Inpatient violence in a Dutch forensic psychiatric hospital

Nienke Verstegen, V. de Vogel, Michiel de Vries Robbé, Martijn Helmerhorst

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Purpose
Inpatient violence can have a major impact in terms of traumatic experiences for victims and witnesses, an unsafe treatment climate, and high-financial costs. Therefore, the purpose of this paper is to gain more insight into patterns of violent behavior, so that adequate preventive measures can be taken.

Design/methodology/approach
Data on inpatient violence in a Dutch forensic psychiatric hospital between 2008 and 2014 were extracted from hospital files on 503 patients.

Findings
More than half of all the patients (n=276, 54.9 percent) displayed verbal aggression on at least one occasion, whereas 27.2 percent of all patients (n=137) exhibited one or more incidents of physical violence. Female patients were responsible for more physically violent episodes than male patients. Patients admitted with a civil court order exhibited more violent behavior than patients with a criminal court order. Violent patients with a civil commitment had a significantly longer length of stay than non-violent patients with a civil commitment. More violence was found to take place on the earlier days of the week.

Originality/value
This study points at important differences between groups of forensic inpatients in frequency and type of inpatient violent behavior and in temporal factors. Interventions aimed at reducing the number of violent incidents should take these differences into account. Further research is necessary to gain more insight into the background of inpatient violence.
Original languageEnglish
Pages (from-to)102-114
Number of pages13
JournalJournal of Forensic Practice
Volume19
Issue number2
DOIs
Publication statusPublished - 2017
Externally publishedYes

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