{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T09:09:16Z","timestamp":1788858556863,"version":"build-2803163510"},"reference-count":64,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Psychiatric nurses in forensic psychiatric units encounter high levels of workplace violence, but less is known about how ward routines and environmental factors relate to incident severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim\/Question<\/jats:title>\n                    <jats:p>To identify temporal, routine\u2010related, work\u2010related and environmental factors associated with severe reported workplace violence incidents in a Finnish forensic psychiatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This longitudinal retrospective study analysed 956 workplace violence reports from 2020\u20132024 using descriptive statistics, chi\u2010square tests with Benjamini\u2013Hochberg FDR correction and inductive content analysis of narratives from incidents involving outdoor activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Severe reported incidents were associated with time of day (FDR\u2010adjusted\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.030, V\u2009=\u20090.12), incidents involving outdoor activities (FDR\u2010adjusted\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.030, V\u2009=\u20090.08), incident location (FDR\u2010adjusted\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, V\u2009=\u20090.28) and ward (FDR\u2010adjusted\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, V\u2009=\u20090.46). Incidents involving outdoor activities were more often classified as severe and frequently involved physical violence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Daytime and afternoon periods, incidents involving outdoor activities and specific ward locations were associated with a higher proportion of severe reported incidents, suggesting that routine and environmental factors shape incident severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations<\/jats:title>\n                    <jats:p>Limitations include the single\u2010site retrospective design, voluntary reporting, possible repeated incidents involving the same patients and subjective classification of some reports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice<\/jats:title>\n                    <jats:p>Targeted nurse\u2010led prevention should focus on incidents involving outdoor activities, afternoon peaks and location\u2010specific controls to support safety in forensic psychiatric wards.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpm.70173","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T10:59:26Z","timestamp":1783594766000},"page":"922-932","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Contributing Factors to Severe Workplace Violence in Forensic Psychiatry: A Longitudinal Retrospective Analysis of Incident Reports"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9362-5677","authenticated-orcid":false,"given":"Matias","family":"Karvonen","sequence":"first","affiliation":[{"name":"Department of Nursing Science University of Eastern Finland 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