Citation

Cutcliffe JR, Riahi S. Int. J. Ment. Health Nurs. 2013; 22(6): 568-578.

Affiliation

University of Ottawa, Ottawa, Ontario, Canada; School of Nursing, University of Coimbra, Coimbra, Portugal; University of Malta, Msida, Malta.

Copyright

(Copyright © 2013, Australian College of Mental Health Nurses Inc., Publisher John Wiley and Sons)

DOI

10.1111/inm.12028

PMID

23750853

Abstract

This is the second of a two part paper which seeks to explore a wide range of phenomena that have been found to have an association with aggression and violence (A/V) in inpatient mental health care, synthesize these propositions according to fit or congruence into a systemic model of A/V, explore the empirical evidence pertaining to these propositions, and begin to consider application of this model to better inform our individual and/or organizational responses to A/V in mental health care. The systemic model is comprised of four thematic categories with part two of the paper focusing on the final two categories: mental health-care system-related phenomena and clinician-related phenomena. The paper then discusses a number of implications arising out of embracing a more systemic model of A/V in mental health care. In broadening our understanding to include all the phenomena that contribute increased risk of A/V incidents, we are able to move away from inaccurate views that disproportionately assign 'responsibility' to clients for causing A/V when the evidence indicates that the client-related phenomena may only account for a small portion of these incidents.

Language: en