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首页> 外文期刊>The journal of forensic psychiatry & psychology >Staff members' evaluation of inpatients' motivation for aggression - the roles of staff restrictions and aggression severity
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Staff members' evaluation of inpatients' motivation for aggression - the roles of staff restrictions and aggression severity

机译：工作人员对住院患者的评价对侵略的动机 - 员工限制和侵略严重性的作用

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摘要

Improved understanding of inpatient aggression can come from systematic assessment of motivation for aggressive incidents. This study investigates staff members' evaluation of motivation for aggressive incidents, and how such evaluations are influenced by staff restrictions and aggression severity. Staff reports of aggressive incidents in a secure psychiatric unit were collected in clinical practice over a ten-year period (2006-2015). Motivation for aggression was assessed with the Aggressive Incident Motivation Evaluation Scale, measuring irritable, instrumental, and defensive dimensions. Information about staff restrictions was collected with the Staff Observation Aggression Scale - Revised, and severity was rated with the Visual Analog Scale. Multilevel analyses of 2649 aggressive incidents, committed by 67 inpatients, revealed greater variation in aggression motivation across incidents than between individual patients. Staff restrictions preceding the aggressive incident and rating of severity were positively related to staffs' evaluation of motivation for aggression, but their impacts differed across motivational dimensions. Staff reports of motivation provide important additional information beyond current standard report forms. Systematically evaluating motivation is essential to risk management, and may contribute to develop more fine-tuned interventions for preventing and managing aggression in inpatient settings.
机译：改善对住院性侵略的理解可以来自对侵略事件的动机的系统评估。本研究调查了工作人员对侵略事件的动机的评价，以及这些评估的影响受员工限制和侵略严重程度的影响。在一个十年期（2006 - 2015年）的临床实践中收集了安全精神病学单位侵略性事件的员工报告。通过激进的事件激励评估规模评估侵略的动机，测量易蚀，仪器和防御性尺寸。有关员工限制的信息，并与员工观察攻击规模进行了修订，并评估了视觉模拟规模的严重程度。在67名住院患者犯下的2649名侵略性事件中的多级分析，揭示了与个体患者之间发生的发生侵略动机的变化。在积极事件和严重程度之前的工作人员限制与员工对侵略动机的评估有关，但它们的影响越来越不同。员工的动机报告提供了超出当前标准报告表格的重要附加信息。系统地评估动机对于风险管理至关重要，并且可能有助于开发更精细的干预措施，以防止和管理住院设置中的攻击。

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