Violence, dissatisfaction and rapid tranquillisation in psychiatric intensive care

We examined the associations of violence, patient dissatisfaction and occurrence of rapid tranquillisation in psychiatric intensive care, using an on-line nurse-based computerised database over a two-year period. Non-Caucasians were over-represented in violent incidents with physical threat, and pre...

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Bibliographic Details
Published in:Psychiatric bulletin of the Royal College of Psychiatrists 1998-08, Vol.22 (8), p.477-480
Main Authors: Hyde, Clive E, Harrower-Wilson, Colina, Morris, Julie
Format: Article
Language:English
Subjects:
Intensive care units
Manchester
Patients
Psychiatric hospitals
Rapid tranquillization
Violence
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Summary:We examined the associations of violence, patient dissatisfaction and occurrence of rapid tranquillisation in psychiatric intensive care, using an on-line nurse-based computerised database over a two-year period. Non-Caucasians were over-represented in violent incidents with physical threat, and previous forensic history was associated with more violent means of attack. Dissatisfaction related to non-understandable provocation and the total number of violent incidents. There was no correlation between rapid tranquillisations or side-effects and dissatisfaction. Remedial action and education in the psychiatric intensive care unit may reduce violence, and better prescribing habits, avoiding anti-psychotic polypharmacy in rapid tranquillisation, should be encouraged.
ISSN:1758-3209
0955-6036
1758-3217
1472-1473
DOI:10.1192/pb.22.8.477