Assaultiveness in psychiatric patients and approach to assaultive patients

SERCAN, Mustafa; TUFAN, ALİ EVREN; BİLİCİ, Rabia

Assaultiveness in psychiatric patients and approach to assaultive patients

Rabia BİLİCİ, (Elazığ Ruh Sağlığı ve Hastalıkları Hastanesi, Psikiyatri Bölümü, Elazığ, Türkiye)

Mustafa SERCAN, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Bolu, Türkiye)

Ali Evren TUFAN (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Bolu, Türkiye)

Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi

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Yıl: 2013 Cilt: 26 Sayı: 2 Sayfa Aralığı: 190 - 198 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Assaultiveness in psychiatric patients and approach to assaultive patients

Öz:

Psikiyatrik hasta saldırıları ruh sağlığı alanında çalışanların mesleki uygulamada karşılaştıkları önemli olaylardandır. Bu saldırılar yaralanma, geçici veya kalıcı sakatlıklar, travma sonrası stres bozukluğu dahil ciddi sorunlar meydana getirmekte ve hatta bazen ölümle sonuçlanabilmekte, ayrıca klinik ve ekonomik yüke neden olmaktadır. Konu, önemine oranla az ilgi görmektedir çünkü saldırılar, mağdur personel tarafından, görevinin bir parçası olarak kabul görmekte, dile getirilmemekte ve yasal işleme başvurulmamaktadır. Psikiyatristlerin %5-48’inin hasta ve/veya hasta yakınları tarafından şiddet gördüğü, 4 yıllık asistanlık eğitimi boyunca asistanların %40-50’sinin fiziksel saldırıya uğradığı gösterilmiştir. Yardımcı sağlık personeli de hastalar, hasta yakınları ve ziyaretçiler tarafından sıklıkla duygusal, sözel ve fiziksel şiddete maruz kalmaktadır. Saldırıya maruz kalma riski yüksek olan personelin güvenliğinin sağlanması önemlidir ve çalışanlara bu konularda devamlı eğitim verilmelidir. Bu yazıda hasta saldırılarının nedenleri ve saldırgan hastaya yaklaşım (farmakolojik tedavi ve diğer önlemler) gözden geçirilmiştir.

Anahtar Kelime:

Psikiyatrik hastalarda saldırganlık ve saldırgan hastaya yaklaşım

Öz:

Assaults by psychiatric patients are serious occupational exposures for mental health professionals. These assaults may result in injuries, transient or persistent disabilities, severe psychological stress including posttraumatic stress disorder, and death, and cause clinical and economic burden. This issue attracts scant attention when considering its importance. Because these assaults are considered by victims as a part of their jobs and are not verbalized, they do not take legal actions. It has been shown that 5-48% of psychiatrists are subjected to violence by patients and patients’ relatives, and 40-50% of residents are physically violated during their 4-year residency training. Other healthcare personnel are also emotionally, verbally and physically violated by patients, patients’ relatives and visitors. It is of importance to provide security for staff members who are at high-risk for these assaults and continuous training on these issues should be provided for employees. In this article, the causes of assaults by patients and approaches to assaultive patients (pharmacological treatment and other precautions) are reviewed.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

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APA	BİLİCİ R, SERCAN M, TUFAN A (2013). Assaultiveness in psychiatric patients and approach to assaultive patients. , 190 - 198.
Chicago	BİLİCİ Rabia,SERCAN Mustafa,TUFAN ALİ EVREN Assaultiveness in psychiatric patients and approach to assaultive patients. (2013): 190 - 198.
MLA	BİLİCİ Rabia,SERCAN Mustafa,TUFAN ALİ EVREN Assaultiveness in psychiatric patients and approach to assaultive patients. , 2013, ss.190 - 198.
AMA	BİLİCİ R,SERCAN M,TUFAN A Assaultiveness in psychiatric patients and approach to assaultive patients. . 2013; 190 - 198.
Vancouver	BİLİCİ R,SERCAN M,TUFAN A Assaultiveness in psychiatric patients and approach to assaultive patients. . 2013; 190 - 198.
IEEE	BİLİCİ R,SERCAN M,TUFAN A "Assaultiveness in psychiatric patients and approach to assaultive patients." , ss.190 - 198, 2013.
ISNAD	BİLİCİ, Rabia vd. "Assaultiveness in psychiatric patients and approach to assaultive patients". (2013), 190-198.

APA	BİLİCİ R, SERCAN M, TUFAN A (2013). Assaultiveness in psychiatric patients and approach to assaultive patients. Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi, 26(2), 190 - 198.
Chicago	BİLİCİ Rabia,SERCAN Mustafa,TUFAN ALİ EVREN Assaultiveness in psychiatric patients and approach to assaultive patients. Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi 26, no.2 (2013): 190 - 198.
MLA	BİLİCİ Rabia,SERCAN Mustafa,TUFAN ALİ EVREN Assaultiveness in psychiatric patients and approach to assaultive patients. Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi, vol.26, no.2, 2013, ss.190 - 198.
AMA	BİLİCİ R,SERCAN M,TUFAN A Assaultiveness in psychiatric patients and approach to assaultive patients. Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi. 2013; 26(2): 190 - 198.
Vancouver	BİLİCİ R,SERCAN M,TUFAN A Assaultiveness in psychiatric patients and approach to assaultive patients. Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi. 2013; 26(2): 190 - 198.
IEEE	BİLİCİ R,SERCAN M,TUFAN A "Assaultiveness in psychiatric patients and approach to assaultive patients." Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi, 26, ss.190 - 198, 2013.
ISNAD	BİLİCİ, Rabia vd. "Assaultiveness in psychiatric patients and approach to assaultive patients". Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi 26/2 (2013), 190-198.