title: International precipitants to psychiatric patient assaults in community settings: review of published findings, 2000-2012.
abstract: In studying psychiatric patient assaults, assessing the person × event × environment interaction is important in enhancing safety and ensuring quality care. Precipitants to patient assaults have traditionally received less attention than the characteristics of such assaults. A recent review of inpatient precipitants noted acute psychosis, denial of services, and substance abuse as common precipitants in these settings. Even though health care systems are moving toward community-based services, no community studies were included in this inpatient review. The present study reviewed the precipitants reported in community studies internationally from 2000-2012. A variety of community precipitants, including acute psychosis and substance abuse, were obtained. How these community precipitants differ from the inpatient preciptiants and a detailed methodological inquiry are presented.
authors.affiliation: Harvard Medical School, Newton, MA, USA, raymond_flannery@hms.harvard.edu.
authors.forename: Raymond B
authors.initials: RB
authors.lastname: Flannery
authors.forename: Georgina J
authors.initials: GJ
authors.lastname: Flannery
mesh_terms: D016208:Databases, Factual / Q000706:statistics & numerical data; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D001523:Mental Disorders / Q000523:psychology*; D011369:Professional-Patient Relations; D012111:Residence Characteristics; D012189:Retrospective Studies; D014754:Violence / Q000523:psychology*