PMID- 25881695
OWN - NLM
STAT- MEDLINE
DCOM- 20170102
LR  - 20181202
IS  - 1471-2857 (Electronic)
IS  - 0957-9664 (Linking)
VI  - 26
IP  - 3
DP  - 2016 Jul
TI  - Predicting inpatient aggression by self-reported impulsivity in forensic 
      psychiatric patients.
PG  - 161-73
LID - 10.1002/cbm.1955 [doi]
AB  - BACKGROUND: Empirical knowledge of 'predictors' of physical inpatient aggression 
      may provide staff with tools to prevent aggression or minimise its consequences. 
      AIM: To test the value of a self-reported measure of impulsivity for predicting 
      inpatient aggression. METHODS: Self-report measures of different domains of 
      impulsivity were obtained using the Urgency, Premeditation, Perseverance, 
      Sensation seeking, Positive urgency (UPPS-P) impulsive behaviour scale with all 
      74 forensic psychiatric inpatients in one low-security forensic hospital. 
      Aggressive incidents were measured using the Social Dysfunction and Aggression 
      Scale (SDAS). The relationship between UPPS-P subscales and the number of weeks 
      in which violent behaviour was observed was investigated by Poisson regression. 
      RESULTS: The impulsivity domain labelled 'negative urgency' (NU), in combination 
      with having a personality disorder, predicted the number of weeks in which 
      physical aggression was observed by psychiatric nurses. NU also predicted 
      physical aggression within the first 12 weeks of admission. CONCLUSIONS AND 
      IMPLICATIONS FOR PRACTICE: The results indicate that NU, which represents a 
      patient's inability to cope with rejection, disappointments or other undesired 
      feelings, is associated with a higher likelihood of becoming violent while an 
      inpatient. This specific coping deficit should perhaps be targeted more 
      intensively in therapy. Self-reported NU may also serve as a useful adjunct to 
      other risk assessment tools and as an indicator of change in violence risk. 
      Copyright (c) 2015 John Wiley & Sons, Ltd.
CI  - Copyright (c) 2015 John Wiley & Sons, Ltd.
FAU - Bousardt, Annelea M C
AU  - Bousardt AM
AD  - Forensic Psychiatric Department 'de Boog', GGNet, Warnsveld, Netherlands.
FAU - Hoogendoorn, Adriaan W
AU  - Hoogendoorn AW
AD  - Department of Psychiatry and the EMGO+ Institute for Health and Care Research, VU 
      University Medical Center Amsterdam, Amsterdam, Netherlands.
FAU - Noorthoorn, Eric O
AU  - Noorthoorn EO
AD  - Forensic Psychiatric Department 'de Boog', GGNet, Warnsveld, Netherlands.
AD  - Altrecht Aventurijn, Den Dolder, Netherlands.
FAU - Hummelen, Jacobus W
AU  - Hummelen JW
AD  - Forensic Psychiatric Department 'de Boog', GGNet, Warnsveld, Netherlands.
AD  - Department Criminal Law and Criminology, University of Groningen, Groningen, 
      Netherlands.
FAU - Nijman, Henk L I
AU  - Nijman HL
AD  - Altrecht Aventurijn, Den Dolder, Netherlands.
AD  - Radboud University Nijmegen, Behavioural Science Institute, Nijmegen, 
      Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20150417
PL  - England
TA  - Crim Behav Ment Health
JT  - Criminal behaviour and mental health : CBMH
JID - 9309668
SB  - IM
MH  - Adult
MH  - Aggression/*physiology/psychology
MH  - Female
MH  - *Forensic Psychiatry
MH  - Hospitals, Psychiatric
MH  - Humans
MH  - *Impulsive Behavior
MH  - Inpatients/*psychology
MH  - Male
MH  - Middle Aged
MH  - Personality Disorders
MH  - Personality Inventory/statistics & numerical data
MH  - Personality Tests
MH  - Predictive Value of Tests
MH  - Psychiatric Status Rating Scales
MH  - Risk Assessment
MH  - Self Report
MH  - Severity of Illness Index
EDAT- 2015/04/18 06:00
MHDA- 2017/01/04 06:00
CRDT- 2015/04/18 06:00
PHST- 2014/05/19 00:00 [received]
PHST- 2014/10/03 00:00 [revised]
PHST- 2015/01/20 00:00 [accepted]
PHST- 2015/04/18 06:00 [entrez]
PHST- 2015/04/18 06:00 [pubmed]
PHST- 2017/01/04 06:00 [medline]
AID - 10.1002/cbm.1955 [doi]
PST - ppublish
SO  - Crim Behav Ment Health. 2016 Jul;26(3):161-73. doi: 10.1002/cbm.1955. Epub 2015 
      Apr 17.