title: Characteristics of assaultive psychiatric patients: 20-year analysis of the Assaultive Staff Action Program (ASAP).
abstract: Empirical research demonstrates that patient assaults on staff are a worldwide occupational hazard. This study examined patient assailant characteristics in a 20-year longitudinal, retrospective study in one public health care system. Older male patients with schizophrenic illness and histories of violence toward others and substance use disorder and younger male/female patients with personality disorders and histories of violence toward others, personal victimization, and substance use disorder were the more frequent assailants. This was true at 10-, 15-, and 20-year periods. Specific clinical findings with regard to forensic patients, the violence triad, and victimization of women as well as methodological issues were discussed and the implications noted.
authors.affiliation: Department of Psychiatry, Cambridge Health Alliance, 1493 Cambridge Street, Cambridge, MA 02139, USA. raymond_flannery@hms.harvard.edu
authors.forename: Raymond B
authors.initials: RB
authors.lastname: Flannery
authors.forename: Ellen
authors.initials: E
authors.lastname: Farley
authors.forename: Timothy
authors.initials: T
authors.lastname: Tierney
authors.forename: Andrew P
authors.initials: AP
authors.lastname: Walker
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003155:Community Mental Health Centers / Q000706:statistics & numerical data*; D019548:Crime Victims / Q000706:statistics & numerical data; D005260:Female; D006282:Health Personnel; D006801:Humans; D007297:Inpatients; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D008875:Middle Aged; D011369:Professional-Patient Relations; D011569:Psychiatric Status Rating Scales; D012189:Retrospective Studies; D013997:Time Factors; D014754:Violence / Q000517:prevention & control / Q000523:psychology*
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