title: Risk Factors Associated With Inpatient Violence During Medium Security Treatment.
abstract: Violence is a common phenomenon both in regular and forensic psychiatric settings, and has a profound impact on staff and other patients. Insight into the individual risk factors associated with violence in forensic psychiatric settings is rare and is therefore the subject of this research. A retrospective file study in three medium security units in Flanders was conducted to compare non-violent inpatients with inpatients who engaged in (verbal and physical) violent behavior. Binary logistic regression analyses were used to examine which variables contributed independently to the risk of violence. The results showed that absconding during treatment was independently associated with physical violence. A personality disorder diagnosis and general non-compliance with treatment were associated with verbal violence. Both types of violence predicted early termination of treatment. Contrary to previous research, the results from the risk assessment tools were not associated with inpatient violence. Clinical implications are discussed and include, among others, that clinicians should remain vigilant for early warning signs of non-compliance during treatment.
authors.affiliation: 1 Knowledge Center Forensic Psychiatric Care (KeFor) OPZC Rekem, Belgium.
authors.forename: Inge
authors.initials: I
authors.lastname: Jeandarme
authors.affiliation: 2 University Ghent, Belgium.
authors.forename: Ciska
authors.initials: C
authors.lastname: Wittouck
authors.affiliation: 2 University Ghent, Belgium.
authors.forename: Freya
authors.initials: F
authors.lastname: Vander Laenen
authors.affiliation: 1 Knowledge Center Forensic Psychiatric Care (KeFor) OPZC Rekem, Belgium.
authors.forename: Claudia
authors.initials: C
authors.lastname: Pouls
authors.affiliation: 3 Tilburg University, The Netherlands.
authors.forename: T I
authors.initials: TI
authors.lastname: Oei
authors.affiliation: 3 Tilburg University, The Netherlands.|4 KARID, FIVOOR, Forensic Psychiatric Center, Rotterdam, The Netherlands.
authors.forename: Stefan
authors.initials: S
authors.lastname: Bogaerts
mesh_terms: D000328:Adult; D000374:Aggression / Q000523:psychology*; D001530:Belgium; D005260:Female; D006801:Humans; D007175:Impulsive Behavior; D007297:Inpatients / Q000523:psychology* / Q000706:statistics & numerical data; D008297:Male; D028642:Persons with Psychiatric Disorders / Q000523:psychology* / Q000706:statistics & numerical data; D000066550:Physical Abuse / Q000523:psychology; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D012637:Security Measures; D014754:Violence / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult
keywords: aggression; forensic; medium security; risk factors; violence