@article{ref1,
title="Associations between violence, self-harm and acute psychiatric service use: implications for inpatient care",
journal="Journal of Psychiatric and Mental Health Nursing",
year="2022",
author="McIvor, Lucy and Payne-Gill, James and Beck, Alison",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Instances of violence in acute psychiatric settings are frequent, can be devastating for service users and staff, and are costly. Such settings would benefit from a greater understanding of violence. <br><br>AIM: We analysed the association between current and historical variables and rates of inpatient violence. To address gaps in current research we included instances of self-harm and being the target of violence. We also included seldom used service metrics. <br><br>METHOD: Data was extracted on admissions to acute adult wards and PICUs 2017-2020 within South London and Maudsley NHS Foundation Trust. A zero-inflated negative binomial regression mixed model was used to analyse the impact of variables on rates of violence. <br><br>RESULTS: Variables associated with an increased rate of violence were: an increased number of violent incidents in the year before admission, being admitted on MHA section, being admitted to PICU, instances of self-harm, being the target of violence and referral to a Psychiatric Liaison Team. <br><br>DISCUSSION: The novel associations found between enacting violence, self-harm and being the target of violence indicate trauma-informed care is crucial to reduce violent presentations of distress.   IMPLICATIONS FOR PRACTICE: System level interventions are crucial to ensure mental health nurses are supported to provide trauma-informed care.<p /> <p>Language: en</p>",
language="en",
issn="1351-0126",
doi="10.1111/jpm.12872",
url="http://dx.doi.org/10.1111/jpm.12872"
}