Risk factors increasing aggressive behaviour in psychiatric patients hospitalised with a diagnosis of bipolar disorder, schizophrenia and anxiety disorders
Wiktor Szymaniuk1, Katarzyna Trzeciak1, Kayla Balaj1, Jagoda Siembida1, Aleksandra Rajewska-Rager2, Michał Michalak3
1 Student Research Group of Psychiatry, Department of Psychiatry, Poznan University of Medical Sciences, Poznań, Poland
2 Department of Adult Psychiatry, Poznan University of Medical Sciences, Poznań, Poland
3 Department of Informatics and Statistics, Poznan University of Medical Sciences, Poznań, Poland
Correspondence: Wiktor Szymaniuk, Student Research Group of Psychiatry, Department of Psychiatry, Poznan University of Medical Sciences, Szpitalna 27/33, 60-572 Poznań, Poland,
tel.: +48 61 849 15 31, +48 697 623 171, e-mail: email@example.com
Violent and aggressive behaviour is a serious problem among hospitalised psychiatric patients. The aim of this study was to assess factors that may help predict violent behaviour in psychiatric inpatients. Method: The study group consisted of 107 patients hospitalised in the Department of Adult Psychiatry, Poznan University of Medical Sciences in Poznań, with a diagnosis of bipolar disorder (n = 58), schizophrenia (n = 39) and anxiety disorders (n = 10). Sociodemographic and clinical data were obtained through a review of medical records and patient interviews using a self-prepared questionnaire. Results: Of 107 respondents, aggressive behaviour occurred in 46 patients (42.99%). A low risk of aggressive behaviour was observed in 68 patients (63.6%), medium risk – in 37 patients (34.6%), and high risk – in 2 subjects (1.9%). The study demonstrated a significant association between aggressive behaviour and short duration of the illness (p = 0.002), the criminal history of the patient (p = 0.003), the use of sedatives (p = 0.04), unemployment (p = 0.00034) and male gender in patients with a diagnosis of bipolar disorder (p = 0.03). There were no statistically significant differences between the incidence of violence and the main diagnosis (p = 0.56). The study showed no association with alcohol (p = 0.5) and psychoactive substance abuse (p = 0.07), age (p = 0.8), addiction in family (p = 0.1), history of suicide attempt (p = 0.08) and the lack of insight into the illness (p = 0.8). Conclusions: Based on these results, it appears that the most important factors in the occurrence of aggressive behaviour were criminal history, prior violent behaviour and short duration of the illness. The use of sedative drugs and male gender were also significant risk factors.