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. 2022 Aug 1;210(8):622-628.
doi: 10.1097/NMD.0000000000001504. Epub 2022 Apr 8.

Reporting Incidents in the Psychiatric Intensive Care Unit: A Retrospective Study in an Italian University Hospital

Federica Mele  1 , Luigi Buongiorno  1 , Domenico Montalbò  2 , Davide Ferorelli  1 , Biagio Solarino  1 , Fiorenza Zotti  1 , Felice Francesco Carabellese  3 , Roberto Catanesi  3 , Alessandro Bertolino  2 , Alessandro Dell'Erba  1 , Gabriele Mandarelli  3
Affiliations

Reporting Incidents in the Psychiatric Intensive Care Unit: A Retrospective Study in an Italian University Hospital

Federica Mele et al. J Nerv Ment Dis. .

Abstract

To evaluate the characteristics of the reported workplace violence in a psychiatric intensive care unit (PICU) by analyzing an electronic hospital incident reporting system (IRS). One hundred thirty reports were retrieved from January 2017 to June 2020, referring to assaults committed by patients (71% males) with an average age of 29.8 years (SD, 14.9). The most frequent psychiatric diagnosis was a neurodevelopmental disorder (33%). Physical aggression (84%) was more frequent than the other types of aggression. Nurses and unlicensed assistive personnel were the most frequent victims (65%). Aggressions were more frequent on Friday (18%) and between 4 p.m. and 8 p.m. (35%). A total of 64.9% of the incidents happened in the first 5 days of hospitalization. A significant association between physical aggression and diagnosis of neurodevelopmental disorder emerged. IRS could be helpful to identify high-risk patient groups and develop clinical strategies to reduce adverse events in clinical practice.

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References

    1. Abderhalden C, Needham I, Dassen T, Halfens R, Fischer JE, Haug HJ. (2007) Frequency and severity of aggressive incidents in acute psychiatric wards in Switzerland. Clin Pract Epidemiol Ment Health. 3:30. - PMC - PubMed
    1. Aguglia A, Belvederi Murri M, Conigliaro C, Cipriani N, Vaggi M, Di Salvo G, Maina G, Cavone V, Aguglia E, Serafini G, Amore M. (2020) Workplace violence and burnout among mental health workers. Psychiatr Serv. 71:284–288. - PubMed
    1. Akopov SE, Toromanian EN, Kankanian AP, Van Dorne P, Sarkisian MA. (1996) The clinico-biochemical characteristics of periodontal diseases in subjects who are under conditions of constant, permanent stress [in Russian]. Stomatologiia (Mosk). 75:30–32. - PubMed
    1. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (5th ed). Arlington, VA: American Psychiatric Association.
    1. Amore M, Menchetti M, Tonti C, Scarlatti F, Lundgren E, Esposito W, Berardi D. (2008) Predictors of violent behavior among acute psychiatric patients: Clinical study. Psychiatry Clin Neurosci. 62:247–255. - PubMed