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Recorded incidents in a high-secure hospital: A descriptive analysis

机译：高安全性医院中记录的事件：描述性分析

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Background Incidents of violence, self-harm and security are of concern in psychi-atric hospitals with regard to both patient and staff welfare.Aim The purpose of this study was to examine the frequency and nature of incidentsin all directorates in a high-security psychiatric hospital.Methods Data were collected from the hospital's incident recording forms for theperiod 1 June 2007 to 30 September 2008.Results In total, 5658 incidents were recorded, almost all patients (95%) having beeninvolved in at least one incident. Most incidents, however, were in the categories ofless serious violence and self-harm. The rate was 0.89 incidents per patient per month.The women's directorate had a significantly higher frequency of violent or self-harmincidents than the other directorates (male mental health, learning disability, personal-ity disorder or dangerous and severe personality disorder). Violence was almost equallyagainst fellow patients or staff. It was commonest in communal areas during day-timehours. Self-harm was most likely in a patient's own room.Conclusions and implications for practice These findings can inform preventionand management of violence and self-harm. Dealing with such a large number ofincidents is time consuming, even if they are not especially serious. Attention to envi-ronmental, as well as individual, issues is recommended. Copyright ? 2009 JohnWiley & Sons, Ltd.
机译：背景暴力，自残和安全事件在精神病医院中关系到患者和员工的福利。目的本研究的目的是检查高安全性精神病医院所有部门的事件发生频率和性质。方法从2007年6月1日至2008年9月30日期间的医院事件记录表中收集数据。结果总共记录了5658起事件，几乎所有患者（95％）都参与了至少一次事件。但是，大多数事件都属于严重暴力和自残较少的类别。该比率为每名患者每月0.89起事件。女性领导机构发生暴力或自残事件的频率明显高于其他领导机构（男性心理健康，学习障碍，人格障碍或危险和严重人格障碍）。暴力对其他患者或医务人员几乎同样。在白天，这是最常见的公共区域。自残很可能在患者自己的房间中。结论和对实践的意义这些发现可以为预防和处理暴力及自残提供信息。即使不是很严重，处理如此多的事件也很耗时。建议注意环境问题以及个人问题。版权？ 2009 JohnWiley＆Sons，Ltd.

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