FACTORS RELATED TO AGGRESSIVE BEHAVIOR OF PATIENTS WITH SCHIZOPHRENIA AT EMERGENCY PSYCHIATRIC DEPARTMENTS

Abstract

                Objective: To study aggressive behavior and the variables that may be associated with aggressive behavior at emergency psychiatric department.

                Methods: This research was a descriptive correlation research to study factors related to aggressive behavior of patients with schizophrenia at Emergency Psychiatric Department. The sample consisted of 189 patients with schizophrenia who came to treat at Emergency Psychiatric Department and Distribution by random sampling method of the samples in all 4 regions. Including the northern region 16 people, central region 86 people, northeastern region 55 people and southern region 35 people. The research instruments were: 1) personal information questionnaire, 2) Overt Aggression Scale (OAS) 3) Brief Psychotic Rating Scale (BPRS) 4) National Emergency Department Overcrowding Study (NEDOCS) and the parity is verified by Cohen's Kappa method's Inter-rater reliability determination of 1. Basic data analysis was done by using descriptive statistic, spearman’s rank correlation and logistic regression analysis.

                Results: The research findings revealed that 70.4% of males have an average age of 37.3 ± 10.8 years. 62.4% were single, 37.0% and 29.6% in secondary school and primary school, and 83.6% had no history of physical illness. the factors related to aggressive behavior of patients with schizophrenia in the emergency psychiatric department were history of alcohol and drug use. level of mental symptoms service congestion and the type of person who takes the patient to the hospital were statistically significantly correlated to aggressive behaviors among patients with schizophrenia who received service at emergency psychiatric departments.

                Conclusion: The research results indicate that The Factors in this study was related to aggressive behavior of patients with schizophrenia in the emergency psychiatric department. Therefore, the research results of this study should be used as a basis for assessing patients with schizophrenic attending the emergency psychiatric department in order to monitor aggressive behavior and provide appropriate care.