title: Violent behaviour in a forensic psychiatric hospital in Finland: an analysis of violence incident reports.
abstract: The aim of this paper was to explore the frequency and provocation of physically violent incidents in a Finnish forensic psychiatric hospital. Three years (2007-2009) of violent incident reports were analysed retrospectively. The data were analysed by content analysis, and statistically by Poisson regression analysis. During the study period a total of 840 incidents of physical violence occurred. Six main categories were found to describe the provocation of violence where three of these categories seemed to be without a specified reason (61%), and three represented a reaction to something (36%). The risk for violent behaviour was highest for the civil patients (RR = 11.96; CI 95% 9.43-15.18; P < 0.001), compared to criminal patients (RR = 1). The civil patients represented 36.7% of the patients, and in 43.6% of the studied patient days, they caused 89.8% of the reported violence incidents. Patients undergoing a forensic mental examination did not frequently behave aggressively (RR = 1.97; CI 95% 0.91-4.28). These results can be used in the reorganization of health-care practices and the allocation of resources.
authors: Department of Forensic Psychiatry, University of Eastern Finland, Niuvanniemi Hospital, Kuopio.
authors: S
authors: S
authors: Kuivalainen
authors: K
authors: K
authors: Vehviläinen-Julkunen
authors: A
authors: A
authors: Putkonen
authors: O
authors: O
authors: Louheranta
authors: J
authors: J
authors: Tiihonen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D057237:Criminals / Q000706:statistics & numerical data*; D005260:Female; D005387:Finland; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D007297:Inpatients / Q000523:psychology / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D014754:Violence / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: forensic psychiatry; violence