Aggressivity in the psychiatric emergency service: a frequent problem

Authors

  • Emanuelly Martins Silva Médica Especializanda, Psiquiatria, Centro de Estudos Psiquiátricos, Fundação Universitária Mário Martins, Porto Alegre, RS, Brasil https://orcid.org/0000-0003-0707-2237
  • Camila Soares Silva Médica Especializanda, Psiquiatria, Centro de Estudos Psiquiátricos, Fundação Universitária Mário Martins, Porto Alegre, RS, Brasil https://orcid.org/0000-0002-6096-2258
  • Clarissa Montagner Fernandes Médica Especializanda, Psiquiatria, Centro de Estudos Psiquiátricos, Fundação Universitária Mário Martins, Porto Alegre, RS, Brasil https://orcid.org/0000-0003-0717-8349

DOI:

https://doi.org/10.25118/2763-9037.2023.v13.444

Keywords:

aggressivity, violence, psychiatric emergency

Abstract

Several studies have been published on aggressivity in emergency medical services and psychiatric hospitalizations. However, the question remains of its prevalence in psychiatric emergency services, specifically, since it is often there that these patients are first seen. Thus, a literature review was carried out on the prevalence of aggressivity in psychiatric emergency services. Although the existing studies present variable data due to the different designs and studied populations, a very relevant percentage of aggressiveness was found in the pediatric population, different from that found in the other extreme of age, one tenth of the elderly aged less than sixty-five years had aggressive behavior. There was divergence in relation to homeless people, non-homeless people were slightly more aggressive than homeless people in one study, on the other hand in another the authors state that the fact of not being homeless or homeless would not be relevant in the prevalence of aggressiveness. In general, aggressivity was quite prevalent in these workplaces, with few studies aiming at a better outcome for these events. With this, the authors make some recommendations at the end for future studies.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Emanuelly Martins Silva, Médica Especializanda, Psiquiatria, Centro de Estudos Psiquiátricos, Fundação Universitária Mário Martins, Porto Alegre, RS, Brasil

Camila Soares Silva, Médica Especializanda, Psiquiatria, Centro de Estudos Psiquiátricos, Fundação Universitária Mário Martins, Porto Alegre, RS, Brasil

Clarissa Montagner Fernandes, Médica Especializanda, Psiquiatria, Centro de Estudos Psiquiátricos, Fundação Universitária Mário Martins, Porto Alegre, RS, Brasil

References

Ferri P, Silvestri M, Artoni C, Di Lorenzo R. Workplace violence in different settings and among various health professionals in an Italian general hospital: a cross-sectional study. Psychol Res Behav Manag. 2016;9:263-75. https://doi.org/10.2147/PRBM.S114870 PMID:27729818 PMCID:PMC5042196

Schnapp BH, Slovis BH, Shah AD, Fant AL, Gisondi MA, Shah KH, Lech CA. Workplace violence and harassment against emergency medicine residents. West J Emerg Med. 2016;17(5):567-73. https://doi.org/10.5811/westjem.2016.6.30446 PMID:27625721 - PMCID:PMC5017841

Dhossche, DM. Aggression and recent substance abuse: absence of association in psychiatry emergency room patients. Compr Psychiatry 1999; 40(5):343-6. https://doi.org/10.1016/S0010-440X(99)90138-4 - PMid:10509615

Llewellin P, Arendts G, Weeden J, Pethebridge A. Involuntary psychiatric attendances at an Australasian emergency department: a comparison of police and health-care worker initiated presentations. Emerg Med Australas. 2011;23(5):593-9. https://doi.org/10.1111/j.1742-6723.2011.01448.x - PMID:21995474

Reinish LW, Ciccone JR. Involuntary hospitalization and police referrals to a psychiatric emergency department. Bull Am Acad Psychiatry Law. 1995;23(2):289-98. PMID:8605413

Bruffaerts R, Sabbe M, Demyttenaere K. Attenders of a university hospital psychiatric emergency service in Belgium: general characteristics and gender differences. Soc Psychiatry Psychiatr Epidemiol. 2004;39(2):146-53. https://doi.org/10.1007/s00127-004-0708-x - PMID:15052397

Chaput Y, Beaulieu L, Paradis M, Labonté E. The elderly in the psychiatric emergency service (PES); a descriptive study. BMC Psychiatry. 2011;11:111. https://doi.org/10.1186/1471-244X-11-111 PMID:21762515 - PMCID:PMC3150252

White CL, Bateman A, Fisher WH, Geller JL. Factors associated with admission to public and private hospitals from a psychiatric emergency screening site. Psychiatr Serv. 1995;46(5):467-72. https://doi.org/10.1176/ps.46.5.467 - PMID:7627670

Brakoulias V, Mandali R, Seymour J, Sammut P, Starcevic V. Characteristics of admissions to a recently opened Psychiatric Emergency Care Centre. Australas Psychiatry. 2010;18(4):326-9. https://doi.org/10.3109/10398562.2010.498051 - PMID:20645898

Lynch DM, Noel HC. Integrating DSM-IV factors to predict violence in high-risk psychiatric patients. J Forensic Sci. 2010;55(1):121-8. https://doi.org/10.1111/j.1556-4029.2009.01197.x - PMID:19840208

Rabinowitz J, Slyuzberg M, Salamon I, Dupler SE. Differential use of admission status in a psychiatric emergency room. Bull Am Acad Psychiatry Law. 1995;23(4):595-606. https://doi.org/10.1007/BF02112902 - PMID:8639987

Calegaro VC, Dotto AB, Freitas D, Brum AB, Valerio AG, Schetinger CC, Cunha ABM. Aggressive behavior during the first 24 hours of psychiatric admission. Trends Psychiatry Psychother. 2014;36(3):152-9. https://doi.org/10.1590/2237-6089-2014-0016 PMID:27003847

Henry JM, Boyer L, Belzeaux R, Baumstarck-Barrau K, Samuelian JC. Mental disorders among homeless people admitted to a French psychiatric emergency service. Psychiatr Serv. 2010;61(3):264-71. https://doi.org/10.1176/ps.2010.61.3.264 - PMID:20194403

McNiel DE, Binder RL. Psychiatric emergency service use and homelessness, mental disorder, and violence. Psychiatr Serv. 2005;56(6):699-704. https://doi.org/10.1176/appi.ps.56.6.699 PMID:15939946

Sullivan AM, Rivera J. Profile of a comprehensive psychiatric emergency program in a New York City municipal hospital. Psychiatr Q. 2000;71(2):123-38. https://doi.org/10.1023/A:1004624319072

PMID:10832155

Johansen IH, Mellesdal L, Jorgensen HA, Hunskaar S. Admissions to a Norwegian emergency psychiatric ward: patient characteristics and referring agents. A prospective study. Nord J Psychiatry. 2012;66(1):40-8. https://doi.org/10.3109/08039488.2011.598554 - PMID:21830847

Benjaminsen S, Gotzsche-Larsen K, Norrie B, Harder L, Luxhoi A. Patient violence in a psychiatric hospital in Denmark: rate of violence and relation to diagnosis. Nord J Psychiatry. 1996;50(3):233-42. https://doi.org/10.3109/08039489609081413

Ballerini A, Boccalon RM, Boncompagni G, Casacchia M, Margari F, Minervini L, Righi R, Russo F, Salteri A, Frediani S, Rossi A, Scatigna M; PERSEO study group. Clinical features and therapeutic management of patients admitted to Italian acute hospital psychiatric units: the PERSEO (psychiatric emergency study and epidemiology) survey. Ann Gen Psychiatry. 2007;6:29. https://doi.org/10.1186/1744-859X-6-29 - PMID:17983468 - PMCID:PMC2186309

Published

2023-02-11

How to Cite

1.
Silva EM, Silva CS, Fernandes CM. Aggressivity in the psychiatric emergency service: a frequent problem. Debates em Psiquiatria [Internet]. 2023 Feb. 11 [cited 2024 Oct. 23];13:1-11. Available from: https://revistardp.org.br/revista/article/view/444

Issue

Section

Review Articles

Plaudit

Most read articles by the same author(s)