Prevalence and Associated Factors of Violence in Psychiatric Patients Admitted as Inpatients of Phaholpolpayuhasena Hospital

Abstract

Objectives: To study the prevalence and related factors of violence in psychiatric patients admitted to the inpatient of Phaholpolpayuhasena Hospital.

Methods: This research is a retrospective analytical study. The population was patients with psychiatric disorders, both main and co-diagnosis, who received inpatient treatment at Phaholpolpayuhasena Hospital between 1 October 2021 - 30 September 2022. A sample of 349 patients was selected using stratified random sampling. Data were analyzed. With descriptive statistics Qui-square test or Fisher's exact test and logistic regression analysis.

Results: The prevalence of violent behavior in psychiatric patients admitted for inpatient treatment at Phaholpolpayuhasena Hospital was found that out of 349 patients admitted for inpatient treatment, violent and aggressive behavior was found from The OAS score assessment was at emergency level for 71 people, accounting for 20.3 percent, urgent level for 26 people, accounting for 7.4 percent, and semi-urgent level. (semi-urgency) number of 252 people, accounting for 72.2 percent. The factors related to violent behavior in psychiatric patients admitted to inpatient treatment at Phaholpolpayuhasena Hospital were statistically significant (p<0.05) including male gender, under 40 years of age, single status, none. Have a career Diagnosed with psychiatric disorder as the main illness receiving treatment. There is a combination of drug use. and having a history of high risk of committing violence (SMI-V) is associated with violent behavior. This is consistent with studies showing that patients with a previous history of violence or criminal behavior may be at increased risk of exhibiting violent behavior during their hospital stay. And psychiatric disorders may manifest in violent behavior due to alcohol's impaired effects on cognitive function and behavior.  But it was found that studies of patients with other substance use disorders were not associated with violent behavior, which is inconsistent with previous research.