Tom Palmstierna

ORCID: 0000-0002-0490-7916
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About
Contact & Profiles
Research Areas
  • Healthcare Decision-Making and Restraints
  • Psychopathy, Forensic Psychiatry, Sexual Offending
  • Workplace Violence and Bullying
  • Schizophrenia research and treatment
  • Substance Abuse Treatment and Outcomes
  • Psychiatric care and mental health services
  • Child and Adolescent Psychosocial and Emotional Development
  • Mental Health Treatment and Access
  • Intimate Partner and Family Violence
  • Attention Deficit Hyperactivity Disorder
  • Suicide and Self-Harm Studies
  • Ethics in medical practice
  • Mental Health and Psychiatry
  • Attachment and Relationship Dynamics
  • Personality Disorders and Psychopathology
  • Child Abuse and Trauma
  • Criminal Justice and Corrections Analysis
  • Family Caregiving in Mental Illness
  • Opioid Use Disorder Treatment
  • Mental Health Research Topics
  • Emergency and Acute Care Studies
  • Homelessness and Social Issues
  • Medical Malpractice and Liability Issues
  • Alcoholism and Thiamine Deficiency
  • Crime Patterns and Interventions

Karolinska Institutet
2015-2025

Norwegian University of Science and Technology
2015-2025

St Olav's University Hospital
2009-2023

Haukeland University Hospital
2013-2021

Stockholm County Council
2011-2018

Stockholm Health Care Services
2017-2018

Integrated Cardio Metabolic Centre
2014

London North West Healthcare NHS Trust
2011

West London Mental Health NHS Trust
2011

Saint Göran Hospital
1994-2006

Psychometric properties of the 11-item self-report Drug Use Disorders Identification Test (DUDIT) were evaluated in a sample heavy drug users from prison, probation, and inpatient detoxification settings, general Swedish population sample. In user sample, DUDIT predicted dependence with sensitivity 90% for both DSM-4 ICD-10 respective specificity 78 88%. Reliability according to Cronbach’s α coefficient was 0.80. 3.1% scored positive on DUDIT; T-score values are suggested. The screens...

10.1159/000081413 article EN European Addiction Research 2004-12-10

ABSTRACT A new psychiatric report and rating scale assessing severity frequency of aggressive behaviour is presented evaluated. It based on the staff's standardized reports incidents. By using a special aggression form, comprehensive information obtained, thereby permitting scoring further analysis different aspects The reliability tested found to be good as scale's capacity discriminate between patterns in groups patients. As result this because simplicity scale, it thought potentially...

10.1111/j.1600-0447.1987.tb02936.x article EN Acta Psychiatrica Scandinavica 1987-12-01

Proper assessment of aggressive behavior is essential for an understanding its causes. In 1987, Palmstierna and Wistedt [Acta Psychiatr Scand 76:657-663] introduced the Staff Observation Aggression Scale (SOAS), instrument monitoring frequency, nature, severity incidents. present study, validity SOAS scoring system was examined, scores were refined. The used to record aggression on six closed wards three psychiatric hospitals. 556 incidents compared with estimates given Visual Analogue...

10.1002/(sici)1098-2337(1999)25:3<197::aid-ab4>3.0.co;2-c article EN Aggressive Behavior 1999-01-01

Violence is frequent towards nurses in forensic mental health hospitals. Implications of this high risk environment have not been systematically explored. This paper explores occurrence symptoms on post traumatic stress and their relationship to professional quality life.Self report questionnaires assessing life were distributed among psychiatric a security unit with frequency violent behaviour. Relationships between symptoms, nursing experience, type ward compassion satisfaction, burnout...

10.1186/1477-7525-7-31 article EN cc-by Health and Quality of Life Outcomes 2009-04-16

Among clients who have been screened already for drug-related problems, the Drug Use Disorders Identification Test--Extended (DUDIT-E) maps frequency of illicit drug use (D), positive (P) and negative (N) aspects use, treatment readiness (T). D scores correlated with Diagnostic Statistical Manual Mental Disorders, Fourth Edition diagnoses among 154 heavy users from criminal justice detoxification settings, as well urine test results in units. One-week test/retest intraclass correlation...

10.1016/j.jsat.2006.10.001 article EN public-domain Journal of Substance Abuse Treatment 2006-12-13

Abstract Background The objective of the study was to calculate prevalence inmates with intellectual disabilities (ID), and identify historical, medical criminological characteristics a certain impact. Methods A random sample 143 from Norwegian prison cross sectional studied. Hayes Ability Screening Index (HASI) validated Wechsler Abbreviated Scale Intelligence (WASI). Results ID, IQ &lt; 70, 10.8%. Some essential ID were more frequent medication for mental disorders, higher number...

10.1111/j.1365-2788.2008.01072.x article EN Journal of Intellectual Disability Research 2008-05-21

The frequency and characteristics of aggressive hostile behavior in 40 psychogeriatric inpatients was investigated using the Staff Observation Aggression Scale (SOAS). Most acts were directed towards nursing staff when providing help with activities daily living. A positive correlation found between age behavior, while severity most strongly correlated to length admission. significant decrease observed during six weeks observation. causes this are discussed together implications for future...

10.1111/j.1600-0447.1988.tb06318.x article EN Acta Psychiatrica Scandinavica 1988-08-01

During a 25-week period, all incidents of aggressive behavior in 19-bed psychiatric acute care unit were systematically recorded using the Staff Observation Aggression Scale. Forty-seven 163 patients admitted to on 119 occasions. Of these incidents, 100 physical attacks another person, and 95 perpetrated by 23 patients. The predominantly without visible provocation or provoked staff's denying request. An increased number ward significantly likelihood behavior, especially with schizophrenia...

10.1176/ps.42.12.1237 article EN Psychiatric Services 1991-12-01

Demanding conditions in acute psychiatric wards inhibit provision of safe, therapeutic care and leave nurses torn between humanistic ideals the harsh reality their daily work. The aim this study was to describe nurses' caring approaches within context. Data were collected from interviews with working intensive care. analysed using qualitative analysis, based on interpretive description. Results revealed a caring-approach continuum which two formed main themes: bulldozer ballet dancer....

10.1111/j.1365-2850.2010.01548.x article EN Journal of Psychiatric and Mental Health Nursing 2010-03-04

Short- to medium-term risk assessment in psychiatric hospitals is a topic of clinical relevance that deserves attention from the research community. In this paper, Short Term Assessment Risk and Treatability, or START ( Webster, Martin, Brink, Nicholls, &amp; Middleton, 2004 ), new structured instrument for judgment dynamic treatment factors briefly described. Internal reliability properties are analyzed predictive validity severe violence Norwegian high secure hospital investigated. The...

10.1080/14999013.2010.534958 article EN International Journal of Forensic Mental Health 2010-11-01

Accessible summary Violence prevention and management is an important part of inpatient psychiatric nursing because both patients staff need to feel safe secure. The Bergen model a violence staff‐training programme that based on the three essential factors City model: positive appreciation patients, emotional regulation effective structure. Based model, we developed 13‐item questionnaire in order find out how rated climate wards where was trained according compared with not trained. result...

10.1111/j.1365-2850.2012.01930.x article EN Journal of Psychiatric and Mental Health Nursing 2012-05-27

Abstract Background In March 2020, the Norwegian government announced a COVID-19 lockdown in order to reduce spread of coronavirus. Norway, measures included restricting people’s ability leave their home and closing social institutions, thus reducing capacity for victims intimate partner violence alert someone outside about violent incidents that occurred during lockdown. At same time, restrictive forced victim perpetrator stay together prolonged periods within home, reduced possibility them...

10.1186/s12889-021-12408-x article EN cc-by BMC Public Health 2021-12-01

The aim of this study was to develop a model for identifying patients with high risk developing alcohol withdrawal delirium after assessment in the emergency department.Patients seeking acute treatment at St. Göran's hospital Stockholm were evaluated known factors delirium. All any factor admitted and received standard benzodiazepines. admission by physician charge psychiatric dependency unit hospital. Treatment final conducted unit's inpatient acute-treatment facility. Correlations...

10.1176/appi.ps.52.6.820 article EN Psychiatric Services 2001-06-01

The study examined the outcome of psychiatric inpatient care in terms patients' reports ethical benefits, which were defined as fulfillment principles beneficence and autonomy, costs, any violation those principles.A consecutive sample 84 committed patients a random voluntarily admitted two Swedish counties studied. assessed twice by psychiatrist, at admission discharge or after three weeks care. They also interviewed clinical psychologist weeks. Four aspects benefits costs their...

10.1176/ps.48.12.1567 article EN Psychiatric Services 1997-12-01

Objective: To evaluate the short‐term predictive capacity of Brøset Violence Checklist (BVC) when used by nurses in a psychiatric intensive care unit. Method: Seventy‐three patients were assessed according to BVC three times daily. Violent incidents recorded with Staff Observation Aggression Scale, revised version. An extended Cox proportional hazards model multiple events and time‐dependent covariates was estimated how highest sum last 24 h its separate items affect risk for severe violence...

10.1111/j.1600-0447.2005.00679.x article EN Acta Psychiatrica Scandinavica 2005-11-24

Violent behaviour within 8 and 28 days respectively was related by a multivariate statistical procedure to risk factors for aggressive in an epidemiologically representative sample of 105 acute involuntarily admitted patients. Previous violent the patient found correlate significantly with during first admission, abuse drugs other than alcohol admission. Determination coefficients were very low, it is concluded that associated are limited value predicting among inpatients.

10.1111/j.1600-0447.1990.tb06470.x article EN Acta Psychiatrica Scandinavica 1990-02-01

The present study evaluates the accuracy of clinical and archival predictors patients' aggressive behaviour on a locked admissions ward.Over 9-month period, staff members estimated likelihood that patients would become during their stay in ward. These unaided assessments were obtained with Visual Analogue Scales (VASs) administered before end first full day admission. Archival predictions based demographic variables (e.g. gender, number previous admissions, diagnosis) derived from admission...

10.1034/j.1600-0447.2002.0o426.x article EN Acta Psychiatrica Scandinavica 2002-05-01

The aims of the present study were to investigate clinically relevant patient and environment-related predictive factors for threats violent incidents first three days in a PICU population based on evaluations done at admittance. In 2000 2001 all 118 consecutive patients assessed admittance Psychiatric Intensive Care Unit (PICU). Patient-related conditions as actuarial data from admission, global clinical by physician nurses day, single rating with an observer rated scale scoring behaviours...

10.1186/1471-244x-11-44 article EN cc-by BMC Psychiatry 2011-03-18

10.4103/jopsys.jopsys_41_24 article EN cc-by-nc-sa Journal of Psychiatry Spectrum 2025-02-20
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