Factors associated with repetitive violent behavior of psychiatric inpatients

A small number of psychiatric inpatients displays a large proportion Violent Behaviors (VB). These can have major impact on both victims and patients themselves. This study explored personal, situational institutional risk factors their combined effects, which could lead to repetitive VB (three or more assaults). Data from 4518 patients, aged 18 65, admitted an acute care facility, were included in the analysis. VB, defined as physical aggressions against another person, assessed by Staff Observation Aggression Scale-Revised. 414 reported during period, involving 199 patients. 0.75 % all repetitively violent committed 43% VB. Factors that linked living sheltered housing before hospitalization, suffering schizophrenia with substance abuse comorbidity, cumulating hospitalization days some factors, like fact being nursing offices pharmacies. When considered together, effects length stay increased We identified group vulnerable for whom new modalities inter-institutional networking should be developed prevent