{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T15:14:37Z","timestamp":1785251677139,"version":"3.55.0"},"reference-count":44,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2017,11,13]],"date-time":"2017-11-13T00:00:00Z","timestamp":1510531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001779","name":"Monash University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001779","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To describe the frequency and nature of deaths from resident\u2010to\u2010resident aggression (\n                      <jats:styled-content style=\"fixed-case\">RRA<\/jats:styled-content>\n                      ) in nursing homes in Australia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>National population\u2010based retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Accredited nursing homes in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>\n                      Residents whose deaths resulted from\n                      <jats:styled-content style=\"fixed-case\">RRA<\/jats:styled-content>\n                      and were reported to the coroner between July 1, 2000, and December 31, 2013.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Cases were identified using the National Coronial Information System, and data on individual, interpersonal, organizational, and societal factors were collected through review of the paper\u2010based coroners' files.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This research identified 28 deaths from\n                      <jats:styled-content style=\"fixed-case\">RRA<\/jats:styled-content>\n                      over a 14\u2010year study period (0.004 per 100,000 bed days). Most exhibitors of aggression were male (n = 24, 85.7%), and risk of death from\n                      <jats:styled-content style=\"fixed-case\">RRA<\/jats:styled-content>\n                      was twice as high for male as for female nursing home residents (relative risk (\n                      <jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>\n                      ) = 2.13, 95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ) = 0.93\u20134.80,\n                      <jats:italic>P<\/jats:italic>\n                      = .05). Almost 90% of residents involved in\n                      <jats:styled-content style=\"fixed-case\">RRA<\/jats:styled-content>\n                      had a diagnosis of dementia, and three\u2010quarters had a history of behavioral problems, including wandering and aggression. Dyad analysis showed that exhibitors of aggression were often younger and more recently admitted to the nursing home than targets.\n                      <jats:styled-content style=\"fixed-case\">RRA<\/jats:styled-content>\n                      incidents commonly occurred in communal areas and during the afternoon and involved a \u201cpush and fall.\u201d Seven (25%)\n                      <jats:styled-content style=\"fixed-case\">RRA<\/jats:styled-content>\n                      deaths had a coronial inquest; criminal charges were rarely filed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This is the first national study in Australia, and the largest internationally, to examine\n                      <jats:styled-content style=\"fixed-case\">RRA<\/jats:styled-content>\n                      deaths using medicolegal data. This generates hypotheses for future research on the effect of environmental and organizational factors on the frequency and preventability of\n                      <jats:styled-content style=\"fixed-case\">RRA<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.15051","type":"journal-article","created":{"date-parts":[[2017,11,13]],"date-time":"2017-11-13T09:02:36Z","timestamp":1510563756000},"page":"2603-2609","source":"Crossref","is-referenced-by-count":30,"title":["Deaths from Resident\u2010to\u2010Resident Aggression in Australian Nursing Homes"],"prefix":"10.1111","volume":"65","author":[{"given":"Briony","family":"Murphy","sequence":"first","affiliation":[{"name":"Department of Forensic Medicine Monash University Southbank Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyndal","family":"Bugeja","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine Monash University Southbank Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Pilgrim","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine Monash University Southbank Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2828-9160","authenticated-orcid":false,"given":"Joseph E.","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine Monash University Southbank Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/08946566.2014.995869"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.09.069"},{"key":"e_1_2_7_4_1","volume-title":"World Alzheimer Report 2015. 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