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P-1300 - Influence of the Psychotics’environnement as Regards Their Aggressive Behavior

Published online by Cambridge University Press:  15 April 2020

M. Rotharmel ,
M.-F. Poirier ,
F. Kazour ,
S. Bleher ,
D. Gastal ,
S. Lazareth ,
P. Lebain ,
M. Olari ,
R. Oukebdane  and
C.-E. Rengade
...Show all authors
M. Rotharmel
Affiliation:
Service de Psychiatrie Adulte 76G03, Centre Hospitalier du Rouvray, Sotteville-lès-Rouen, France
M.-F. Poirier
Affiliation:
Service de Santé Mentale et Thérapeutique, Centre Hospitalier Saint Anne, Paris, France
F. Kazour
Affiliation:
Service de Santé Mentale et Thérapeutique, Centre Hospitalier Saint Anne, Paris, France
S. Bleher
Affiliation:
Pôle Hospitalo Universitaire de Psychiatrie Adulte, Centre Hospitalier Guillaume Régnier, Rennes, France
D. Gastal
Affiliation:
Unité de Recherche Clinique 93G03, EPS Ville Evrard, Saint Denis, France
S. Lazareth
Affiliation:
Service de Psychiatrie A1, CHU de Nîmes, Nîmes, France
P. Lebain
Affiliation:
Département Universitaire de Psychiatrie, Centre Esquirol, CHU de Caen, Caen, France
M. Olari
Affiliation:
Service de Psychiatrie Adulte 76G03, Centre Hospitalier du Rouvray, Sotteville-lès-Rouen, France
R. Oukebdane
Affiliation:
Unité de Recherche Clinique 93G03, EPS Ville Evrard, Saint Denis, France
C.-E. Rengade
Affiliation:
Service de Psychiatrie Adulte 93G01, EPS Ville Evrard, Saint Denis, France
J. Themines
Affiliation:
Service de Psychiatrie Adulte 69G012, Centre Hospitalier Le Vinatier, Lyon, France
M. Abbar
Affiliation:
Service de Psychiatrie A1, CHU de Nîmes, Nîmes, France
S. Dollfus
Affiliation:
Département Universitaire de Psychiatrie, Centre Esquirol, CHU de Caen, Caen, France
A. Gassiot
Affiliation:
Service de Psychiatrie Adulte 69G012, Centre Hospitalier Le Vinatier, Lyon, France
S. Haouzir
Affiliation:
Service de Psychiatrie Adulte 76G03, Centre Hospitalier du Rouvray, Sotteville-lès-Rouen, France
D. Januel
Affiliation:
Unité de Recherche Clinique 93G03, EPS Ville Evrard, Saint Denis, France
B. Millet
Affiliation:
Pôle Hospitalo Universitaire de Psychiatrie Adulte, Centre Hospitalier Guillaume Régnier, Rennes, France
J.-P. Olie
Affiliation:
Service de Santé Mentale et Thérapeutique, Centre Hospitalier Saint Anne, Paris, France
L. Stamatiadis
Affiliation:
Unité de Recherche Clinique 93G03, EPS Ville Evrard, Saint Denis, France
J.-L. Terra
Affiliation:
Service de Psychiatrie Adulte 93G01, EPS Ville Evrard, Saint Denis, France
D. Campion
Affiliation:
Unité Intersectorielle Fermée, Centre Hospitalier Sainte Marie, Rodez, 10U614 INSERM, Université de Rouen, Rouen, France
G. Levacon
Affiliation:
Service de Psychiatrie Adulte 76G03, Centre Hospitalier du Rouvray, Sotteville-lès-Rouen, France
O. Guillin
Affiliation:
Service de Psychiatrie Adulte 76G03, Centre Hospitalier du Rouvray, Sotteville-lès-Rouen, France Unité Intersectorielle Fermée, Centre Hospitalier Sainte Marie, Rodez, 10U614 INSERM, Université de Rouen, Rouen, France

Abstract

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Introduction

People with major mental disorders are more likely to be violent than other members of the general population. What is contoversial is the influence of the patients’ environnemental violence as regards their aggressive behaviors.

The aim of the study was to assess the violence of patients with psychotic disorders regarding the crime rate in the patients’ community.

Method

We have led a prospective multicentre study in 9 French cities-each of them having different crime rates. Eligible patients were psychotic involuntary patients hospitalized in the cities’acute admission psychiatric wards. During their treatments, any kind of the patients’aggressive behavior has been reported by the OAS (Overt Aggresion Scale).

Results

From June 2010 to May 2011, 95 patients have been included. Seventy-nine per cent of the patients were violent during their hospitalizations. The patients’violence was mostly verbal (65%). In a bivariate analysis, the patients’violence was significantly associated to different factors: male gender, the patients's violence history, substance abuse, manic or mixed disorder, the symptoms severity measured by the BPRS, the insight degree and the crime rate in the city. In a multivariate analysis, the only significant factors associated with the patients’violence were substance abuse, the symptoms severity and the patients’cities’crime rates.

Discussion

The results are in accordance with the literature on the risk factors of violent behaviors.The environnemental factor-wich was until now not so much studied-also appears highly associated to this risk.

Conclusion

These results suggest that the violence within the psychotic patients’environnement could represent a risk of violence during the treatment.

Type
Abstract
Information
European Psychiatry , Volume 27 , Issue S1: Abstracts of the 20th European Congress of Psychiatry , 2012 , pp. 1
Copyright
Copyright © European Psychiatric Association 2012
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