{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T22:46:01Z","timestamp":1783637161751,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,5,1]],"date-time":"2013-05-01T00:00:00Z","timestamp":1367366400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Annual EVO Financing"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:sec><jats:title>Accessible summary<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Over half of the violent incidents considered in this study were unexplained.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>The risk for violent behaviour inside the hospital was the highest for civil patients. The risk rate in this group was 12 compared to criminal patients' risk rate of one.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>The aim of this paper was to explore the frequency and provocation of physically violent incidents in a Finnish forensic psychiatric hospital. Three years (2007\u20132009) of violent incident reports were analysed retrospectively. The data were analysed by content analysis, and statistically by Poisson regression analysis. During the study period a total of 840 incidents of physical violence occurred. Six main categories were found to describe the provocation of violence where three of these categories seemed to be without a specified reason (61%), and three represented a reaction to something (36%). The risk for violent behaviour was highest for the civil patients (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> = 11.96; <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 95% 9.43\u201315.18; <jats:italic>P<\/jats:italic> &lt; 0.001), compared to criminal patients (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> = 1). The civil patients represented 36.7% of the patients, and in 43.6% of the studied patient days, they caused 89.8% of the reported violence incidents. Patients undergoing a forensic mental examination did not frequently behave aggressively (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> = 1.97; <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 95% 0.91\u20134.28). These results can be used in the reorganization of health\u2010care practices and the allocation of resources.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpm.12074","type":"journal-article","created":{"date-parts":[[2013,5,2]],"date-time":"2013-05-02T09:47:03Z","timestamp":1367488023000},"page":"214-218","source":"Crossref","is-referenced-by-count":7,"title":["Violent behaviour in a forensic psychiatric hospital in <scp>F<\/scp>inland: an analysis of violence incident reports"],"prefix":"10.1111","volume":"21","author":[{"given":"S.","family":"Kuivalainen","sequence":"first","affiliation":[{"name":"Department of Forensic Psychiatry University of Eastern Finland, Niuvanniemi Hospital  Kuopio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Vehvil\u00e4inen\u2010Julkunen","sequence":"additional","affiliation":[{"name":"Department of Nursing Science University of Eastern Finland  Kuopio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Putkonen","sequence":"additional","affiliation":[{"name":"Department of Forensic Psychiatry University of Eastern Finland, Niuvanniemi Hospital  Kuopio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Louheranta","sequence":"additional","affiliation":[{"name":"Department of Forensic Psychiatry University of Eastern Finland, Niuvanniemi Hospital  Kuopio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Tiihonen","sequence":"additional","affiliation":[{"name":"Department of Forensic Psychiatry University of Eastern Finland, Niuvanniemi Hospital  Kuopio"},{"name":"National Institute for Health and Welfare  Helsinki Finland"},{"name":"Department of Clinical Neuroscience Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,5]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.107.045534"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1474"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1819.2008.01790.x"},{"key":"e_1_2_5_5_1","volume-title":"Statistical Methods in Medical Research","author":"Armitage P.","year":"1994"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/1478994031000074306"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/10683160208401811"},{"key":"e_1_2_5_8_1","volume-title":"An Introduction to Generalized Linear Models. 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