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  Previous issue (2021. Vol. 13, no. 2)

Psychological-Educational Studies

Former Title: Psychological Science and Education

Publisher: Moscow State University of Psychology and Education

ISSN (online): 2587-6139


License: CC BY-NC 4.0

Started in 2009

Published quarterly

Free of fees
Open Access Journal


Clinico-social and pathopsychological risk factors of nosocomial aggression in various categories of patients 1666


Bulygina V.G.
Doctor of Psychology, Head of Laboratory of Psychohygiene and Psychoprophylaxis, V.P. Serbsky National Medical Research Center of Psychiatry and Narcology of the Ministry of Health of Russian Federation, Moscow, Russia

Kabanova T.A.
Junior Research Assistant, Laboratory of Psychological Problems of Forensic Psychiatric Prevention, V.P. Serbskiy State Research Center of Social and Forensic Psychiatry, Moscow, Russian Federation,

Kuznetsov D.A.
PhD in Medicine, psychiatrist, Psychiatric Hospital №5, Moscow Department of Public Health, Moscow, Russia

In the present study, we for the first time reveal risk factors for nosocomial aggression in different categories of the psychiatric patients, depending on the nosology and gender. We analyzed data on 275 patients who committed socially dangerous acts, declared insane and sent to inpatient involuntary treatment. We highlighted the general socio-demographic and psychological factors of nosocomial aggression in male psychiatric patients regardless of nosology. We identified the risk factors for nosocomial aggression in patients with schizophrenia and organic mental disorder depending on gender. We differentiate the risk factors of regime requirements violations in the first six months of compulsory treatment and throughout the hospital treatment. The controlling and accounting of all the risk factors of nosocomial aggression can lead to increased levels of safety and reduce the incidence of aggression.

Keywords: nosocomial aggression, risk factors of aggression, aggression in psychiatric patients.

Column: Topical issues of legal psychology in work with children and adolescents

For Reference

  1. Berezantsev A.Iu., Kuznetsov D.A. Gender-spetsificheskie kliniko-sotsial'nye faktory riska narusheniia rezhima psikhicheski bol'nymi vo vremia prinuditel'nogo statsionarnogo lecheniia [Gender-specific clinical and social risk factors for violations of the mentally ill during the forced hospitalization]. Sudebnaia psikhiatriia [Forensic psychiatry]. Pod red. V.V. Vandysha. Moscow: GNTs SSP im. V.P. Serbskogo, 2011. 78 p.
  2. Bulygina V.G. Izmerenie riskov nasiliia v sudebnoi psikhiatrii [Measuring risks of violence in forensic psychiatry]. Psikhologicheskaia nauka i obrazovanie [Psychological Science and Education], 2011. № 1. Available at: (Accessed 25.11.2011).
  3. Bulygina V.G. Otsenka riska agressii psikhicheski bol'nykh v statsionarakh, osushchestvliaiushchikh prinuditel'noe lechenie: Metod. rekomendatsii. [Risk assessment of aggression of the mentally ill in hospitals, offering compulsory treatment: Method. recommendations]. Moscow: GNTs SSP im. V.P. Serbskogo, 2010. 26 p.
  4. Gaidova N.A., Kuznetsov D.A., Bulygina V.G. Universal'nye i nozospetsificheskie fak-tory riska vnutribol'nichnoi agressii u zhenshchin vo vremia statsionarnogo prinuditel'nogo lecheniia [Universal and nozospetsificheskie risk factors of nosocomial aggression in women during inpatient involuntary treatment]. Fenomenologiia i profilaktika deviantnogo povedeniia [Phenomenology and prevention of deviant behavior]: V 2 t. T. 1. Krasnodar: Krasnodarskii universitet MVD Rossii, 2010. P. 57–59.
  5. Kabanova T.N., Shul'ga A.G., Bulygina V.G. Metodologiia i praktika upravleniia kon-fliktami v otnoshenii patsientov v psikhiatricheskom statsionare [Methodology and practice of conflict management for patients in the hospital]. Psikhicheskoe zdorov'e [Mental Health]. 2010. № 8. P. 50–55.
  6. Prinuditel'noe lechenie v psikhiatricheskom statsionare: Rukovodstvo dlia vrachei [Compulsory treatment in a psychiatric hospital: a guide for physicians]. Pod red. V.P. Kotova. Moscow: GNTs SSP im. V.P. Serbskogo, 2010. 345 p.
  7. Psikhodiagnosticheskie metody issledovaniia v praktike prinuditel'nogo lecheniia psikhicheski bol'nykh: Rukovodstvo dlia vrachei [Psychodiagnostic research methods in the practice of forced treatment of the mentally ill: A Guide for Physicians]. Pod red. V.G. Bulyginoi. Moscow: GNTs SSP im. V.P. Serbskogo, 2010. 302 p.
  8. Usiukina M.V., Kornilova P. V, Bulygina V.G. Obshchestvennaia opasnost' bol'nykh epilepsiei, nakhodiashchikhsia na prinuditel'nom lechenii v psikhiatricheskom statsionare (psikhologicheskii aspekt) [Public danger of epileptic patients under compulsory treatment in a psychiatric hospital (psychological aspect)]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry], 2008. № 2. P. 10–15.

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