ArticleThe journal of the American Academy of Psychiatry and the Law2020
Physical Assault in the Psychiatry Emergency Room.
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Article in The journal of the American Academy of Psychiatry and the Law, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9citing papers in PubMed
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Who cites it
9 citing papers in PubMed.
- Patient aggression experienced by professional nurses in acute psychiatric ward: South Africa.Health SA = SA Gesondheid · 2024Article
- Characteristics of International Assaultive Psychiatric Patients: Review of Published Findings, 2017-2022.The Psychiatric quarterly · 2023Review
- Incidents related to safety in mental health facilities in Kenya.BMC health services research · 2023Article
- Emergency Psychiatry: Updates, Future Directions, and Core Concepts.Focus (American Psychiatric Publishing) · 2023Article
- Safe Spaces: Mitigating Potential Aggression in Acute Care Psychiatry.Focus (American Psychiatric Publishing) · 2023Article
- Clinical Markers of Physical Violence in Patients with Bipolar Disorder in Manic States.Risk management and healthcare policy · 2023Article
- Inpatient violence in a psychiatric hospital in the middle of the pandemic: clinical and community health aspects.AIMS public health · 2022Article
- Medication Use and Physical Assaults in the Psychiatric Emergency Department.The Journal of clinical psychiatry · 2021Article
- Violence in Psychiatric Settings: Demographic and Clinical Characteristics of Patients Who Were Targets of Aggression.The Journal of nervous and mental disease · 2021Article
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Authors and funding
8 authors.
Ryan E LawrenceDr. Lawrence is Assistant Professor of Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Rolin is Research Fellow, Division of Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Ms. Looney is Administrator for Psychiatry, Department of Psychiatry, New York Presbyterian Hospital, New York, NY. Dr. Birt is Assistant Professor of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Stevenson is Associate Professor of Psychiatry and Director of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Dragatsi is Associate Professor of Psychiatry, Columbia University and Associate Clinical Director, Department of Psychiatry, Rockland Psychiatric Center, Orangeburg, NY. Dr. Appelbaum is the Dollard Professor of Psychiatry, Medicine, and Law, and Directory of the Center for Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Dixon is the Edna L. Edison Professor of Psychiatry and Director, Division of Behavioral Health Services and Policy Research, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. rel2137@cumc.columbia.edu.
Stephanie A RolinDr. Lawrence is Assistant Professor of Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Rolin is Research Fellow, Division of Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Ms. Looney is Administrator for Psychiatry, Department of Psychiatry, New York Presbyterian Hospital, New York, NY. Dr. Birt is Assistant Professor of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Stevenson is Associate Professor of Psychiatry and Director of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Dragatsi is Associate Professor of Psychiatry, Columbia University and Associate Clinical Director, Department of Psychiatry, Rockland Psychiatric Center, Orangeburg, NY. Dr. Appelbaum is the Dollard Professor of Psychiatry, Medicine, and Law, and Directory of the Center for Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Dixon is the Edna L. Edison Professor of Psychiatry and Director, Division of Behavioral Health Services and Policy Research, Department of Psychiatry, New York State Psychiatric Institute, New York, NY.
Diane V LooneyDr. Lawrence is Assistant Professor of Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Rolin is Research Fellow, Division of Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Ms. Looney is Administrator for Psychiatry, Department of Psychiatry, New York Presbyterian Hospital, New York, NY. Dr. Birt is Assistant Professor of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Stevenson is Associate Professor of Psychiatry and Director of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Dragatsi is Associate Professor of Psychiatry, Columbia University and Associate Clinical Director, Department of Psychiatry, Rockland Psychiatric Center, Orangeburg, NY. Dr. Appelbaum is the Dollard Professor of Psychiatry, Medicine, and Law, and Directory of the Center for Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Dixon is the Edna L. Edison Professor of Psychiatry and Director, Division of Behavioral Health Services and Policy Research, Department of Psychiatry, New York State Psychiatric Institute, New York, NY.
Adriane R BirtDr. Lawrence is Assistant Professor of Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Rolin is Research Fellow, Division of Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Ms. Looney is Administrator for Psychiatry, Department of Psychiatry, New York Presbyterian Hospital, New York, NY. Dr. Birt is Assistant Professor of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Stevenson is Associate Professor of Psychiatry and Director of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Dragatsi is Associate Professor of Psychiatry, Columbia University and Associate Clinical Director, Department of Psychiatry, Rockland Psychiatric Center, Orangeburg, NY. Dr. Appelbaum is the Dollard Professor of Psychiatry, Medicine, and Law, and Directory of the Center for Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Dixon is the Edna L. Edison Professor of Psychiatry and Director, Division of Behavioral Health Services and Policy Research, Department of Psychiatry, New York State Psychiatric Institute, New York, NY.
Ellen M StevensonDr. Lawrence is Assistant Professor of Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Rolin is Research Fellow, Division of Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Ms. Looney is Administrator for Psychiatry, Department of Psychiatry, New York Presbyterian Hospital, New York, NY. Dr. Birt is Assistant Professor of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Stevenson is Associate Professor of Psychiatry and Director of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Dragatsi is Associate Professor of Psychiatry, Columbia University and Associate Clinical Director, Department of Psychiatry, Rockland Psychiatric Center, Orangeburg, NY. Dr. Appelbaum is the Dollard Professor of Psychiatry, Medicine, and Law, and Directory of the Center for Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Dixon is the Edna L. Edison Professor of Psychiatry and Director, Division of Behavioral Health Services and Policy Research, Department of Psychiatry, New York State Psychiatric Institute, New York, NY.
Dianna DragatsiDr. Lawrence is Assistant Professor of Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Rolin is Research Fellow, Division of Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Ms. Looney is Administrator for Psychiatry, Department of Psychiatry, New York Presbyterian Hospital, New York, NY. Dr. Birt is Assistant Professor of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Stevenson is Associate Professor of Psychiatry and Director of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Dragatsi is Associate Professor of Psychiatry, Columbia University and Associate Clinical Director, Department of Psychiatry, Rockland Psychiatric Center, Orangeburg, NY. Dr. Appelbaum is the Dollard Professor of Psychiatry, Medicine, and Law, and Directory of the Center for Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Dixon is the Edna L. Edison Professor of Psychiatry and Director, Division of Behavioral Health Services and Policy Research, Department of Psychiatry, New York State Psychiatric Institute, New York, NY.
Paul S AppelbaumDr. Lawrence is Assistant Professor of Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Rolin is Research Fellow, Division of Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Ms. Looney is Administrator for Psychiatry, Department of Psychiatry, New York Presbyterian Hospital, New York, NY. Dr. Birt is Assistant Professor of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Stevenson is Associate Professor of Psychiatry and Director of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Dragatsi is Associate Professor of Psychiatry, Columbia University and Associate Clinical Director, Department of Psychiatry, Rockland Psychiatric Center, Orangeburg, NY. Dr. Appelbaum is the Dollard Professor of Psychiatry, Medicine, and Law, and Directory of the Center for Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Dixon is the Edna L. Edison Professor of Psychiatry and Director, Division of Behavioral Health Services and Policy Research, Department of Psychiatry, New York State Psychiatric Institute, New York, NY.
Lisa B DixonDr. Lawrence is Assistant Professor of Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Rolin is Research Fellow, Division of Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Ms. Looney is Administrator for Psychiatry, Department of Psychiatry, New York Presbyterian Hospital, New York, NY. Dr. Birt is Assistant Professor of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Stevenson is Associate Professor of Psychiatry and Director of Psychiatry, Department of Psychiatry, Columbia University, New York, NY. Dr. Dragatsi is Associate Professor of Psychiatry, Columbia University and Associate Clinical Director, Department of Psychiatry, Rockland Psychiatric Center, Orangeburg, NY. Dr. Appelbaum is the Dollard Professor of Psychiatry, Medicine, and Law, and Directory of the Center for Law, Ethics, and Psychiatry, Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Dr. Dixon is the Edna L. Edison Professor of Psychiatry and Director, Division of Behavioral Health Services and Policy Research, Department of Psychiatry, New York State Psychiatric Institute, New York, NY.
Funding
NIMH NIH HHS L30 MH120711
Abstract
Previous studies of physical assaults in hospitals focused primarily on inpatient psychiatric units, leaving unanswered questions about the extent to which findings generalize to psychiatric emergency rooms. Assault incident reports and electronic medical records from one psychiatric emergency room and two inpatient psychiatric units were reviewed. Qualitative methods were used to identify precipitants. Quantitative methods were used to describe characteristics of each event, as well as demographic and symptom profiles associated with incidents. During the five-year study period, there were 60 incidents in the psychiatric emergency room and 124 incidents on the inpatient units. Precipitating factors, incident severity, means of assault, and interventions were similar in both settings. Among patients in the psychiatric emergency room, a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder with manic symptoms (Adjusted Odds Ratio (AOR) 27.86) and presenting with thoughts to harm others (AOR 10.94) were associated with an increased likelihood of having an assault incident report. Similarities between assaults in the psychiatric emergency room and inpatient psychiatric units suggest that the broader literature from inpatient psychiatry can be generalized to the psychiatric emergency room setting, although some differences exist.
Indexed as
Emergency Service, HospitalHospitals, PsychiatricAdultFemaleHumansIncidenceInpatientsMaleMental DisordersMiddle AgedPersons with Psychiatric DisordersRisk FactorsViolenceagitationassaultpsychiatric emergency servicesafetyviolence
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