PMID- 34000510
OWN - NLM
STAT- MEDLINE
DCOM- 20211014
LR  - 20211014
IS  - 1872-7123 (Electronic)
IS  - 0165-1781 (Linking)
VI  - 301
DP  - 2021 Jul
TI  - Mapping aggressive behavior of forensic psychiatric inpatients with self-report 
      and structured staff-monitoring.
PG  - 113983
LID - S0165-1781(21)00280-8 [pii]
LID - 10.1016/j.psychres.2021.113983 [doi]
AB  - Structured assessment of aggressive behavior in forensic psychiatry is needed. 
      This study investigated staff-observed and self-reported measures to map 
      prevalence and characteristics of aggressive behavior in forensic inpatients and 
      aimed to identify early signs of aggressive outbursts. In this longitudinal 
      study, 120 forensic psychiatric inpatients with a history of aggression were 
      included. Staff monitored aggressive behavior for 30 weeks using the Social 
      Dysfunction and Aggression Scale (SDAS). Patients completed baseline self-report 
      measures on aggression, anger, and impulsivity. Staff monitoring showed that most 
      inpatients displayed moderate (86%) or severe (65%) aggressive behavior at least 
      once, and 37.5% showed physical aggression. Inpatients with a least one physical 
      aggression incident differed from others in self-reported anger, (reactive) 
      aggression, non-planning impulsivity, and sociodemographic and clinical 
      characteristics (e.g., higher prevalence of cluster B personality disorders, and 
      lower intelligence). Two-thirds of the physical aggression incidents were 
      preceded by observations of increased non-physical aggression (SDAS). In forensic 
      psychiatric inpatients with a history of aggression, more than a third of the 
      patients demonstrated at least one occasion of physical aggression during 30 
      weeks of observation.
CI  - Copyright (c) 2021. Published by Elsevier B.V.
FAU - Klein Tuente, Stephanie
AU  - Klein Tuente S
AD  - University of Groningen, University Medical Center Groningen, Department of 
      Psychiatry, Hanzeplein 1, 9713 GZ Groningen, The Netherlands; Forensic 
      Psychiatric Center (FPC) Dr. S. van Mesdag, Helperlinie 2, 9722 AZ Groningen, The 
      Netherlands.. Electronic address: s.klein.tuente@umcg.nl.
FAU - Bogaerts, Stefan
AU  - Bogaerts S
AD  - Tilburg University, Department of Developmental Psychology, Prof Cobbenhagenlaan 
      225, PO Box 90153, 5000 LE Tilburg, The Netherlands; Fivoor, Fivoor Science & 
      Treatment Innovation, Kijvelandsekade 1, 3172 AB Poortugaal, The Netherlands.
FAU - Veling, Wim
AU  - Veling W
AD  - University of Groningen, University Medical Center Groningen, Department of 
      Psychiatry, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210504
PL  - Ireland
TA  - Psychiatry Res
JT  - Psychiatry research
JID - 7911385
SB  - IM
MH  - *Aggression
MH  - Forensic Psychiatry
MH  - Humans
MH  - *Inpatients
MH  - Longitudinal Studies
MH  - Self Report
OTO - NOTNLM
OT  - Anger
OT  - Forensic psychiatry
OT  - Impulsivity
OT  - Inpatient aggression
OT  - Reactive aggression
EDAT- 2021/05/18 06:00
MHDA- 2021/10/15 06:00
CRDT- 2021/05/17 20:23
PHST- 2020/06/02 00:00 [received]
PHST- 2021/04/26 00:00 [accepted]
PHST- 2021/05/18 06:00 [pubmed]
PHST- 2021/10/15 06:00 [medline]
PHST- 2021/05/17 20:23 [entrez]
AID - S0165-1781(21)00280-8 [pii]
AID - 10.1016/j.psychres.2021.113983 [doi]
PST - ppublish
SO  - Psychiatry Res. 2021 Jul;301:113983. doi: 10.1016/j.psychres.2021.113983. Epub 
      2021 May 4.