Prediction of aggression and restraint in child inpatient units

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.