title: Determinants of seclusion after aggression in psychiatric inpatients.
abstract: Some aggressive incidents in psychiatric wards result in seclusion, whereas others do not. We used the Staff Observation Aggression Scale-Revised and the mental health trust's database to identify determinants that predicted seclusion after aggression. These consisted of demographic, diagnostic, contextual, and aggression characteristics and were analyzed in a multilevel logistic regression. This showed associations between seclusion and aggression for the following: younger age, involuntary status, history of previous aggression, physical or dangerous violence, aggression being directed against objects, and a more severe incident. Thus, seclusion after aggression appears to be mainly predicted by aggression itself.
authors: Mediant GGZ, Enschede, the Netherlands. fleurvruwink@gmail.com
authors: Fleur J
authors: FJ
authors: Vruwink
authors: Eric O
authors: EO
authors: Noorthoorn
authors: Henk L I
authors: HL
authors: Nijman
authors: Joanneke E L
authors: JE
authors: Vandernagel
authors: Joop J
authors: JJ
authors: Hox
authors: Cornelis L
authors: CL
authors: Mulder
mesh_terms: D000328:Adult; D000374:Aggression / Q000523:psychology*; D015331:Cohort Studies; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000451:nursing* / Q000523:psychology; D008875:Middle Aged; D009730:Nursing Assessment; D010552:Personality Assessment; D012307:Risk Factors; D012637:Security Measures; D012931:Social Environment; D012934:Social Isolation