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KMID : 0378019700130040087
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New Medical Journal
1970 Volume.13 No. 4 p.87 ~ p.90
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The Analyses of Untoward Affairs and Accidents in Military Psychiatric Ward
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姜錫憲/Kang, S. H.
李三民/李忠憲/金相煜/--/--/--
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Abstract
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The authors have analyzed 144 cases of trivial untoward affairs and accidents displayed by psychiatric patients who had been admitted in Chin-hae Naval Hospital from January, 1968 to December, 1969.
To begin with, several characteristic aspects of military psychiatric ward and present status of the psychiatric ward of Chin-hae Naval Hospital were reviewed. The analyses are presented as to several categories, i, e, the kinds of accidents, the time and the places occured, the objects involved and repetitions of accidents in one patient, as well as some relations between diagnostic categories and the kinds of accidents.
The pursuits of probable motivations of accidents were also included.
The results are as follows:
1. As to the kinds of accidents, physical assaults ane antagonistic behaviors (61.8%) were most frequent.
2. There were no significant differences in frequencies of occurence of accidents between during jffice hours and the rest of a day, but the tendencies to occurence of more serious accidents after office hours, weekends and holidays are noted.
3. The most popular phenomena, the authors observed, were that patients rarely attack the therapeutic team and they displaced to more "reasonable objects" such as inferiors in ranks and civilian outsiders.
4. There were no specific relations between diagnostic categories and kinds of accidents except suicidal attempt and escape. It is evident, however, that neurotics are apt to make less frequent untoward affairs and accidents compared with schizophrenics and psychopaths.
5. As to the probable motivations involved, conflicts among patients of different ranks, intentional display of self-mutiliatory acts for the purpose of postponing hospitalization, struggles for leader and, realistic as well as phantastic involvement of nurse-officer would be most distinguished.
6. In the present study, because of the lack of statistical validation and comparision with control group, the authors hesitate to conclude the general pattern.
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