title: Warning Signs prior to Aggressive Behavior in Child Psychiatric Units.
abstract: This study aims at detecting and categorizing early warning signs of aggressive behavior in child psychiatric units. We analyzed 575 violent incident report forms and developed a coding scheme consisting of 16 warning signs. From the 575 incident report forms, a total of 1087 signs were coded. Most common warning signs were 'restlessness' (21.2%), 'not listening' (15.2%) and 'anger' (9.8%). These were also the most prevalent warning signs for the severe incidents. Although warning signs differ for each individual child, this study indicates that there are common warning signs for imminent aggressive incidents in child psychiatric facilities.
authors.affiliation: Brain Center Rudolf Magnus, department of Psychiatry, University Medical Center Utrecht, The Netherlands. Electronic address: m.d.m.faay@umcutrecht.nl.
authors.forename: Margo D M
authors.initials: MD
authors.lastname: Faay
authors.affiliation: Erasmus Medical Center Sophia Children's Hospital, department of Child and Adolescent Psychiatry, Rotterdam, The Netherlands; VanMontfoort Consultancy, Woerden, The Netherlands.
authors.forename: Marije W
authors.initials: MW
authors.lastname: Valenkamp
authors.affiliation: Behavioural Science Institute (BSI), Radboud University, Nijmegen, The Netherlands; Aventurijn - Fivoor, Den Dolder, The Netherlands.
authors.forename: Henk
authors.initials: H
authors.lastname: Nijman
mesh_terms: D000374:Aggression / Q000523:psychology*; D000786:Anger; D002648:Child; D002652:Child Behavior; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D011567:Psychiatric Department, Hospital; D011595:Psychomotor Agitation; D011795:Surveys and Questionnaires; D014754:Violence / Q000523:psychology