Rôle des équipes de soins dans l'évaluation et la prévention de l'agressivité

Aggressiveness and violence in psychiatric wards have been common for some time. Situations that incur risks may originate at different levels such as the feeling that one is not heard, a break with one's entourage, feelings of isolation, factors related to pathology, postponing a treatment, the prohibition of smoking in the rooms... Further to the analysis of the relative situation of the patient, it is of utmost importance that the team pay attention to it's own sentiments of fear, to its divisions, to its feelings of distress and of its difficulties with some patients. On the other hand, conversations, follow-up at patient's homes and out of hospital psycho-educative groups are set up to allow patients to better manage their treatment, to detect risk situations for themselves and to detect early signs of relapse so as to forestall crisis situations and to avoid re-hospitalisation.