Abstract
Violence to self and to others on a locked, acute-care unit is reported for a three-year period. Drug abuse correlated strongly with both types of violence. Self-violence appeared to be a more predictable event due to its diagnostic specificity, history of prior violence and timing of the episodes. Assaults occurred more randomly demonstrating only a mild association with schizophrenia, but not with other psychotic disorders.
Similar content being viewed by others
References
Zitrin AR, Hardesty AS, Burdock EI and Drossman AK: Crime and violence among mental patients.Am J Psychiat, 133142–149, 1976.
Sowsosky L: Crime and violence among mental patients reconsidered in view of the new legal relationship between the state and the mentally ill.Am J Psychiat, 13533–42, 1978.
Monahan J: Prediction research and the emergency commitment of dangerous mentally ill persons: a reconsideration.Am J Psychiat, 135198–201, 1978.
Climent CE and Ervin FR: Historical data in the evaluation of violent subjects.Arch Gen Psychiat, 27621–624, 1972.
Grunberg F, Klinger B, Grumet B: Homicide and deinstitutionalization of the mentally ill.Am J Psychiat, 134685–687, 1977.
Rappeport JR and Lassen G: The dangerousness of female patients: comparison of the arrest rate of discharged psychiatric patients with the general population.Am J Psychiat, 123413–419, 1966.
Giovanni JM and Gurel L: Socially disruptive behavior of ex-mental patients.Arch Gen Psychiat, 17146–153, 1967.
Greeneberg F, et al.: Homicide and deinstitutionalization of the mentally ill.Am J Psychiat, 134685–687, 1977.
Lagos JM, Perlmutter K and Salezinger H: Fear of the mentally ill: Empirical support for the common man's response.Am J Psychiat, 1341134–1137, 1977.
Fottrell E: A study of violent behavior among patients in psychiatric hospitals.Brit J Psychiat, 136216–221, 1980.
Roffman ES, Ashinazi C and Fant E: The prediction of dangerous behavior in emergency civil commitment.Am J Psychiat, 1371061–1064, 1980.
Craig T: An epidemiologic study of problems associated with violence among psychiatric inpatients.Am J Psychiat, 1391262–1266, 1982.
Tardiff K and Sweillam A: Assault, suicide and mental illness.Arch Gen Psychiat, 37164–169, 1980.
Lion JR and Pasternak SA: Countertransference reactions to violent patients.Am J Psychiat, 130207–210, 1973.
Cornfield RB and Fielding SD: Impact of the threatening patient on ward communication.Am J Psychiat, 137616–619, 1980.
Madden DJ, Lion JR and Penna MW: Assaults on psychiatrists by patients.Am J Psychiat, 133422–425, 1976.
Halleck SL: Psychodynamic aspects of violence.Bull Am Acad Psychiat and L, 4328–335, 1976.
Lion JR, et al.: Clinical aspects of the violent individual. American Psychiatric Association Task Force, Report 8, July 1974. Publications Services Division, A.P.A., Washington, D.C.
Hatti S, Dubin WR and Weiss KJ: A study of circumstances surrounding patient assaults on psychiatrists.Hosp Comm Psychiat, 33660–661, 1982.
Kalogerakis MG: The assaultive psychiatric patient.Psychiat Q 45372–381, 1971.
Levy P and Hartocollis P: Nursing aides and patient violence.Am J Psychiat, 133429–431, 1976.
Yesavage JA, et al.: Inpatient evaluation of aggression in psychiatric patients.J Nerv Ment Dis, 169299–302, 1981.
Rogers R, Cuila B and Cavanaugh JL: Aggressive and socially disruptive behavior among maximum security psychiatric patients.Psychol Rep, 46291–294, 1980.
Landesman-Dwyer S, Sackett GP and Kleinman JS: Relationship of size to resident and staff behavior in small community residences.Am J Ment Deficiency, 856–17, 1980.
Whitman RM, Armad BB, and Dent OB: Assault on the therapist.Am J Psychiat, 133426–429, 1976.
Guirguis EF: Management of disturbed patients, an alternative to the use of mechanical restraints.J Clin Psychiat, 39295–299, 1978.
Gertz B: Training for prevention of assaultive behavior in a psychiatric setting.Hosp Commun Psychiat, 31628–630, 1980.
Madden DG: Voluntary and involuntary treatment of aggressive patients.Amer J Psychiat, 134553–555, 1977.
Kinzel AF: Body-buffer zone in violent prisoners.Amer J Psychiat, 12759–64, 1970.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Myers, K.M., Dunner, D.L. Self and other directed violence on a closed acute-care ward. Psych Quart 56, 178–188 (1984). https://doi.org/10.1007/BF01065009
Issue Date:
DOI: https://doi.org/10.1007/BF01065009