Hostname: page-component-7c8c6479df-p566r Total loading time: 0 Render date: 2024-03-28T08:36:25.950Z Has data issue: false hasContentIssue false

Structured risk Assessment: Aggression and Safety in Ambulatory Emergency Service

Published online by Cambridge University Press:  23 March 2020

M. Arts
Affiliation:
University of Groningen, University Medical Center Groningen, Department of Old Age Psychiatry, Groningen, The Netherlands
P. Sanderse-Besselink
Affiliation:
GGZWNB, Old Age Psychiatry, Bergen op Zoom, The Netherlands
H. Terburg
Affiliation:
GGZWNB, Old Age Psychiatry, Bergen op Zoom, The Netherlands
R. Van De Sande
Affiliation:
University of Applied Sciences Utrecht HvU, Nursing Science, Utrecht, The Netherlands

Abstract

Introduction

Discussing the threat of aggression is not always at the forefront in ambulatory care providers. A structured risk analysis model for ambulatory emergency psychiatry is currently not available, while aggression does occur regularly.

Objectives and aims

The aim of this study is to evaluate the added value of a risk analysis model and implement the best available model in emergency outpatient practice.

Methods

The study design is a mixed method model. Semi-structured questionnaires were administered by nurses and psychiatrists. A benchmark study took place at an outpatient emergency service in South Netherlands. A literature search was performed using PubMed and CINAHL for the period 2000–2014.

Results

From this research, we found a discrepancy between the perception and the actual occurred aggression. Care workers often do not discuss aggression related issues, however, case studies show that aggression does occur frequently. In literature studies we have found several risk assessment models, most of which are used within the inpatient psychiatry.

Conclusion

To avert aggression incidents and prevent recurrence, it is important to maintain a solid risk analysis model. Introducing a checklist risk crisis service (CRC) can promote a critical reflection on the threat of aggression and bring awareness on the theme of aggression. Implementation of a CRC in daily practice can be of great value.

Type
e-Poster walk: Emergency psychiatry and forensic psychiatry
Copyright
Copyright © European Psychiatric Association 2017

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Submit a response

Comments

No Comments have been published for this article.