evaluation of a deescalation management named OUTCOME to reduce aggression and violence in psychiatry

evaluation of a deescalation management named OUTCOME to reduce aggression and violence in psychiatry - OUTCOME

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

DRKS

Registry ID

DRKS00009723

Enrollment

130

Registered

2015-11-30

Start date

2016-01-07

Completion date

Unknown

Last updated

2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

F20 F30 F31 F60

Interventions

Group 1: Interventiongroup: basic training of deescalation measures and additional refresher trainings (3 times) The basic deescalataion training programm OUTCOME is a full-day training on two days.

Eligibility

Sex/Gender

All

Age

18 Years to 67 Years

Inclusion criteria

Inclusion criteria: staff of protective stations

Exclusion criteria

Exclusion criteria: pregnant staff

Design outcomes

Primary

Measure	Time frame
Station level: The primary end points will be measured twice: at first prior to the basic training intervention and secondly 12 months after the basic training intervention. The observed measurement period is refered to 90 days prior to each reference date. The first reference date will be the 01.01.2016 and the second reference date will be the 01.02.2017. The clinical outcomes are: a.) the amount of severe escalations - mesasured as the incidence of escalations with a point value of greater/equal 9 on the SOAS-R (Nijman et al., 1999). To take into account the differences between the stations which take part in the study, the operationalisation according to Bowers is used: X = (N cases of severe escalations/ N amount of hospitalisation days) x 100 hospitalisation days (Bowers, 2000) b.) cumulated time per coersion measure (in hours) - operationalised according to Janssen and collegues: Y = (N hours per coersion measure/ N amount of hospitalisation hours) x 1.000 hospitalisation hours (Janssen et al., 2011).	—

Measure

Time frame

Station level: The primary end points will be measured twice: at first prior to the basic training intervention and secondly 12 months after the basic training intervention. The observed measurement period is refered to 90 days prior to each reference date. The first reference date will be the 01.01.2016 and the second reference date will be the 01.02.2017. The clinical outcomes are: a.) the amount of severe escalations - mesasured as the incidence of escalations with a point value of greater/equal 9 on the SOAS-R (Nijman et al., 1999). To take into account the differences between the stations which take part in the study, the operationalisation according to Bowers is used: X = (N cases of severe escalations/ N amount of hospitalisation days) x 100 hospitalisation days (Bowers, 2000) b.) cumulated time per coersion measure (in hours) - operationalised according to Janssen and collegues: Y = (N hours per coersion measure/ N amount of hospitalisation hours) x 1.000 hospitalisation hours (Janssen et al., 2011).

—

Secondary

Measure	Time frame
Staff level: The secondary end points will be measured three times: at first prior to the basic training, secondly 1 month after the basic training and thirdly 12 months after the basic training. The following well established instruments will be used: a.) CCAI - Confidence in Coping with Aggression Instrument (Thackrey, 1987) b.) IMPACS - IMpact of Patient Aggression on Carers Scale (Needhan et al., 2005) c.) SACS - Staff Attitude to Coersion Scale (Husum, Finset & Ruud, 2008).	—

Measure

Time frame

Staff level: The secondary end points will be measured three times: at first prior to the basic training, secondly 1 month after the basic training and thirdly 12 months after the basic training. The following well established instruments will be used: a.) CCAI - Confidence in Coping with Aggression Instrument (Thackrey, 1987) b.) IMPACS - IMpact of Patient Aggression on Carers Scale (Needhan et al., 2005) c.) SACS - Staff Attitude to Coersion Scale (Husum, Finset & Ruud, 2008).

—

Countries

Germany

Contacts

Public ContactAndreas Hoell

Zentralinstitut für Seelische GesundheitAG Versorgungsforschung

andreas.hoell@zi-mannheim.de+49 621 1703-6402

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026