Patients who bring weapons to the psychiatric emergency room.
ABSTRACT The personal characteristics of patients who brought weapons to a university hospital-based psychiatric emergency room were examined. During 14 months following implementation of a routine weapon-screening procedure, 37 (4%) of 1012 psychiatric emergency room patients were found to have weapons. These patients did not differ significantly from a randomly selected control group of non-weapon-carrying patients on a variety of demographic and clinical variables often associated with violence potential, although the weapon-carrying patients were more likely to be male and have a history of substance abuse. The heterogeneity of personal characteristics of weapon-carrying patients is likely to make them difficult to distinguish clinically from other patients. The findings have important implications for maintaining safety in the psychiatric emergency room.
SourceAvailable from: Carl L Tishler[Show abstract] [Hide abstract]
ABSTRACT: Being threatened, harassed, attacked, or confronted by a patient with a weapon is becoming more common and is likely to occur at some point in a mental health professional's career. Effective violence management programs can reduce the incidence of violence. Yet, few resources have been provided to assist psychologists and other mental health professionals to deal with aggressive patients. The authors offer strategies for the management of aggressive behavior that can be implemented to empower practitioners to take precautions when necessary in a quick and efficient manner when dealing with violent and potentially violent patients. (PsycINFO Database Record (c) 2012 APA, all rights reserved)Professional Psychology Research and Practice 01/2000; 31(1):34-41. DOI:10.1037/0735-7028.31.1.34 · 1.34 Impact Factor
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ABSTRACT: The objective of the study was to determine (1) the incidence of violent acts committed by elderly patients in an emergency department and (2) the characteristics of these violent elderly patients compared to non-elderly violent patients. A 5-year retrospective review was undertaken of all dangerous behaviour incident reports (DBRs) in an urban Veterans Affairs Medical Center. Information abstracted from DBRs included descriptions of verbal or physical aggression, use of a weapon, injury to others and outcome of the incident. Demographic information, psychiatric and medical diagnoses and frequency of medical center use were obtained by medical record review. Twenty-one violent elderly persons (age 60 years and over) were compared to 190 non-elderly violent persons (under age 60). Eighty-one per cent of the aged patients had a psychiatric diagnosis, most commonly alcohol dependence or a psychotic disorder. Old patients had more medical illness than young patients, but both groups were frequent users of medical services (mean 4.4 emergency department visits or hospitalizations for elderly vs 3.7 for non-elderly in the year before incident). There were no differences between the two age groups in characteristics of the perpetrators, nature of the violent episodes or outcomes. Violent elderly persons in the emergency department are likely to have both medical and psychiatric illness and use medical services frequently. They are not distinctly different from younger violent patients.International Journal of Geriatric Psychiatry 11/1995; 10(11):945-950. DOI:10.1002/gps.930101106 · 3.09 Impact Factor