Self-perceptions of Violent Behaviors in Males with Schizophrenia and Amphetamine Addiction
Keywords:
Violent behaviors, Males with schizophrenia and amphetamine addictionAbstract
The purpose of this qualitative research was to describe the violent behaviors in males who had schizophrenia and amphetamine addiction. 15 key informants participated in this study. The qualitative data were accessed by in-depth interviews. Data were analyzed by content analysis method. Five-main themes emerged from the data’s meaning: 1) The meaning of the violent behaviors based on the views of the patients found as the action with warning signs, cannot be stopped of aggressive mood and action to stop and defense violence. 2) Their violent behaviors included verbal and physical aggression. 3) Internal causes of the violent behaviors included impatience and a perceived inability to control behavior; external causes included arousing words from others, a lack of supportive family relationships, and the use of amphetamine or alcohol. 4) Perceived effects of violent behaviors were their feelings of guilt and regret over physical injuries, insecurity and fear of the other’s reactions, and that life seemed ruined. 5) The informants wanted family members to be aware of the warning signs of violent behavior, wanting others to listen and stop talking, and wishing to have appropriate caring responses.
The findings can be used to raise awareness of harmful internal and external causes of violent behaviors and their perceived effects. Health care providers should develop a community-based violence prevention program for males with schizophrenia and amphetamine addiction.
References
Department of Mental Health. Handbook of care systems for psychiatric patients at high risk of violence for institutions and hospitals under the department of mental health. Nonthaburi: Prosperous Plus Company Limited; 2020. (in Thai).
Takviriyanun N. Nursing care of people receiving psychiatric drugs. Bangkok: Thammasat University Press; 2015. (in Thai).
Maneeganon S, Arunponpaisal S, Pimpanit V, Jarassaeng N, Boontoch K. Prevalence of substance use in psychiatric outpatient clinic at srinagarind hospital. Journal of The Psychiatric Association of Thailand. 2014; 59(4): 371-80. (in Thai).
Panliaw P, Soonthornchaiya R, Vuthiarpa S. The effects of a cognitive behavior therapy program on the aggressive behaviors among patients with amphetamine dependence. Journal of The Royal Thai Army Nurses. 2017; 18(1): 207-14. (in Thai).
Srireunthong W, Kongsuk T, Sukhawaha S, Lodthanong S, Leejongpermpool J. Development of violence severity scale in serious mental illness. Journal of The Psychiatric Association of Thailand. 2016; 61(3): 253-66. (in Thai).
Sitdhiraksa N, Wannasewok K, Wannarit K, Pukrittakayamee P, Apinuntavech S, Katumarn P. Siriraj psychiatry DSM-5. 2nd ed. Bangkok: Prayoonsanthai Printing Limited; 2015. (in Thai).
Thanunchai S, Yunibhand J. Selected factors related to violent behavior in community of schizophrenic patients. Royal Thai Navy Medical Journal. 2019; 46(3): 536-51. (in Thai).
Chaiprem M. Violent behavior of psychiatric in-patients at king chulalongkorn memorial hospilal. Thai Red Cross Nursing Journal. 2011; 21(1): 58-66. (in Thai).
Klinpiboon A. Management of model aggressive behavior in psychiatric hospital for nursing personnel. Si Sa Ket: Sumnukpimpanthong Company Limited; 2018. (in Thai).
Aiamsaart N, Thaweeses P, Chumchai P. The effect of case management to overall abilities among schizophrenic patients with the risk for violence. Journal of Somdet Chaopraya Institute of Psychiatry. 2020; 14(1): 10-22. (in Thai).
Srirath J, Chiewsothorn S, Hewan K. Learning management about patient safety in psychiatric patients with violent behavior by Problem - based learning. Journal of The Royal Thai Army Nurses. 2021; 22(1): 92-100. (in Thai).
Patton. MQ. Qualitative Evaluation and Research Methods. 2nd ed. New York City: SAGE Publications Inc; 1990.
Lincoln Ys, Guba EG. Natualistic inquiry. United States: SAGE Publications Inc; 1985. 14. Buracharin W, Uthis P. Selected factors related to violent behavior of schizophrenic patients in community. The Journal of Psychiatric Nursing and Mental Health. 2011; 25(3): 24-37. (in Thai).
Thongtup P, Sawangchareon K. Violent behavior of schizophrenic patients and violent management of family. Journal of Nurses’ Association of Thailand, North-Eastern Divison. 2013; 31(4): 121-27. (in Thai).
Sodsri S. The problem of family violence in thai society. Journal of MCU Peace Studies. 2017; 6: 600-09. (in Thai).
Rund BR. A review of factors associated with severe violence in schizophrenia. Nordic Journal of Psychiatry. 2018; 72: 561-71.
Hsu MC, Tu CH. Adult patients with schizophrenia using violence towards their parents: a phenomenological study of views and experiences of violence in parent-child dyads. Journal of Advanced Nursing. 2013; 70(2): 336- 49.
Kasipholet T, Chunhathititham P, Prasertsong C, Jaroenjitkul C, Nansunanon S, Jarutatsanangkoon A. Primary caregivers’ experiences of families with schizophrenia patients. Thai Red Cross Nursing Journal. 2020; 20(1): 102-15. (in Thai).
Kanthasaibour P, Piboonarluk W, Kaewyot K, Nerikool W. Factors related to violence in schizophrenic patients at somdet chaopraya Institute of psychiatry. Journal of Somdet Chaopraya Institute of Psychiatry. 2020; 14(2): 16-28. (in Thai).
Sriyarat K. Nurses’ roles in management of aggressive psychiatric patients. Thai Red Cross Nursing Journal. 2015; 8(1): 43-52. (in Thai).
Sanlamun B, Kedsombun P. The effect of education program for caregiver of schizophrenia patients. Community Health Development Quarterly Khon Kaen University. 2014; 2(1): 25-35. (in Thai)
Agrasuta T, Pitanupong J. Stigma in patients with schizophrenia and caregivers. Songklanagarind Medical Journal. 2016; 35(1): 37-45. (in Thai).
Urízar AC, Boyer L, Urzúa A, Williams DR. Self-stigma in patients with schizophrenia: a multicentric study from three Latin-America countries. Social Psychiatry and Psychiatric Epidemiology. 2019; 54: 905-9.
Ragsasaup S, Sawangwongsin S, Suriyapan N. Development of clinical practice guideline for nursing care violence behavior of schizophrenia patients in srithanya hospital. Medical Journal of Srisaket Surin Buriram Hospitals. 2021; 36(1): 159-68. (in Thai).
Poonnotok P, Kaewmart N, Asarath T, Pratoomsri W. Making it better experiences of thai caregivers in managing psychotic symptoms of persons with schizophrenia. Journal of Health Research. 2019; 33(3): 238-48. (in Thai).
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