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Prediction of Aggression and Restraint in Child Inpatient Units

Objective: The aim of the present exploratory study was to determine the predictors of aggression and restraint in children admitted to a child psychiatric inpatient unit in Melbourne, Australia. Method: A retrospective review of incident report forms over a 12 month period at the State Wide Child Inpatient Unit (SWCIU) was conducted. These report forms were based upon 41 children aged 5–12 years, who had various psychiatric diagnoses including conduct disorder, attention-deficit–hyperactivity disorder and anxiety disorders. Results: A total of 70 children were admitted to the SWCIU during the audit period. Forty-one children aged 5–12 engaged in 235 violent incidents. A high-risk assessment and disruptive behaviour disorder were associated with aggressive behaviour and restraint. Disruptive behaviour disorder also predicted more serious episodes of aggression. Conclusions: There are readily identifiable patient factors that predict aggression and the need for restraint in child inpatient units.