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Article   |    
Relationship Between Preadmission Threats and Later Violent Behavior by Acute Psychiatric Inpatients
Dale E. McNiel; Renee L. Binder
Psychiatric Services 1989; doi:
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This research was funded in part by grant S07-RR05755 from the biomedical research support grant program in the Division of Research Resources at the National Institutes of Health. The authors thank Rhae Aoki, R.N., Nancy Barrett, R.N., M.S., Thomas Greenfield, Ph.D., Don Hixon, R.N., David Imhof, R.N., Susan Ormiston, R.N., M.S., and Marion Woodward, L.C.S.W., for their assistance.

Department of Psychiatry at the University of California, San Francisco School of Medicine, 401 Parnassus Avenue, San Francisco, California 94143

1989 by the American Psychiatric Association

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Abstract

The medical charts of 253 patients admitted to an acute psychiatric inpatient unit were reviewed for evidence of threats of violence within the two weeks before admission and violent behavior during the first three days of hospitalization. Fifty-eight percent of the patients who had made threats before admission required seclusion for dangerous behavior in the hospital, and 32 percent of the patients who had made threats physically assaulted someone in the hospital. The association between preadmission threats and subsequent violence was especially strongamong schizophrenic patients. Compared with schizophrenic patients who did not threaten others, those who bad made preadmission threats were more likely to be physically and verbally assaultive and were more likely to require seclusion. Manic patients who had made threats were more likely than those who had not made threats to be verbally assaultive while in the hospital.

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