Comprehensive Psychiatry
Volume 46, Issue 2 , Pages 121-127 , March 2005

Predictors of aggression on the psychiatric inpatient service

  • Mark R. Serper

      Affiliations

    • Department of Psychology, Hofstra University, Hempstead, NY 11549, USA
    • Department of Psychiatry, New York University School of Medicine, New York, NY 10016, USA
    • Corresponding Author InformationCorresponding author. Department of Psychology, Hofstra University, Hauser Hall, Hempstead, NY 11549, USA. Tel.: +1 516 463 5837; fax: +1 516 463 6052.
  • ,
  • Brett R. Goldberg

      Affiliations

    • Department of Psychology, Hofstra University, Hempstead, NY 11549, USA
  • ,
  • Kristine G. Herman

      Affiliations

    • Department of Psychology, Hofstra University, Hempstead, NY 11549, USA
  • ,
  • Danielle Richarme

      Affiliations

    • Department of Psychology, Hofstra University, Hempstead, NY 11549, USA
  • ,
  • James Chou

      Affiliations

    • Department of Psychiatry, New York University School of Medicine, New York, NY 10016, USA
  • ,
  • Charles A. Dill

      Affiliations

    • Department of Psychology, Hofstra University, Hempstead, NY 11549, USA
  • ,
  • Robert Cancro

      Affiliations

    • Department of Psychiatry, New York University School of Medicine, New York, NY 10016, USA

References 

  1. Davies S. Assaults and threats on psychiatrists. Psychol. Bull. 2001;25:89–91
  2. Flannery RB, Hanson MA, Penk WE. Risk factors for psychiatric inpatient assaults on staff. J. Ment. Health Adm. 1994;21:24–31
  3. Owen C, Tarantello C, Jones M, Tennant C. Repetitively violent patients in psychiatric units. Psychiatr. Serv. 1998;49:1458–1461
  4. Morrison EF. The culture of caregiving and aggression in psychiatric settings. Arch. Psychiatr. Nurs. 1998;12:21–31
  5. Bensley L, Nelson N, Kaufman J, Silverstein B, Kalat J, Shields JW. Injuries due to assaults on psychiatric hospital employees in Washington State. Am. J. Ind. Med. 1997;31:92–99
  6. Binderman MR. Identifying aggression risk factors. In:  Knapp S editors. Innovations in clinical practice: a source book. Sarasota (FL): Professional Resource Press/Professional Resource Exchange; 1995;p. 137–149
  7. Swartz MS, Swanson JW, Hiday VA, Borum R, Wagner HR, Burns BJ. Aggression and severe mental illness: the effects of substance abuse and nonadherence to medication. Am. J. Psychiatry. 1998;155:226–231
  8. Martell DA, Rosner R, Harmon RB. Base-rate estimates of criminal behavior by homeless mentally ill persons in New York City. Psychiatr. Serv. 1995;46:596–601
  9. Martell DA. Homeless mentally disordered offenders and violent crimes: preliminary research findings. Law Hum Behav. 1991;15:333–347
  10. Rossi AM, Jacobs M, Monteleone M, Olsen R, Surber RW, Winkler EL, et al. Characteristics of psychiatric patients who engage in assaultive or other fear-inducing behaviors. J. Nerv. Ment. Dis. 1986;174:154–160
  11. Fottrell E. A study of violent behaviour among patients in psychiatric hospitals. Br. J. Psychiatry. 1980;136:216–221
  12. Swanson JW, Holzer CE, Gonju VK, Jone RT. Violence and psychiatric disorder in the community: evidence from the Epidemiologic Catchment Area surveys. Hosp. Community Psychiatry. 1990;41(7):761–770
  13. Arango C, Barba AC, Gonzalez-Salvador T, Ordonez AC. Aggression in inpatients with schizophrenia: a prospective study. Schizophr. Bull. 1999;25:493–503
  14. Janofsky JS, Spears S, Neubauer DN. Psychiatrists' accuracy in predicting violent behavior on an inpatient unit. Hosp. Community Psychiatry. 1988;39:1090–1094
  15. Soliman AE, Reza H. Risk factors and correlates of aggression among acutely ill adult psychiatric inpatients. Psychiatr. Serv. 2001;52:75–80
  16. Dhossche DM, Ghani SO. Who brings patients to the psychiatric emergency room? Psychosocial and psychiatric correlates. Gen. Hosp. Psychiatry. 1998;20:235–240
  17. Tardiff K, Sweillam A. Assaultive behavior among chronic inpatients. Am. J. Psychiatry. 1982;139:212–215
  18. Guzikov BM, Zobnev VM. Clinico-psychological study of destructive behavior of drug addicts in different stages of drug addiction. Int. J. Ment. Health. 1997;26:69–76
  19. Bjorkly S. Prediction of aggression in psychiatric patients: a review of prospective prediction studies. Clin. Psychol. Rev. 1995;15:475–502
  20. Krakowski MI, Convit A, Jaeger J et al. Neurological impairment in violent schizophrenic inpatients. Am J Psychiatry 146: 849-53.
  21. Davis JM. Dose equivalence of the antipsychotic drugs. J. Psychiatr. Res. 1974;11:65–69
  22. Preston T, O'Neal R, Talaga CH. Handbook of clinical psychopharmacology for therapists. Baltimore (MD): Williams & Wilkins; 1995;
  23. Sorgi P, Ratey J, Knoedler DU, Markert RJ, Reichman M. Rating aggression in the clinical setting: a retrospective adaptation of the Overt Aggression Scale: preliminary results. J. Neuropsychiatry. 1991;3:S52–S56
  24. Overall JE, Gorham DR. The Brief Psychiatric Rating Scale. Psychol. Rep. 1962;10:799–812
  25. Delis DC, Kramer JH, Kaplan E, Ober BA. California Verbal Learning Test: adult version. San Antonio (TX): Psychological Corporation; 1987;
  26. Tiihonen J, Isohanni M, Raesaenen P, Koiranen M, Moring J. Specific major mental disorders and criminality: a 26-year prospective study of the 1996 Northern Finland Birth Cohort. Am. J. Psychiatry. 1997;154:840–845
  27. Dinaker HS, Sobel RN. Aggression in the community as a predictor of aggression in the hospital. Psychiatr. Serv. 2001;52:240–241
  28. Ehmann T, Smith GN, Yamamoto A, McCarthy N, Ross D, Au T, et al. Aggression in treatment resistant psychotic inpatients. J. Nerv. Ment. Dis. 2001;189:716–721
  29. Kay SR, Wolkenfeld F, Murrill LM. Profiles of aggression among psychiatric patients I. Nature and prevalence. J. Nerv. Ment. Dis. 1988;176:539–546
  30. Hiday VA, Swartz MS, Swanson JW, Borum R, Wagner HR. Male-female differences in the setting and construction of aggression among people with severe mental illness. Soc. Psychiatry Psychiatr. Epidemiol. 1998;33:S68–S74
  31. Finn MA, Stalans LJ. The influence of gender and mental state on police decisions in domestic assault cases. Crim. Justice Behav. 1997;24:157–176
  32. Lam JN, McNiel DE, Binder RL. The relationship between patients' gender and aggression leading to staff injuries. Psychiatr. Serv. 2000;51:1167–1170
  33. North CS. Aggression and the homeless: an epidemiologic study of victimization and aggression. J. Traumatic Stress. 1994;7:95–110
  34. Wu T, Serper MR. Social support and psychopathology in homeless patients presenting for emergency psychiatric treatment. J. Clin. Psychol. 1999;55:1127–1133
  35. Gilder I. Aggression in the community: a study of aggression and aggression in homelessness and mental health day services. J. Community Appl. Soc. Psychol. 1997;7:377–387
  36. Beck JC, White KA, Gage B. Emergency psychiatric assessment of aggression. Am. J. Psychiatry. 1991;148:1562–1565
  37. Lapierre D, Braun CM, Hodgins S, Toupin J, Leveillee S, Constantineau C. Neuropsychological correlates of violence in schizophrenia. Schizophr. Bull. 1995;21:253–262
  38. Kim CH, Jayathilake K, Meltzer HY. Hopelessness, neurocognitive function, and insight in schizophrenia: relationship to suicidal behavior. Schizophr. Res. 2003;60:71–80
  39. Bowie CR, Moriarty PJ, Harvey PD, Parrella M, White L, Davis KL. Aggression in elderly schizophrenia patients: a comparison of nursing home and state hospital residents. J. Neuropsychiatry Clin. Neurosci. 2001;13:357–366
  40. Lafayette JM, Frankle WG, Pollock A, Dyer K, Goff DC. Clinical characteristics, cognitive functioning, and criminal histories of outpatients with schizophrenia. Psychiatr. Serv. 2003;54:1635–1640
  41. Braun CM, Lapierre D, Hodgins S, Toupin J, Leveille S, Constantineau C. Neurological soft signs in schizophrenia: are they related to negative or positive symptoms, neuropsychological performance, and violence?. Arch. Clin. Neuropsychol. 1995;10:489–509
  42. Krakowski M, Czobor P, Carpenter MD, et al. Community violence and inpatient assaults: neurobiological deficits. J. Neuropsychiatry Clin. Neurosci. 1997;9:549–555
  43. Krakowski M, Czobor P. Violence in psychiatric patients: the role of psychosis, frontal lobe impairment, and ward turmoil. Compr. Psychiatry. 1997;38:230–236
  44. Raine A. Annotation: the role of prefrontal deficits, low autonomic arousal, and early health factors in the development of antisocial and aggressive behavior in children. J. Child Psychol. Psychiatry. 2002;43:417–434
  45. Lion JR. Pitfalls in the assessment and measurement of aggression: a clinical view. J. Neuropsychiatry Clin. Neurosci. 1991;3:S40–S43
  46. Brizer DA, Crowner ML, Convit A, Volavka J. Videotape recording of inpatient assaults: a pilot study. Am. J. Psychiatry. 1988;145:751–752
  47. Serper M, Bergman A. Psychotic aggression: motives, methods, madness. Madison (CT): International Universities Press; 2003;
  48. Beck JC. Predicting inpatient aggression. Am. J. Psychiatry. 1996;153:845
  49. Steinart T. Prediction of inpatient aggression. Acta Psychiatr. Scand. 2002;412(Suppl.):133–141

PII: S0010-440X(04)00119-1

doi: 10.1016/j.comppsych.2004.07.031

Comprehensive Psychiatry
Volume 46, Issue 2 , Pages 121-127 , March 2005