Deconstructing violence in acutely exacerbating psychotic patients

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023752%3A_____%2F21%3A43920276" target="_blank" >RIV/00023752:_____/21:43920276 - isvavai.cz</a>

Alternative codes found

RIV/00669806:_____/21:10413725 RIV/00023001:_____/21:00081987 RIV/00216208:11110/21:10413725 RIV/00216208:11140/21:10413725 RIV/00064165:_____/21:10413725

Result on the web

<a href="https://www.cambridge.org/core/journals/cns-spectrums/article/deconstructing-violence-in-acutely-exacerbating-psychotic-patients/7FF4C31C66CE5C3C3BC0483ACF5E59FD" target="_blank" >https://www.cambridge.org/core/journals/cns-spectrums/article/deconstructing-violence-in-acutely-exacerbating-psychotic-patients/7FF4C31C66CE5C3C3BC0483ACF5E59FD</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1017/S1092852920001601" target="_blank" >10.1017/S1092852920001601</a>

Result language

angličtina

Original language name

Deconstructing violence in acutely exacerbating psychotic patients

Original language description

This study examined the proximate causes of patients´ aggression upon the admission to the psychiatric wards of a university and two state hospitals. Methods: The authors used a semi-structured interview to elicit proximate causes of assaults from the assailants and victims. The treating psychiatrists and nurses provided additional information. Based on this interview, aggressive episodes were categorized as psychotic, impulsive, psychopathic or combined. Results: A total of 820 assaults committed by 289 newly admitted violent inpatients were evaluated. The majority of patients were aggressive during the first day of their hospitalization. The interview ratings indicated that 54.14% of the assaults were directly driven by psychotic symptoms, 24.88% were evaluated as a combination of the psychotic and disordered impulse control symptoms and 20% of all attacks were labeled as impulsive. Only 0.98% of assaults were categorized as psychopathic. Further, symptoms of amnesia and remorse were revealed in all types of attacks, hence they should not be considered as specific markers of impulsive attacks in patients treated for acute exacerbation of psychosis. Conclusions: These findings indicated that the assaultive behavior among inpatients with psychosis is primarily driven by psychotic symptoms and disordered impulse control. Because each type of assault requires a different management, identifying the type of assault is crucial in determining treatment interventions. While antipsychotics are essential treatment for psychotic attacks, anxiolytics and psychotherapeutic treatment might be used for acute impulsive attacks.

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30215 - Psychiatry

Project

<a href="/en/project/NV17-32445A" target="_blank" >NV17-32445A: Causes of assaultive behavior among patients with psychosis</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

CNS Spectrums: first in applied neuroscience

ISSN

1092-8529

e-ISSN

—

Volume of the periodical

26

Issue of the periodical within the volume

6

Country of publishing house

US - UNITED STATES

Number of pages

5

Pages from-to

643-647

UT code for WoS article

000731721200014

EID of the result in the Scopus database

2-s2.0-85089298001