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Table 2 Interventions following a high violence risk assessment score (the Dynamic Appraisal of Situational Aggression [DASA] total score ≥4)

From: Interventions following a high violence risk assessment score: a naturalistic study on a Finnish psychiatric admission ward

Observations with a high violence risk assessment score

n = 217

 
 

n

%

 

No following interventions

19

8.8

 

One or more interventions

198

91.2

 

A total number of observed interventions

n = 400

 

Distribution of various interventions

nI

%

nP

Interventions legitimized by the Finnish Mental Health Act

 Seclusion

63

15.8

29

 Intramuscular medication administered without consent

15

3.8

11

 Limitation of the freedom of movement

13

3.3

12

 Mechanical restraint

9

2.3

5

 Physical restraint

3

0.8

3

 Limitation of contacts

3

0.8

3

PRN-medication per os

134

33.5

49

Focused discussion performed by a nurse

43

10.8

32

Other interventions

 Verbal enforcing of boundaries

25

6.3

17

 Change of medication

23

5.8

20

 Discharge or transfer to another ward

14

3.5

14

 A visit by a relative

11

2.8

10

 Daily activities/sports/a walk outdoors

11

2.8

11

 Leading the patient to her/his own room

10

2.5

6

 The patient is held by the arm and purposefully guided away from one location to another

5

1.3

5

 The patient stays voluntarily in the seclusion room with the door unlocked

4

1.0

4

 Discussion with a doctor

3

0.8

3

 Changing the patient room

3

0.8

3

 Intramuscular medication with consent

2

0.5

1

 A visit to home

2

0.5

2

 Giving a structural self-assessment instrument (e.g., the Beck Depression Inventory) to be filled in by the patient

2

0.5

2

 Medication given earlier than prescribed

1

0.3

2

 Discussion with a social worker

1

0.3

1

  1. PRN-medication pro re nata, medication given as needed, N I number of interventions, n p the number of individuals, who were targeted with this intervention