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Violence, dissatisfaction and rapid tranquillisation in psychiatric intensive care

Published online by Cambridge University Press:  02 January 2018

Clive E. Hyde ,
Colina Harrower-Wilson  and
Julie Morris
Clive E. Hyde*
Affiliation:
South Manchester University Hospital Trust, Withington Hospital, Nell Lane, West Didsbury, Manchester M20 2LR
Colina Harrower-Wilson
Affiliation:
South Manchester University Hospital Trust, Withington Hospital, Nell Lane, West Didsbury, Manchester M20 2LR
Julie Morris
Affiliation:
South Manchester University Hospital Trust, Withington Hospital, Nell Lane, West Didsbury, Manchester M20 2LR
*
∗Correspondence
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Abstract

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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.

Type
Original papers
Information
Psychiatric Bulletin , Volume 22 , Issue 8 , August 1998 , pp. 477 - 480
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

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