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Aggressive behaviour in adolescent psychiatric settings: what are risk factors, possible interventions and implications for nursing practice? A literature review
Author(s) -
HAGE S.,
VAN MEIJEL B.,
FLUTTERT F.,
BERDEN G. F. M. G.
Publication year - 2009
Publication title -
journal of psychiatric and mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 63
eISSN - 1365-2850
pISSN - 1351-0126
DOI - 10.1111/j.1365-2850.2009.01454.x
Subject(s) - cinahl , intervention (counseling) , psychological intervention , medicine , nursing , interpersonal communication , social skills , psychology , clinical psychology , psychiatry , social psychology
Accessible summary• The aim of this literature review is to identify the risk factors of aggressive behaviour in adolescents and to describe available intervention strategies. • The risk factors comprise personal and environmental risk factors. Some risk factors can be influenced by nursing intervention strategies. • The most effective intervention programmes focus on interpersonal skills training in combination with parent management training. • There is a need for specific nursing intervention programmes to deal with aggressive behaviour in adolescent psychiatric settings.Abstract This study was aimed to identify the risk factors of aggressive behaviour in adolescents (13–18 years), and to describe available intervention strategies. The findings are evaluated on the basis of their implications for nursing practice. Aggressive behaviour in adolescent psychiatric settings is a neglected research area. The consequences of aggressive behaviour on nurses, other patients and the therapeutic environment can be profound. For the development and implementation of innovative intervention strategies aimed at preventing aggressive behaviour in adolescent psychiatric patients, knowledge of risk factors and evidence‐based interventions for aggressive behaviour are of the utmost importance. A systematic search of PubMed, Cinahl, PsychINFO and Cochrane Systematic Reviews (1991–2007) was employed. The risk factors for aggressive behaviour comprise personal and environmental risk factors. Some risk factors can be influenced by nursing intervention strategies. Available intervention programmes range from interpersonal skills training to massage therapy, parent management training, functional family therapy and multi‐systemic therapy. The most effective programmes combine interpersonal skills training with parent management training. No specific nursing intervention programmes were found for dealing with aggressive behaviour in adolescent patients. Nursing staff can assist in achieving a systematic improvement in the treatment outcomes of existing intervention programmes for the prevention of aggression. There is a need for specific nursing intervention programmes to deal with aggressive behaviour in adolescent psychiatric settings.