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Table 2 SOAS-RE aggressive incidents by type of aggression (verbal, threats, physical) and total

From: Characteristics of aggressive incidents in emergency primary health care described by the Staff Observation Aggression Scale – Revised Emergency (SOAS-RE)

 

Type of aggression

 
 

Verbal aggression

Threats

Physical aggression

 

Total

 

(n = 100)

(n = 78)

(n = 138)

 

(n = 316)

SOAS-RE columns1

n

(%)

n

(%)

n

(%)

p-value2

n

(%)

Provocation of aggressive behavior

 No understandable  provocation

24

(24.0)

22

(28.2)

41

(29.7)

0.615

87

(27.5)

 Person had to wait

39

(39.0)

21

(26.9)

13

(9.4)

< 0.001

73

(23.1)

 The person was denied something

25

(25.0)

24

(30.8)

21

(15.2)

0.022

70

(22.2)

 The person disagreed about assessment/advice

31

(31.0)

25

(32.1)

27

(19.7)

0.063

83

(26.3)

 Involuntary assessment of health condition

 

(3.0)

3

(3.8)

17

(12.3)

0.010

23

(7.3)

 Other

10

(10.0)

9

(11.5)

41

(29.7)

< 0.001

60

(19.0)

Target of aggression

 None

2

(2.0)

0

 

2

(1.4)

 

4

(1.3)

 Furniture/object

1

(1.0)

4

(5.1)

26

(18.8)

< 0.001

31

(9.8)

 Physician

17

(17.0)

23

(29.5)

33

(23.9)

0.140

73

(23.1)

 Nurse

84

(84.0)

62

(79.5)

104

(75.4)

0.269

250

(79.1)

 Ambulance personnel

3

(3.0)

4

(5.1)

9

(6.5)

0.473

16

(5.1)

 Security guard/police

5

(5.0)

4

(5.2)

25

(18.1)

0.001

34

(10.8)

 Other patients/persons

12

(12.0)

11

(14.1)

13

(9.4)

0.567

36

(11.4)

Consequence(s) for victim(s)

 None

36

(36.0)

29

(37.2)

42

(30.4)

0.519

107

(33.9)

 Object(s) damaged

0

 

1

(1.3)

13

(9.4)

 

14

(4.4)

 Psychological stress

43

(43.0)

34

(43.6)

67

(48.6)

0.643

144

(45.6)

 Felt threatened

28

(28.0)

30

(38.5)

72

(52.2)

0.001

130

(41.1)

 Pain < 10 min

0

 

1

(1.3)

10

(7.2)

 

11

(3.5)

 Pain > 10 min

0

 

0

 

4

(2.9)

 

4

(1.3)

 Visible injury

0

 

0

 

4

(2.9)

 

4

(1.3)

 Need for treatment by a physician

0

 

1

(1.3)

2

(1.4)

 

3

(0.9)

 Need to be taken off duty

3

(3.0)

3

(3.8)

9

(6.5)

 

15

(4.7)

 Other

3

(3.0)

0

 

8

(5.8)

 

11

(3.5)

Measure(s) to stop aggression

 None

5

(5.0)

1

(1.3)

4

(2.9)

0.3833

10

(3.2)

 Talked to the person

67

(67.0)

49

(62.8)

63

(45.7)

0.002

179

(56.6)

 Took the person aside

5

(5.0)

5

(6.4)

16

(11.6)

0.150

26

(8.2)

 Withdrew for situation/ended call

30

(30.0)

25

(32.1)

48

(34.8)

0.734

103

(32.6)

 Complied with persons wish

1

(1.0)

5

(6.4)

1

(0.7)

0.0193

7

(2.2)

 Asked the person to leave the site

6

(6.0)

14

(17.9)

22

(15.9)

0.031

42

(13.3)

 Forced the person to leave/held by force

8

(8.0)

6

(7.7)

45

(32.6)

< 0.001

59

(18.7)

 Other

17

(17.0)

14

(17.9)

41

(29.7)

0.035

72

(22.8)

Persons involved in measure(s) to stop aggression

 Physician

13

(13.0)

26

(33.3)

33

(23.9)

0.005

72

(22.8)

 Nurse

78

(78.0)

50

(64.1)

91 

(65.9)

0.071

219

(69.3)

 Ambulance personnel

7

(7.0)

8

(10.3)

12

(8.7)

0.740

27

(8.5)

 Security guard/police

25

(25.0)

28

(35.9)

93

(67.4)

< 0.001

146

(46.2)

 Other patients

0

 

0

 

1

(0.7)

 

1

(0.3)

 Next of kin

0

 

4

(5.1)

10

(7.2)

 

14

(4.4)

 Other

6

(6.0)

8

(10.3)

7

(5.1)

0.324

21

(6.6)

  1. 1 Multiple responses were possible in each SOAS-RE column
  2. 2 p-value from a Chi-square test for differences between type of aggression, omitted if too few cases
  3. 3 Exact test