Abstract
We examined the associations of violence, patient dissatisfaction and occurrence of rapid tranquillisation in psychiatric intensive care, using an on-line nurse-based computerised database over a two-year period. Non-Caucasians were over-represented in violent incidents with physical threat, and previous forensic history was associated with more violent means of attack. Dissatisfaction related to non-understandable provocation and the total number of violent incidents. There was no correlation between rapid tranquillisations or side-effects and dissatisfaction. Remedial action and education in the psychiatric intensive care unit may reduce violence, and better prescribing habits, avoiding anti-psychotic polypharmacy in rapid tranquillisation, should be encouraged.
Highlights
We examined the associations of violence, patient dissatisfaction and occurrence of rapid tranquillisation in psychiatric intensive care, using an on-line nursebased computerised database over a two-year period
The aims of the present study were to audit the usage of a psychiatric intensive care unit and the occurrence of violent incidents over a two-year period, and to measure patient dissatisfaction with the service and correlate it with violent incidents, rapid tranquillisation episodes and total side-effects
A patient/user dissatisfaction questionnaire was included for use on discharge or transfer back to the base ward. It had three groups of scores on dissatis faction with the ward environment, information made available to people on admission and nurse/doctor contacts. coRrdaepdid thtrroaungqhuilltihsaetioSnOAeSveanntds pwaetireentas'lsosidreeeffects during their stay were rated on a simple seven-item three-point rating scale
Summary
We examined the associations of violence, patient dissatisfaction and occurrence of rapid tranquillisation in psychiatric intensive care, using an on-line nursebased computerised database over a two-year period. Dissatisfaction related to non-understandable provocation and the total number of violent incidents. There was no correlation between rapid tranquillisations or side-effects and dissatisfaction. Remedial action and education in the psychiatric intensive care unit may reduce violence, and better prescribing habits, avoiding anti-psychotic polypharmacy in rapid tranquillisation, should be encouraged. The aims of the present study were to audit the usage of a psychiatric intensive care unit and the occurrence of violent incidents over a two-year period, and to measure patient dissatisfaction with the service and correlate it with violent incidents, rapid tranquillisation episodes and total side-effects
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