Managing aggression and violence associated with psychosis
Hallikainen, T.; Repo-Tiihonen, E.
Duodecim; Laaketieteellinen Aikakauskirja 131(15): 1361-1366
2015
ISSN/ISBN: 0012-7183 PMID: 26427235 Document Number: 682567
Risk for violence in psychosis is associated with the subject's history of early-onset antisocial behavior, substance abuse, suicidal ideation, lack of insight, and non-adherence to antipsychotic medication. These risk factors can be managed by effective treatment for psychosis, with the exception of predatory antisocial aggression. Generally, this group of patients is at considerable risk for untreated conditions. There is, however, no pharmacological treatment indicated solely for aggression. Physical violence can often be avoided by alertness and risk monitoring, and by attentive customer service skills. Safety at work is our shared responsibility.