Seasonal variation of hospital violence, seclusion and restraint in a forensic psychiatric hospital

International Journal of Law and Psychiatry
Satu KuivalainenJari Tiihonen

Abstract

Several epidemiological studies have reported seasonal patterns in both violent and self-destructive behaviour. However, a few studies on hospital violence have found contradictory results. The aim of this study was to investigate whether there was any seasonal variation of violence in a forensic psychiatric hospital providing care for persons suffering from psychotic disorders and violent or self-destructive behaviour. Seasonal variation of the prevalence of seclusion and restraint was also investigated. Reports of violent incidents and seclusion and restraint statistics from between 2007 and 2012 were examined with Poisson regression analysis. There was significant variation in the prevalence of seclusion and restraint between months (p<0.001), and between seasons (p<0.001). Monthly prevalence of seclusion and restraint was the lowest in January compared to other months. In comparison, the prevalence of seclusion and restraint was lower in winter than in other seasons. In a hospital with persons suffering from psychotic disorders, no significant variation of violence or self-destructive behaviour was found, similarly as in the society. By contrast, the prevalence of seclusion and restraint showed marked seasonality. Variation...Continue Reading

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Citations

May 7, 2020·Issues in Mental Health Nursing·Silvia AllikmetsKamal Gupta
Mar 21, 2020·Frontiers in Psychiatry·Erich FlammerTilman Steinert
Dec 11, 2020·International Journal of Environmental Research and Public Health·Jakub LickiewiczMarta Makara-Studzińska

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