Assaultive behavior. Does provocation begin in the front office?
1. Provocation is an important risk predictor because these issues can be recognized, assessed, and appropriate interventions can be implemented to reduce the associated risks. It is only by the reduction of such "non-fixed" risk factors that any reduction of assaults can be accomplished. 2. Involuntary admission, patients with dementia or organic brain disorder, physical or verbal limits, staff attitude, denial of the possibility of assaults, and the educational level and clinical experience of the staff may help provoke an assaultive episode. 3. An important step is assessing the assault to identify provocation due to certain medical causes, and to document the extent of degeneration in patients with dementia or organic brain disorder. Medical intervention would be indicated and would appropriately address the causes of some violent episodes.
Blair
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Extended Care Psychiatry, Colmery O'Neil Veteran's Administration Medical Center, Topeka, Kansas.
D000374:Aggression / Q000523:psychology*; D001291:Attitude of Health Personnel; D003704:Dementia / Q000523:psychology; D004522:Educational Status; D004637:Emergency Services, Psychiatric; D005260:Female; D006270:Health Facility Administrators; D006778:Hospitals, Psychiatric; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000523:psychology; D012307:Risk Factors; D014754:Violence