Table 2.
Interventions following a high violence risk assessment score (the Dynamic Appraisal of Situational Aggression [DASA] total score ≥4)
| Observations with a high violence risk assessment score | n = 217 | ||
| n | % | ||
| No following interventions | 19 | 8.8 | |
| One or more interventions | 198 | 91.2 | |
| A total number of observed interventions | n = 400 | ||
| Distribution of various interventions | nI | % | nP |
| Interventions legitimized by the Finnish Mental Health Act | |||
| Seclusion | 63 | 15.8 | 29 |
| Intramuscular medication administered without consent | 15 | 3.8 | 11 |
| Limitation of the freedom of movement | 13 | 3.3 | 12 |
| Mechanical restraint | 9 | 2.3 | 5 |
| Physical restraint | 3 | 0.8 | 3 |
| Limitation of contacts | 3 | 0.8 | 3 |
| PRN-medication per os | 134 | 33.5 | 49 |
| Focused discussion performed by a nurse | 43 | 10.8 | 32 |
| Other interventions | |||
| Verbal enforcing of boundaries | 25 | 6.3 | 17 |
| Change of medication | 23 | 5.8 | 20 |
| Discharge or transfer to another ward | 14 | 3.5 | 14 |
| A visit by a relative | 11 | 2.8 | 10 |
| Daily activities/sports/a walk outdoors | 11 | 2.8 | 11 |
| Leading the patient to her/his own room | 10 | 2.5 | 6 |
| The patient is held by the arm and purposefully guided away from one location to another | 5 | 1.3 | 5 |
| The patient stays voluntarily in the seclusion room with the door unlocked | 4 | 1.0 | 4 |
| Discussion with a doctor | 3 | 0.8 | 3 |
| Changing the patient room | 3 | 0.8 | 3 |
| Intramuscular medication with consent | 2 | 0.5 | 1 |
| A visit to home | 2 | 0.5 | 2 |
| Giving a structural self-assessment instrument (e.g., the Beck Depression Inventory) to be filled in by the patient | 2 | 0.5 | 2 |
| Medication given earlier than prescribed | 1 | 0.3 | 2 |
| Discussion with a social worker | 1 | 0.3 | 1 |
PRN-medication pro re nata, medication given as needed, N I number of interventions, n p the number of individuals, who were targeted with this intervention