Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 119-127 |
| Number of pages | 9 |
| Journal | Aggression and Violent Behavior |
| Volume | 41 |
| DOIs | |
| Publication status | Published - 2018 |
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Keywords
- aggression
- alcoholism
- disease association
- effect size
- human
- medical history
- mental health center
- methodology
- outcome assessment
- personality disorder
- prevalence
- priority journal
- quality control
- Review
- risk assessment
- risk factor
- schizophrenia spectrum disorder
- substance abuse
- systematic error
- systematic review
- violence
Cite this
Aggression in mental health residential facilities: A systematic review and meta-analysis. / Bulgari, V.; Ferrari, C.; Pagnini, F.; de Girolamo, G.; Iozzino, L.
In: Aggression and Violent Behavior, Vol. 41, 2018, p. 119-127.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Aggression in mental health residential facilities: A systematic review and meta-analysis
AU - Bulgari, V.
AU - Ferrari, C.
AU - Pagnini, F.
AU - de Girolamo, G.
AU - Iozzino, L.
N1 - Export Date: 30 January 2019 CODEN: AVBEF Correspondence Address: Bulgari, V.; Psychiatric Epidemiology and Evaluation Unit, Saint John of God Clinical Research Centre, via Pilastroni 4, Italy; email: vbulgari@fatebenefratelli.eu
PY - 2018
Y1 - 2018
N2 - Objectives: To estimate the prevalence of aggression exhibited by patients living in community residential facilities and to identify risk factors for such aggression. Methods: A systematic review with meta-analysis was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) dataset (registration number: CRD42016042475). PubMed, Scopus and Web of Science were searched for studies published prior to February 21st 2017. Studies reporting the number of patients who perpetrated aggressive behavior in residential facilities were included. Methodological quality, publication bias, and the role of moderators were assessed. A pooled effect size was calculated for each outcome. Factors affecting between-study heterogeneity were analyzed using sub-groups and meta-regression analysis. Results: Ten studies met the inclusion criteria, for a total sample of 3760 patients. The pooled prevalence of aggression in residential facilities was 29% (95% CI 0.17–0.42) with a high heterogeneity and variability among studies. History of violence, personality disorders, lifetime substance and alcohol misuse were found significantly associated with aggression. Conclusion: Aggression in residential care services is common. Certain individual factors are associated to an increased risk for such aggression. © 2018 Elsevier Ltd
AB - Objectives: To estimate the prevalence of aggression exhibited by patients living in community residential facilities and to identify risk factors for such aggression. Methods: A systematic review with meta-analysis was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) dataset (registration number: CRD42016042475). PubMed, Scopus and Web of Science were searched for studies published prior to February 21st 2017. Studies reporting the number of patients who perpetrated aggressive behavior in residential facilities were included. Methodological quality, publication bias, and the role of moderators were assessed. A pooled effect size was calculated for each outcome. Factors affecting between-study heterogeneity were analyzed using sub-groups and meta-regression analysis. Results: Ten studies met the inclusion criteria, for a total sample of 3760 patients. The pooled prevalence of aggression in residential facilities was 29% (95% CI 0.17–0.42) with a high heterogeneity and variability among studies. History of violence, personality disorders, lifetime substance and alcohol misuse were found significantly associated with aggression. Conclusion: Aggression in residential care services is common. Certain individual factors are associated to an increased risk for such aggression. © 2018 Elsevier Ltd
KW - aggression
KW - alcoholism
KW - disease association
KW - effect size
KW - human
KW - medical history
KW - mental health center
KW - methodology
KW - outcome assessment
KW - personality disorder
KW - prevalence
KW - priority journal
KW - quality control
KW - Review
KW - risk assessment
KW - risk factor
KW - schizophrenia spectrum disorder
KW - substance abuse
KW - systematic error
KW - systematic review
KW - violence
U2 - 10.1016/j.avb.2018.06.002
DO - 10.1016/j.avb.2018.06.002
M3 - Article
VL - 41
SP - 119
EP - 127
JO - Aggression and Violent Behavior
JF - Aggression and Violent Behavior
SN - 1359-1789
ER -