
correlates which showed the following results
116 patients were recruited for the study, of who 46 exhibited aggressive behavior. Various diagnosis associated
with aggression were found to be psychotic disorders psychosis (45.6%) alcohol dependence (34.8%) and affective
disorders (19.6%). Among the variables studied domestic violence was significant to aggression.
The role played by the caregivers in managing aggression on the ward is quiet unique to our country. Our study
highlighted the need for developing training programmes in addition to psycho education in the management of
aggression in the ward
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Keyword:
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Staff Observation Aggression Scale-Revised, Quantification Of Violence scale, Bipolar affective disorder, Mental Retardation, Overt aggression scale, Modified overt aggression scale
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