Patient aggression in the inpatient behavioral health setting is a patient safety concern to patients and clinicians. Inpatient patient-to-patient aggression (48.8%, n = 556 of 1,139) was the behavioral health aggression-related event most frequently reported to the Pennsylvania Patient Safety Authority through the Pennsylvania Patient Safety Reporting System between January 1, 2012, and August 31, 2013. Inpatient patient-to-patient aggression was also the leading cause of aggression among all age groups: pediatric (55.4%), adult (42.5%), and geriatric (56.3%). Circumstances in the inpatient setting can result in psychiatric patients responding in an aggressive manner. Use of aggression assessment scales forms the basis of a multidimensional assessment approach that incorporates patient-centered, staffing-centered, and environmental-centered considerations and is a strategy that can be used to identify factors placing patients at risk for aggressive behavior.
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