Maßnahmen bei aggressivem Verhalten in der Jugendpsychiatrie

Für das Betreuungspersonal im stationären jugendpsychiatrischen Setting ist es zentral, während eines Aggressionsereignisses handlungsfähig zu bleiben. Um auf aggressives Verhalten wirkungsvoll reagieren zu können, sind Maßnahmen gefragt, die spezifisch auf die Jugendlichen, die Situation und das Setting zugeschnitten sind.

Publication History

Article published online:
25 July 2024

• Literatur

• 1 Schlup N, Gehri B, Simon M. Prevalence and severity of verbal, physical, and sexual inpatient violence against nurses in Swiss psychiatric hospitals and associated nurse-related characteristics: Cross-sectional multicentre study. International Journal of Mental Health Nursing 2021; 30: 1550-1563 DOI: 10.1111/inm.12905.
• 2 Dean AJ, Gibbon P, McDermott BM. et al Exposure to aggression and the impact on staff in a child and adolescent inpatient unit. Archives of psychiatric nursing 2010; 24: 15-26 DOI: 10.1016/j.apnu.2009.01.002.
• 3 International Council of Nurses (ICN). Prävention von und im Umgang mit Gewalt am Arbeitsplatz (2017). Im Internet. www.dbfk.de/media/docs/newsroom/internationales/ICN_Praevention-von-und-Umgang-mit-Gewalt-am-Arbeitsplatz_2017.pdf Stand: 25.01.2024
• 4 Oerter R, Dreher E. Jugendalter. In: Oerter R, Montada L, Hrsg. Entwicklungspsychologie. 6., vollst. überarb. Aufl. Weinheim: Belz; 2008: 271-332
• 5 Nau J, Walter G, Oud N. Aggression, Gewalt und Aggressionsmanagement. Lehr- und Praxishandbuch zur Gewaltprävention für Pflege-, Gesundheits- und Sozialberufe. 2., vollst. überarb. und erw. Aufl. Bern: Hogrefe; 2019. ma
• 6 Perers Ch, Bäckström B, Johansson B. et al Methods and Strategies for Reducing Seclusion and Restraint in Child and Adolescent Psychiatric Inpatient Care. Psychiatric quarterly 2022; 93: 107-136 DOI: 10.1007/s11126-021-09887-x.
• 7 Koch J, Heckeman B, Thomann S. et al Klare Haltung schützt Pflegende. Krankenpflege 2018; 07: 20-22
• 8 Magnowski SR, Cleveland S. The Impact of Milieu Nurse-Client Shift Assignments on Monthly Restraint Rates on an Inpatient Child/Adolescent Psychiatric Unit. Journal of the American Psychiatric Nurses Association 2020; 26: 86-91 DOI: 10.1177/1078390319834358.
• 9 Delaney KR. Reducing Reactive Aggression by Lowering Coping Demands and Boosting Regulation: Five Key Staff Behaviors. Journal of Child and Adolescent Psychiatric Nursing 2009; 22: 211-219 DOI: 10.1111/j.1744-6171.2009.00201.x.
• 10 The REACH Institute, New York. Treatment of Maladaptive Aggression in Youth (T-MAY) (2010). Im Internet. https://thereachinstitute.org/wp-content/uploads/2021/08/T-MAY-final.pdf Stand: 25.01.2024
• 11 Andrassy BM. Feelings Thermometer: An Early Intervention Scale for Seclusion/Restraint Reduction Among Children and Adolescents in Residential Psychiatric Care. Journal of Child and Adolescent Psychiatric Nursing 2016; 29: 145-147 DOI: 10.1111/jcap.12151.
• 12 Boulton KA, Raghupathy V, Guastella A. et al Reducing seclusion use in an Australian child and adolescent psychiatric inpatient unit. Journal of Affective Disorders 2022; 305: 1-7 DOI: 10.1016/j.jad.2022.02.066.
• 13 Spencer ST, Kable A, Stone T. et al Nurses’ responses to adolescent distress in an acute child and adolescent mental health inpatient unit: A qualitative interpretive descriptive study. Journal of Child and Adolescent Psychiatric Nursing 2021; 34: 352-359 DOI: 10.1111/jcap.12342.
• 14 Azeem MW, Reddy B, Wudarsky M. et al Restraint Reduction at a Pediatric Psychiatric Hospital: A Ten-Year Journey. Journal of Child and Adolescent Psychiatric Nursing 2015; 28: 180-184 DOI: 10.1111/jcap.12127.
• 15 Greene RW, Ablon JS, Martin A. Use of Collaborative Problem Solving to Reduce Seclusion and Restraint in Child and Adolescent Inpatient Unit. Psychiatric Services 2006; 57: 610-612 DOI: 10.1176/ps.2006.57.5.610.
• 16 Bjønness S, Viksveen P, Johannessen J. et al User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives. Child and Adolescent Psychiatry and Mental Health 2020; 14: 1-9 DOI: 10.1186/s13034-020-0310-3.
• 17 Maguire T, Daffern M, Bowe SJ. et al Risk assessment and subsequent nursing interventions in a forensic mental health inpatient setting: Associations and impact on aggressive behaviour. Journal of Clinical Nursing 2018; 27: e971-e983 DOI: 10.1111/jocn.14107.