Determinants of Seclusion After Aggression in Psychiatric Inpatients

Fleur J. Vruwink*, Eric O. Noorthoorn, Henk L.I. Nijman, Joanneke E.L. VanDerNagel, Joop J. Hox, Cornelis L. Mulder

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Scopus)


Some aggressive incidents in psychiatric wards result in seclusion, whereas others do not. We used the Staff Observation Aggression Scale-Revised and the mental health trust's database to identify determinants that predicted seclusion after aggression. These consisted of demographic, diagnostic, contextual, and aggression characteristics and were analyzed in a multilevel logistic regression. This showed associations between seclusion and aggression for the following: younger age, involuntary status, history of previous aggression, physical or dangerous violence, aggression being directed against objects, and a more severe incident. Thus, seclusion after aggression appears to be mainly predicted by aggression itself.

Original languageEnglish
Pages (from-to)307-315
Number of pages9
JournalArchives of Psychiatric Nursing
Issue number4
Publication statusPublished - 1 Aug 2012
Externally publishedYes


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