정신과 입원환자의 난폭행위의 임상적 특징 및 예측인자

• 영문명: Clinical Characteristics of Violent Behaviors of Psychiatric Inpatients and Its Predictability
• 발행기관: 대한신경정신의학회
• 저자명: 김동현 서동우 우종인
• 간행물 정보: 『신경정신의학』제31권 제3호, 534~544쪽, 전체 11쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1992.05.30

영문 초록

In order to evaluate the frequency, clinical characteristics, associated factors and predictability of violent behaviors seen in psychiatric inpatients in Korea, the authors reviewed medical charts of 864 psychiatric inpatients hospitalized to the psychiatric wards of Seoul National University Hospital during the period of 3 years from Mar. 1, 1988 to Feb. 28, 1991. The results were as follows; 1) 97 patients comprising 11.4% of 864 patients committed more than one violent behaviors. The violent behaviors mainly occurred in the early stage of hospitalization, frequently invoked by frustration. Most of violent behaviors were of mild to moderate degree. The time of occurrence was mainly between 8 p.m. and 10 p.m., usually against inanimate object or other patients. Over the half of the behaviors could be anticipated and most of them were managed with medication. 2) Violent behaviors were more prevalent in those who were male, under the age of 40, relatively high educated and without spouse. Their primary diagnosis were bipolar disorders manic type or personality disorders. Violent behaviors were more closely related with higher number of previous hospitalizations, earlier onset of mental disorder, and when admitted involuntarily or via emergency room. The violent patients tended to be hospitalized for longer period. Violent behaviors also had close relationship with the previous history of violent behavior and that of legal sanction. Hostile attitude, elated or excited mood, labile affect and disorientation on the initial mental status examination also had association with violent behaviors. 3) The predictability factors for violent behavior during hospitalization were previous history of violent behavior, unmarried state, disorientation at hospitalization, involuntary hospitalization and alcoholism of parents. The overall predictability for violent bahavior during hospitalization was 82.7% with those 5 factors.

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