Relational stressors as predictors for repeat aggressive and self-harming incidents in child and adolescent psychiatric inpatient settings
-
Christine Ulke
,
Annette M. Klein
Abstract
This study examined whether relational stressors such as psychosocial stressors, the therapist’s absence and a change of therapist are associated with repeat aggressive or self-harming incidents in child and adolescent psychiatric inpatient care. The study data were derived from critical incident reports and chart reviews of 107 inpatients. In multinomial regression analysis, patients with repeat aggressive or self-harming incidents were compared with patients with single incidents. Results suggested that a higher number of psychosocial stressors and a change of therapist, but not the therapist’s absence are predictors for repeat aggressive and self-harming incidents. There was a high prevalence of therapist’s absence during both, single and repeat, incidents. Repeat aggressive incidents were common in male children and adolescents with disruptive behavior disorders. Repeat self-harming incidents were common in adolescent females with trauma-related disorders. Patients with repeat aggressive or self-harming incidents had a higher number of abnormal intrafamilial relationships and acute life events than patients with single incidents. Interventions to reduce a change of therapist should in particular target children and adolescents with a higher number of psychosocial stressors and/or a known history of traumatic relational experiences. After a first incident, patients should have a psychosocial assessment to evaluate whether additional relational support is needed.
Acknowledgments
We would like to thank the administrative staff for their help with obtaining the data.
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©2014 by De Gruyter
Articles in the same Issue
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- Future orientation: a construct with implications for adolescent health and wellbeing
- Aortic dilatation and dissection in Turner syndrome: What we know, what we are unclear about and what we should do in clinical practice?
- Original articles
- Gender differences in early trauma and high-risk behaviors among street-entrenched youth in British Columbia
- Health-promoting lifestyle and its predictors among Iranian adolescent girls, 2013
- Health risk behaviors and sexual initiation among in-school adolescents in rural communities in southwestern Nigeria
- Is change in health behavior of Dutch medical students related to change in their ideas on how a physician’s lifestyle influences their patient’s lifestyle?
- Awareness of current recommendations and guidelines regarding strength training for youth
- Non-medical prescription drug and illicit street drug use among young Swiss men and associated mental health issues
- Prevalence of health behaviors and their associated factors among a sample of university students in India
- Quality of life measures and psychiatric symptoms in adolescents with systemic lupus erythematosus and familial Mediterranean fever
- Risk behaviors related to violence and injury among school-going adolescents in Karnataka, Southern India
- Polycystic ovary syndrome in Iranian adolescents
- Relational stressors as predictors for repeat aggressive and self-harming incidents in child and adolescent psychiatric inpatient settings
- Effect of life skills training on physical activity patterns amongst school adolescents in Delhi: a non-randomized interventional study
- Association of oral hygiene habits and food intake with the risk of dental caries among undergraduate university women in Saudi Arabia
Articles in the same Issue
- Frontmatter
- Editorial
- Cardiovascular disease and prevention
- Reviews
- Future orientation: a construct with implications for adolescent health and wellbeing
- Aortic dilatation and dissection in Turner syndrome: What we know, what we are unclear about and what we should do in clinical practice?
- Original articles
- Gender differences in early trauma and high-risk behaviors among street-entrenched youth in British Columbia
- Health-promoting lifestyle and its predictors among Iranian adolescent girls, 2013
- Health risk behaviors and sexual initiation among in-school adolescents in rural communities in southwestern Nigeria
- Is change in health behavior of Dutch medical students related to change in their ideas on how a physician’s lifestyle influences their patient’s lifestyle?
- Awareness of current recommendations and guidelines regarding strength training for youth
- Non-medical prescription drug and illicit street drug use among young Swiss men and associated mental health issues
- Prevalence of health behaviors and their associated factors among a sample of university students in India
- Quality of life measures and psychiatric symptoms in adolescents with systemic lupus erythematosus and familial Mediterranean fever
- Risk behaviors related to violence and injury among school-going adolescents in Karnataka, Southern India
- Polycystic ovary syndrome in Iranian adolescents
- Relational stressors as predictors for repeat aggressive and self-harming incidents in child and adolescent psychiatric inpatient settings
- Effect of life skills training on physical activity patterns amongst school adolescents in Delhi: a non-randomized interventional study
- Association of oral hygiene habits and food intake with the risk of dental caries among undergraduate university women in Saudi Arabia
