Berg Johanna, Kaltiala-Heino Riittakerttu, Löyttyniemi Varpu, Välimäki Maritta
University of Turku, Department of Nursing Science, Turku, Finland.
Nord J Psychiatry. 2013 Apr;67(2):124-31. doi: 10.3109/08039488.2012.697190. Epub 2012 Jul 10.
Aggressive behaviour among patients is extremely common in forensic adolescent psychiatry compromising the safety of the treatment milieu and posing a treatment challenge to the staff. The staff's perception of aggression is likely to contribute to the aggression management practices among disturbed adolescents.
To examine staff's perceptions of adolescent aggressive behaviour and factors contributing it.
Qualitative interviews were conducted in four adolescent forensic units in four European countries. Data was analysed using qualitative content analysis.
Aggressive behaviour was perceived to be verbal and physical in nature with various levels of severity. Several factors were perceived to contribute to aggressive acts, including adolescents' early life experiences. Participants mainly shared perceptions of adolescent aggressive behaviour in the four units studied.
The study provides new international knowledge about how staff perceive adolescent aggressive behaviour in the forensic setting. The shared understanding of adolescents' aggressive behaviour enables the implementation of safe, ethically sound and more consistent aggression management in clinical forensic practice. Reduced occurrence of aggression may improve the therapeutic milieu of the unit and may strengthen the staff's occupational health.
在青少年法医精神病学中，患者的攻击性行为极为常见，这危及治疗环境的安全，并给工作人员带来治疗挑战。工作人员对攻击行为的认知可能会影响对行为失常青少年的攻击行为管理措施。
研究工作人员对青少年攻击行为的认知以及导致攻击行为的因素。
在四个欧洲国家的四个青少年法医部门进行了定性访谈。采用定性内容分析法对数据进行分析。
攻击行为在性质上被认为包括言语和身体攻击，且严重程度各异。有几个因素被认为会导致攻击行为，包括青少年的早期生活经历。参与者主要分享了在所研究的四个部门中对青少年攻击行为的认知。
该研究提供了关于工作人员如何看待法医环境中青少年攻击行为的新的国际知识。对青少年攻击行为的共同理解有助于在临床法医实践中实施安全、符合伦理且更一致的攻击行为管理。攻击行为发生率的降低可能会改善部门的治疗环境，并可能加强工作人员的职业健康。
