Abstracts
Résumé
Cette étude vise l’identification des déclencheurs qui précèdent les agressions survenues dans un hôpital psychiatrique fermé. Une analyse de contenu de 140 rapports d’incident visant l’identification du déclencheur qui précédait immédiatement les événements d’agression survenus entre 2012 et 2017 a été effectuée. Avec un accord interjuge de 0,87, les résultats concordent avec ceux retrouvés dans des études précédentes. Plus de 37 % des agressions surviennent à la suite d’une intervention verbale d’un intervenant, alors qu’un peu plus de 54 % ont lieu à la suite d’un contact physique entre un intervenant et un patient. Moins de 9 % des agressions subies par le personnel sont liées à des événements où il a été impossible d’observer un déclencheur. Ces résultats sont discutés dans le cadre d’une approche interactionnelle sur l’agression en psychiatrie légale et ils permettent de proposer des pistes pour réduire le risque d’agression.
Mots-clés :
- psychiatrie légale,
- déclencheurs avant l’agression,
- approche interactionnelle,
- milieu thérapeutique
Abstract
The purpose of this research was to identify prompting observable behaviours that preceded patients’ aggressive behaviour in 14 forensic psychiatric units. A deductive content analysis of 140 aggression incident reports occurring between 2012 and 2017 was done. The results are comparable to those of previous studies: 37,1 % of the incidents analyzed were immediately preceded by staff’s verbal interventions, such as staff’s requests to the patient or staff’s refusal to acquiesce to a patient’s request. In 54 % of the incident reports, a physical contact between staff and patient was the identified trigger for aggression. In less than 9 % of the incidents, no observable trigger could be identified. We discuss our results in reference to an interactional approach to aggression in forensic psychiatry that takes into consideration the treatment environment and the patient’s individual characteristics to suggest concrete intervention strategies that could reduce the risk of aggression..
Keywords:
- forensic psychiatry,
- triggers for aggression,
- interactional approach,
- therapeutic setting
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Appendices
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