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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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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：通过系统评估攻击性事件的动机，可以提高对住院患者攻击性的理解。本研究调查了员工对攻击性事件动机的评估，以及员工限制和攻击严重程度对评估的影响。在十年期间（2006-2015），在临床实践中收集了安全的精神病科发生攻击性事件的工作人员报告。攻击动机采用攻击性事件动机评估量表进行评估，测量易怒、工具性和防御性维度。有关员工限制的信息用员工观察攻击量表（修订版）收集，严重程度用视觉模拟量表评定。对67名住院患者的2649起攻击性事件进行的多层次分析显示，不同事件之间的攻击动机差异比个体患者之间的差异更大。攻击性事件发生前的员工限制和严重程度评分与员工对攻击动机的评估呈正相关，但其影响在不同的动机维度上存在差异。员工激励报告提供了当前标准报告表格之外的重要附加信息。系统地评估动机对风险管理至关重要，可能有助于制定更精细的干预措施，以预防和管理住院患者的攻击行为。

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