Characteristics of aggressive subjects in Australian (Melbourne) nursing homes.
BACKGROUND
Aggressive behavior is common in nursing homes for the elderly. It causes distress to carers and can lead to hospitalization, overmedication, and physical restraint.


METHODS
A 6-month prospective study examining the characteristics of aggressive subjects in 11 nursing homes in Melbourne using validated, reliable instruments.


RESULTS
During the study, 121 and 143 subjects were rated aggressive on the Rating Scale for Aggressive Behavior in the Elderly and the Staff Observation Aggression Scale, respectively. Aggressive behavior was associated with younger age, men, subsequent mortality, and prescription of psychotropic drugs including neuroleptics, antidepressants, and benzodiazepines.


CONCLUSIONS
Educational programs in the use of psychotropic drugs directed at staff involved in the care of nursing home residents may be of value because these drugs have modest efficacy, have significant side effects, and may simply sedate the patient rather than treat aggressive behavior.
Imperial College School of Medicine, London, England, UK. a.k.shah@ic.ac.uk
A
A
Shah
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E
Chiu
D
D
Ames
S
S
Harrigan
D
D
McKenzie
D000368:Aged / Q000523:psychology*; D000369:Aged, 80 and over; D000374:Aggression / Q000523:psychology*; D001315:Australia / Q000453:epidemiology; D002391:Catchment Area, Health; D005260:Female; D006299:Health Services for the Aged / Q000706:statistics & numerical data; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D008605:Mental Health Services / Q000706:statistics & numerical data; D009735:Nursing Homes; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric
D011619:Psychotropic Drugs