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KMID : 0368819920310030534
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Journal of the Korean Neuropsychiatr Association
1992 Volume.31 No. 3 p.534 ~ p.544
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Clinical Characteristics of Violent Behaviors of Psychiatric Inpatients and Its Predictability
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Abstract
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In order to evaluate the frequency. Clinical characteristics, associated factors and predictability of violent behaviors seen in psychiatric inpatients in Korea. The authors reviewed medical charts of 864 psychiatric inpatients hospitalized to
the
psychiatric wards of Seoul National University Hospital during the period of 3 years from Mar. 1. 1988 to Feb. 28 1991.
@ES The results were as follows:
@EN 1) 97 patients comprising 11.4% of 864 patients committed more than one violent behaviors. The violent behaviors mainly occurred in the early stage of hospitalization. frequently invoked by frustration. Most of violent behaviors were of mild
to
moderate degree. The time of occurrence was mainly between 8 p. m. and 10 p. m. usually against inanimate object or other patients. Over the half of the behaviors could be anticipated and most of them were managed with medication.
2) Violent behaviors were more prevalent in those who were male. Under the age of 40 relatively high educated and without spouse. Their primary diagnosis were bipolar disorders. Manic type or personality disorders. Violent behaviors were more
closely
related with higher number of previous hospitalizations earlier onset of mental disorder, and when admitted involuntarily or emergency room. The violent patients tended to be hospitalized for longer period. Violent behaviors also had close
relationship
with the previous history of violent behavior and that of legal sanction. Hostile attitude, elated or excited mood. Labile affect and disorientation on the initial mental examination also had association with violent behaviors.
3) The predictability factors violent behavior during hospitalization were previous history of violent behavior. Unmarried state. Disorientation at hospitalization. involuntary hospitalization and alcoholism of parents. The overall
predictability
for
violent behavior during hospitalization was 82.7% with those 5 factors.
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