Violence in hospitalized psychiatric patients: diurnal and seasonal patterns

Psychiatry Res. 1996 Mar 29;60(2-3):199-204. doi: 10.1016/0165-1781(96)02803-x.

Abstract

The use of four-point physical restraints on a single occasion or repeatedly in psychiatric inpatients was followed prospectively during 1993 in Beer Sheva Mental Health Center. Mood-disordered patients had significantly more restraints per patient than did schizophrenic and schizoaffective patients. The monthly rates of restraints of mood-disordered and schizophrenic patients were found to be negatively correlated with the duration of the daily photoperiod, which was phase-advanced by a month. The findings suggest that seasonality (the duration of the daily photoperiod) should be taken into account in attempts to predict the potential dangerousness of psychiatric patients.

MeSH terms

  • Adult
  • Aged
  • Bipolar Disorder / epidemiology
  • Circadian Rhythm*
  • Cross-Sectional Studies
  • Depressive Disorder / epidemiology
  • Female
  • Hospitalization / statistics & numerical data*
  • Humans
  • Incidence
  • Israel / epidemiology
  • Male
  • Mental Disorders / epidemiology*
  • Middle Aged
  • Prospective Studies
  • Psychotic Disorders / epidemiology
  • Restraint, Physical
  • Schizophrenia / epidemiology
  • Seasons*
  • Violence / statistics & numerical data*