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Physical assault against employees is an acknowledged occupational hazard in psychiatric inpatient settings (1,2) and may be a factor within the excessive turnover of staff in these settings. Despite the prevalence of aggression in pediatric psychiatric hospitals, this phenomenon is underresearched. Kelk and Cintio (19) reported that patients who have been prone to later be labeled as violent might be identified on the premise of demographic data obtainable at intake. Predictive variables have been male gender and age of 12 to 15 years. Kelsall and colleagues (20) focused on adolescents who have been hospitalized on a forensic inpatient unit in England. The definition of aggression included property destruction in addition to aggression toward self and others. We sought to broaden on this sparse analysis base and examined 215 incidents that occurred in a single facility over a two-month interval. Data had been collected from all four hospital items, which housed as much as 12 kids per unit.

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