@article{ref1,
title="Predicting inpatient aggression by self-reported impulsivity in forensic psychiatric patients",
journal="Criminal behaviour and mental health",
year="2015",
author="Bousardt, Annelea M. C. and Hoogendoorn, Adriaan W. and Noorthoorn, Eric O. and Hummelen, Jacobus W. and Nijman, Henk L. I.",
volume="26",
number="3",
pages="161-173",
abstract="BACKGROUND: Empirical knowledge of 'predictors' of physical inpatient aggression may provide staff with tools to prevent aggression or minimise its consequences. <br><br>AIM: To test the value of a self-reported measure of impulsivity for predicting inpatient aggression. <br><br>METHODS: Self-report measures of different domains of impulsivity were obtained using the Urgency, Premeditation, Perseverance, Sensation seeking, Positive urgency (UPPS-P) impulsive behaviour scale with all 74 forensic psychiatric inpatients in one low-security forensic hospital. Aggressive incidents were measured using the Social Dysfunction and Aggression Scale (SDAS). The relationship between UPPS-P subscales and the number of weeks in which violent behaviour was observed was investigated by Poisson regression. <br><br>RESULTS: The impulsivity domain labelled 'negative urgency' (NU), in combination with having a personality disorder, predicted the number of weeks in which physical aggression was observed by psychiatric nurses. NU also predicted physical aggression within the first 12 weeks of admission. <br><br>CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The results indicate that NU, which represents a patient's inability to cope with rejection, disappointments or other undesired feelings, is associated with a higher likelihood of becoming violent while an inpatient. This specific coping deficit should perhaps be targeted more intensively in therapy. Self-reported NU may also serve as a useful adjunct to other risk assessment tools and as an indicator of change in violence risk. Copyright © 2015 John Wiley & Sons, Ltd.<p /> <p>Language: en</p>",
language="en",
issn="0957-9664",
doi="10.1002/cbm.1955",
url="http://dx.doi.org/10.1002/cbm.1955"
}