Abstract

Nicotine addiction among the mentally ill occurs at a high rate and aggressive behavior frequently occurs in forensic psychiatric facilities. Few studies focused on psychiatric forensic inpatients and their behavioral response to nicotine withdrawal. This study was an analysis of the association between nicotine and aggressive acts, reported in Special Incident Reports, before and after a smoking ban at a forensic hospital. The findings indicate a notable increase in aggressive acts in the week following implementation of a smoking ban with a parallel rise in use of seclusion and restraint. A significant decrease in self harm and a notable increase in aggressive acts to other patients occurred following the ban.

Further research is needed to examine the relationship between nicotine withdrawal and aggressive inpatient behavior. Violence in forensic psychiatric settings is an occupational hazard to nursing staff and a better understanding of violence will improve staff safety and clinical care.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 1493106; ProQuest document ID: 866328242. The author still retains copyright.

Author Details

Yvonne Lapp Cryns, JD, MSN, RN, PMHNP-BC, CPM

Sigma Membership

Non-member

Type

Thesis

Format Type

Text-based Document

Study Design/Type

Descriptive/Correlational

Research Approach

Pilot/Exploratory Study

Keywords:

Forensic Psychiatric Facilities, Aggressive Behavior, Nicotine Addiction, Staff Safety

Advisor

Ahlam Jadalla

Second Advisor

Barbara Nelms

Third Advisor

Colleen C. Love

Degree

Master's

Degree Grantor

California State University, Long Beach

Degree Year

2011

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-11-16

Full Text of Presentation

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