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Other factors may affect aggressive behaviour in hospitalised patients
- Lalana Dissanayake, Akeem O Sule (28 November 2007)
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Lalana Dissanayake, Associate Specialist,Bedfordshire & Luton Mental Health and Social Care Partnership NHS Trust , Akeem O Sule
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lalana.dissanayake{at}blpt.nhs.uk Lalana Dissanayake, et al.
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Correspondence- Paper on Aggressive behaviour, victimisation and crime among severely mentally ill patients requiring hospitalisation raise interesting issues. Higher rates of aggressive behaviour, crime and violence among severely mentally ill patients requiring hospitalisation is the outcome of this paper. However it seems that there are some methodological pitfalls which may cloud the outcome. The study was done in inner-city London area where the deprived social status can be primarily a cause of aggressive behaviour and crime. (Campbell et al,1985 sep, Dean et al 2007 Apr) This can be a possible confounder. The weight of the study could have been more if there was a control group from similar social status. Recent changes in the model of care in the means of functional teams such as Assertive outreach and crisis resolution teams would work as filters and only the severely ill patients would be admitted to in-patient care.(Marshall M et al 2001,Commander M et al 2005). This self-selection by default causes a bias in the sample. It would shed more light on the outcome if the study can replicate with the patients of the Crisis and Assertive outreach teams. References 1.Campbell A,Bibel D,Muncer S(1985)Predicting our own aggression: person: subculture or situation British Journal of Social Psychology,24,169-80 2.Dean K,Walsh E,Mogan C,Demjaha A,Dazzan P,Morgan K,Lloyd T,Fearson P,Jones PB,Murry RM(2007),Aggressive behaviour at first contact with services finding from the AESOP First Episode Psychosis Study, Psychological Medicine,37(4):547-57 3.Commander M,Sashidharan S,Rana T,RatnayakeT (2005),Social Psychiatry & psychiatric epidemiology,40:988-993 4.Marshall M,Lockwood A,(2001),Assertive community treatment for people with severe mental disorders(Cochrane review) Contact Address : Spring House Biggleswade Hospital Biggleswade Bedfordshire Contact Telephone Number: 01767224922 |
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