Omérov Majda, Edman Gunnar, Wistedt Börje
Department of Psychiatry, Danderyd Hospital, Sweden.
Nord J Psychiatry. 2002;56(3):207-13. doi: 10.1080/080394802317607192.
During a period of 18 months a systematic inventory of aggressive incidents was made on two psychosis wards at the psychiatric department of Danderyd Hospital, Stockholm, Sweden. The Staff Observation Aggression Scale (SOAS) for recording and assessing aggressive incidents was used. Staff subjected to violence or threat of violence was interviewed using a semi-structured questionnaire. In one part of the study, a somewhat reduced variant of the same questionnaire was used but this time staff answered anonymously. Aggressive incidents were distributed over the 24 h, but had two distinct peaks - morning and evening. Aggressive incidents most often occur with patients with some kind of a psychotic diagnosis, most often schizophrenic psychoses. The female staff was more exposed to violence than male. Female patients are also more violent to female staff than to male staff. There is a significant difference in the emotional reactions of female and male staff after aggressions. In the staff, men are more often frightened while women tend to get surprised. Still, staff members of both genders feel insulted and angry. The "research" interviews were experienced as therapeutic discussions by the staff.
在18个月的时间里，对瑞典斯德哥尔摩丹德吕德医院精神科的两个精神病病房的攻击事件进行了系统清查。使用了用于记录和评估攻击事件的工作人员观察攻击量表（SOAS）。对遭受暴力或暴力威胁的工作人员使用半结构化问卷进行访谈。在研究的一部分中，使用了同一问卷的一个稍有简化的版本，但这次工作人员匿名作答。攻击事件分布在24小时内，但有两个明显的高峰——早晨和晚上。攻击事件最常发生在患有某种精神病诊断的患者身上，最常见的是精神分裂症性精神病。女性工作人员比男性更容易遭受暴力。女性患者对女性工作人员也比对男性工作人员更暴力。攻击行为发生后，女性和男性工作人员的情绪反应存在显著差异。在工作人员中，男性更常感到害怕，而女性往往会感到惊讶。不过，男女工作人员都感到受到了侮辱和愤怒。工作人员将“研究”访谈体验为治疗性讨论。
